• Title/Summary/Keyword: 성대중

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Clinical Characteristics of the Intracordal Cysts (성대낭종의 임상적 특성)

  • Cho, Young-Ju;Yang, Yoon-Su;Yoon, Yong-Joo;Kwon, Sam-Hyun;Hong, Ki-Hwan
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.20 no.1
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    • pp.47-51
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    • 2009
  • Background and Objectives: Intracordal cysts may occur secondary to voice abuse and overuse or may be secondary to a remnant of epithelium trapped within the lamina propria. They may occur spontaneously or may be associated with poor vocal hygiene. As the cyst enlarges it can start to significantly affect the vibratory region of the vocal fold. With the advancement of the microsurgical technique and the laryngeal stroboscopy, correct diagnosis of intracordal cyst have been increased. The aims of this study is to review the important clinical characteristics of the intracordal cyst. Materials and Methods: In the present study, 212 cases of the intracordal cysts were treated by the microsurgical technique. These lesions were diagnosed before the operation with indirect laryngoscopy, laryngeal endoscopy, laryngeal stroboscopy and confirmed with the findings observed during operations and the results of the biopsies. Results : The intracordal cysts were 212 cases in the 4,20 I patients who underwent laryngeal microsurgery (5.04%). Ductal cysts were 156 cases and epidermoid cysts were 56 cases. The lesions are more frequent in women and anterior third of true vocal cord is more frequently involved site. With the preoperative laryngoscopic examination, the intracordal cysts were mostly misdiagnosed as other disease of the vocal cord such as vocal polyps or nodules. And main cause of intracordal cysts was thought of vocal abuse. From view of the surgical approach, Ductal cysts was difficult to remove completely than epidermoid cyst without cystic wall rupture. Conclusion : Intracordal cysts are very similar to the other mucosal disorders of the vocal cord and it may be misdiagnosed as vocal polyps or nodules, frequently. Therefore careful preoperative examinations for the vocal cord lesions with stroboscopy and other endoscopic instruments are important part of the correct diagnosis. An ideal treatment is enucleation of the cysts without rupture of the cystic wall or injury of the lamina propria. And marsupialization is meaningful to ductal cyst that cannot be enucleated completely.

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Integrated Analysis System for Monitoring and Therapy of Phonation (발성 검사 및 치료를 위한 통합 장치)

  • 남기창;김수찬;김한수;남지인;남도현;김덕원;최홍식
    • Proceedings of the IEEK Conference
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    • 2003.07c
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    • pp.2883-2886
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    • 2003
  • 좋은 발성을 위하여 음성이 만들어지려면, 뇌의 언어중추의 명령에 의하여 신경망을 통하여 ‘호흡기관(폐와 흉곽. 호흡관련 근육들)’과 ‘발성기관(주로 후두 즉 성대)’ 그리고 ‘조음, 공명기관(인두, 구강 및 비강)’의 근육들이 유기적으로 작용하여야 한다. 이런 협력 체제에 문제가 생기면, 다양한 종류의 질환이 유발될 수 있다[1,2]. 현재 임상에서 음성 분석을 위해 사용되는 시스템은 대부분 성대의 진동을 측정하기 위해 stroboscopy, 전기성문파형검법 (EGG, electroglottography), 후두근전도 중의 한 방법과 음성 분석을 위한 분석 프로그램으로 구성되어 있다. 그러나, 발성은 호흡과 매우 밀접한 관계가 있어 음성, 성대의 진동, 호흡 관계를 종합적으로 관찰할 필요가 있다. 본 연구에서는 발성 시 성대 점막의 접촉 양상은 ECG 로 측정하며, 발성의 주 에너지원이 되는 호흡의 변화를 2 channel 인덕턴스 호흡감시 장치(RIP: repiratory inductive plethymography)를 이용하여 흉곽의 움직임과 상 복강의 움직임에 대하여 측정하며, 발성되는 음성은 마이크로폰을 통하여 측정하는 ‘EGG, 음성, 호흡 통합검사 장치’를 개발하였다.

