• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.28 no.2
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• pp.100-105
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• 2017

Background and Objectives : Adductor type spasmodic dysphonia (ADSD) is neurogenic disorder and focal laryngeal dystonia, while muscle tension dysphonia (MTD) is caused by functional voice disorder. Both ADSD and MTD may be associated with excessive supraglottic contraction and compensation, resulting in a strained voice quality with spastic voice breaks. The aim of this study was to determine the utility of spectrogram analysis in the differentiation of ADSD from MTD. Materials and Methods : From 2015 through 2017, 17 patients of ADSD and 20 of MTD, underwent acoustic recording and phonatory function studies, were enrolled. Jitter (frequency perturbation), Shimmer (amplitude perturbation) were obtained using MDVP (Multi-dimensional Voice Program) and GRBAS scale was used for perceptual evaluation. The two speech therapist evaluated a wide band (11,250 Hz) spectrogram by blind test using 4 scales (0-3 point) for four spectral findings, abrupt voice breaks, irregular wide spaced vertical striations, well defined formants and high frequency spectral noise. Results : Jitter, Shimmer and GRBAS were not found different between two groups with no significant correlation (p>0.05). Abrupt voice breaks and irregular wide spaced vertical striations of ADSD were significantly higher than those of MTD with strong correlation (p<0.01). High frequency spectral noise of MTD were higher than those of ADSD with strong correlation (p<0.01). Well defined formants were not found different between two groups. Conclusion : The wide band spectrograms provided visual perceptual information can differentiate ADSD from MTD. Spectrogram analysis is a useful diagnostic tool for differentiating ADSD from MTD where perceptual analysis and clinical evaluation alone are insufficient.

• Phonetics and Speech Sciences
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• v.14 no.2
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• pp.55-65
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• 2022

This study aimed to compare acoustic measurements by the high, middle, and low laryngeal heights of male musical theater students. Furthermore, the correlation between the relative height of the larynx and the acoustic measurements was examined, along with the predictability of the relative height (vertical position) of the larynx from acoustic measurements. The participants included five male students majoring in musical theater singing, and acoustic analysis was performed by having them produce the /a/ vowel 10 times each at the laryngeal positions of high, middle, and low. The relative vertical positions of the laryngeal prominence in each position were measured based on the resting position. Results indicated that the relative position of the larynx varied significantly according to laryngeal height, such that as the larynx descended, the first three formant frequencies decreased while the spectral energy at the same frequencies increased. Formant frequencies showed a weak to moderate positive correlation with the relative height of the larynx, while the spectral energy showed a moderate negative correlation. The relative height of the larynx was predicted by eight acoustic measures (adjusted R² = .829). In conclusion, the predictability of the relative height of the larynx was partially confirmed in a non-invasive manner.

• Phonetics and Speech Sciences
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• v.14 no.2
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• pp.77-86
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• 2022

This study aimed to investigate the voice onset time (VOT) of plosives in the VCV syllables by the place of articulation and phonation type spoken by children with bilateral cochlear implants (CIs) in comparison with children with typical hearing (TH). In all, 15 children with bilateral CIs and 15 children with TH participated in this study, aged between 5 to 10 years. All children produced 9 VCV syllables and their VOT were analyzed by the Praat software. There was no significant difference in mean VOT between children with bilateral CIs and children with TH. However, there was a significant difference in mean VOT by the place of articulation, such that the VOT for velars were longer than those for bilabials and alveolars. Additionally, there was a significant difference in mean VOT by the phonation type, such that the VOT of aspirated consonants were longer than those of lenis and fortis consonants. The results of this study suggest that children with bilateral CIs can distinguish the acoustic properties of plosive consonants and control the speech timing between the structures of the larynx and the oral cavity at a similar level as children with TH.

• The Journal of the Acoustical Society of Korea
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• v.19 no.6
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• pp.62-70
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• 2000

In usual language models(LMs), the probability has been estimated by selecting highly frequent words from a large text side database. However, in case of adopting LMs in a specific task, it is unnecessary to using the general method; constructing it from a large size tent, considering the various kinds of cost. In this paper, we propose a construction method of LMs using a small size text database in order to be used in specific tasks. The proposed method is efficient in increasing the low frequent words by applying same sentences iteratively, for it will robust the occurrence probability of words as well. We carried out continuous speech recognition(CSR) experiments on 200 sentences uttered by 3 speakers using LMs by iterative teaming(IL) in a air flight reservation task. The results indicated that the performance of CSR, using an IL applied LMs, shows an 20.4% increased recognition accuracy compared to those without it. This system, using the IL method, also shows an average of 13.4% higher recognition accuracy than the previous one, which uses context-free grammar(CFG), implying the effectiveness of it.

• Proceedings of the Acoustical Society of Korea Conference
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• spring
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• pp.82-85
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• 1999

본 연구에서는 연속음성인식 시스템의 성능 향상을 위하여 음성의 채록환경 및 데이터량 등을 고려한 효과적인 언어모델 작성방법을 제안하고, 이를 항공편 예약시스템에 적용하여 성능 평가 실험을 실시한 결과 $91.6\%$의 인식률을 얻어 제안한 방법의 유효성을 확인하였다. 이를 위하여 소량의 200문장의 항공편 예약 텍스트 데이터를 이용하여 좀더 강건한 단어발생 확률을 가지도록 하기 위해 일반적으로 대어휘 연속음성인식에서 많이 이용되고 있는 단어 N-gram 언어모델을 도입하고 이를 다양한 발성환경을 고려하여 1,154문장으로 확장한 후 동일 문장'을 반복 학습하여 언어모델을 작성하였다. 인식에 있어서는 오인식과 문법적 오류를 최소화하기 위하여 forward - backward pass 방법의 stack decoding알고리즘을 이용하였다. 인식실험 결과, 평가용 3인의 200문장을 각 반복학습 회수에 따라 학습한 각 언어모델에 대해 평가한 결과, forward pass의 경우 평균 $84.1\%$, backward pass의 경우 평균 $91.6\%$의 문장 인식률을 얻었다. 또한, 반복학습 회수가 증가함에 따라 backward pass의 인시률의 변화는 없었으나, forward pass의 경우, 인식률이 반복회수에 따라 증가하다가 일정값에 수렴함을 알 수 있었고, 언어모델의 복잡도에서도 반복회수가 증가함에 따라 서서히 줄어들며 수렴함을 알 수 있었다. 이상의 결과로부터 소량의 텍스트 데이터를 이용한 제한된 태스크에서 언어모델을 작성할 때 반복학습 방법이 유효함을 확인할 수 있다.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.23 no.2
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• pp.104-110
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• 2012

The usages of botulinum toxin were most commonly for the treatment of spasmodic dysphonia in the otolaryngology field. It has been not only widely used in otolaryngology-Head Neck surgery but also plastic surgery, ophthalmology, rehabilitation medicine, and orthopedics. Now botulinum toxin is used such as blepharospasm (excessive blinking), strabismus, cosmetic, muscle spasms, upper motor neuron syndrome, severe primary axillary hyperhidrosis (excessive sweating), cervical dystonia (spasmodic torticollis), chronic migraine, bruxism, and achalasia. The indication of this drug still gradually expanding with the times. In this articles, the author will demontrate how to use the botulinum toxin for treating cricopharyngeal spasm, arytenoid dislocation, sialocele, Frey syndrome, contact granuloma, bilateral vocal fold paralysis, and mutaional falsetto instead of conventional surgical treatment.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.15 no.2
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• pp.153-155
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• 2004

Primary infection of the larynx with aspergillus spp. with immunocompetent patient is extremely rare, few cases have been reported in the literature. It is more commonly seen as a part of a wider infection involving the respiratory system in immunocompromised patients. We present one case of primary laryngeal aspergillosis without any other airway tract extension and without any generalized immune deficit in a 69 year-old woman with history of hoarseness. Direct laryngoscopy and biopsy confirmed the diagnosis of aspergillosis.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.17 no.1
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• pp.56-59
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• 2006

The factors involved in controlling the vocal pitch are the tension, the mass, the length of the vocal cords and the subglottic pressure. Vocal pitch can be elevated surgically by increasing the stiffness or reducing the vibrating mass of the vocal cords. Recently, we experienced a case of 25 year-old female whose vocal pitch was elevated with radiofrequency surgery of right vocal cord on suspension laryngoscopy. Elevation of vocal pitch(134.11 to 144.73) was noted two months after operation. So we report this case with review of literature.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.27 no.1
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• pp.18-20
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• 2016

Total laryngectomy remains as an important treatment option in selected patients with laryngopharyngeal cancers, which inevitably sacrifices naturally produced voice. Much effort has been devoted to voice restoration for these laryngectomized patients. Several ways of voice rehabilitation after total laryngectomy have been developed and utilized thus far, including tracheoesophageal shunt speech, esophageal speech, pneumatic speech aid, and electrolarynx. Of these, tracheoesophageal shunt speech appears to be the most effective voice restoration method, while other trials might also be useful in special situations. Nevertheless, each method has its own unique mechanisms of voice production, thus has its advantages and drawbacks in clinical setting. In this review, we discuss the currently available management options for the rehabilitation of laryngectomized voice.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.8 no.1
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• pp.65-68
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• 1997

The mutational falsetto is failure to change from the higher pitched voice of preadolescence to the lower pitched voice of adolescence and adulthood. The one of characteristic findings is contraction of suprahyoid muscles. The large majority of young men with inappropriately high voice have excellent voice therapy prognosis. We have experienced one case of mutational falsetto treated with botulinum toxin injection on suprahyoid muscles. His suprahyoid muscles are contracted markedly simultaneously with each phonation. fundamental frequency$(F_0)$ of his vowel phonation was 332Hz. Extensive voice therapy including manual compression of thyroid notch was ineffective. Forty units of Botox$^{\circledR}$ was injected under the EMG-guidance(20U bilaterally). At seven days post-injection, his voice changed lower than before and at 40 days after procedure, his $F_0$ was 126Hz.