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Studies on the Rearing with Artificial Diet in the Silkworm, Bombyx mori L. -Electrophoretic Sepatarion of Esterase or Phosphatase along the Growth of Larvae- (가잠의 인공사료육에 관한 연구 -유충발육에 따른 Esterase 및 Phosphatase의 전기영동상-)

  • 김주읍
    • Journal of Sericultural and Entomological Science
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    • v.21 no.1
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    • pp.21-28
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    • 1979
  • The Electrophoretic separation in agarose gel on the esterase and acid phosphatase of blood, midgut and silk gland was carried out with 2 original variginal varieties and 7 F$_1$ hybrids. 1. The midgut of larvae fed on mulberry leaves showed one or two more esterase bands than that of larvae fed on artificial diet. 2. The midgut of C 15 larvae being excellently respondent to artificial diet showed one or two more esterase bands than that of larvae being bad respondent to artificial diet. 3. Electrophoretic separation of esterase bands appeared to be greatly different among newly hatched larvae, 1st and 2nd install larvae of F$_1$hybrids. However the difference among the silkworm varieties was not recognized. 4. According to the change in rearing temperature, the number of the active band of midgut esterase was varied. At the temperature of 28$^{\circ}C$ 5 active esterase bands were found. At temperature of 35$^{\circ}C$ 4 bands were noted at 3rd install and 6 or 7 bands at 4th instar. 5. No similar esterase bands conld be found among midgut, blood and silkgland. There are five esterase bands in the midgut, one in blood and three in silkgland. 6. There was rather small difference in acid phosphatase types of midgut and blood according to varieties and rearing temperature. No active band was shown in silkgland. In midgut, there was one acid phosphatase band at 3rd install, two at 4th instar and three at 5th instar. In blood, One active band at 3rd or 4th instar and three bands at 5th inatar were detected.

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The Clinical and Histopathological Study of Laryngeal mass (후두 종양의 임상적 및 병리조직학적 고찰)

  • 김화성;한경수;이준기;정덕희;박재훈
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.9.1-10
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    • 1981
  • The clinical study of 183 cases of laryngeal mass was observed and 88 cases of vocal nodule and polyp which is confirmed histopathologically, were clinically classified into 30 cases of vocal nodule, 48 cases of localized vocal polyp, 10 cases of diffuse vocal polyp, and the following results of microscopic examination were obtained. I. The clinical study of laryngeal mass 1. Among total cases of 183, vocal nodule is 82(45%) vocal polyp 53(29%) postintubation granuloma 3(1%) laryngeal papilloma 18(10%) tuberculosis 2(1%) cancer 25(14%). 2. The sex ratio of male to female is 3:4 in vocal nodule, 1:1 in vocal polyp, 1:2 in postintubation granuloma, 3:2 in laryngeal papilloma, 11:1 in cancer. 3. The age distribution is third-fourth decade in vocal nodule, fourth-fifth decade in vocal polyp, third decade in postintubation granuloma, second and fifth decade in laryngeal tuberculosis, sixth decade in laryngeal cancer. 4. The distribution of symptoms is 5 month. -1 year in vocal nodule and polyp, less than 1 year in laryngeal papilloma and postintubation granuloma, 1 year-3 year in laryngeal tuberculosis and cancer. 5. The location of the lesion is between the anterior 1/3 and middle 1/3 in vocal nodule and polyp and papilloma, middle 1/3 and posterior 1/3 in postintubation granuloma, and is diffusely spread on the entire vocal cord in laryngeal tuberculosis and cancer. 6. The side of the lesion is bilateral in vocal nodule and papilloma and the ratio of right to left is 5:3 in vocal polyp, 2:1 in postintubation granuloma. 7. The size is 1~2mm(67%) in vocal nodule, 3~5mm(42%) in vocal polyp, 6~10mm (67%) in postintubation granuloma, 1~2mm (39%) in papilloma, more than 10mm in tuberculosis and cancer. 8. Among the symptoms, the hoarseness is in more than 90% of disease entity, the sore-throat in tuberculosis and cancer, the dyspnea in postintubation granuloma and papilloma and tuberculosis and cancer. 9. In the past history, certain relationship with smoking is noted in cancer (40%) and tuberculosis(50%) and the history of frequent attack of URI is in papilloma(33%). 10. In occupation, certain statistical significance was not noted. II. The histopathological study of vocal nodule and polyp. 1. Most polyps and nodules were covered with stratified squamous epithelium, but focal hyperkeratosis, parakeratosis, acanthosis and atrophy were rather frequently observed. Hyperkeratosis and acanthosis was most frequently seen.

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Aerodynamic Study in Normal Korean and Patients with Vocal Polyp (정상인과 성대용종 환자에서의 공기역학적 검사)

  • 서장수;송시연;정유선;김정수;지덕환;이무경
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.10 no.1
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    • pp.5-11
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    • 1999
  • Background and Objectives : Recently, many people suffering from voice change visit otolaryngologist. So, it is important to study vocal function in patients with glottic or laryngeal disease. Aerodynamic investigation is valuable information about the efficiency of the larynx in translating air pressure to acoustic signal. The purpose of this study was to investigate the aerodynamic data in patients with vocal polyp, compare this data with that of the normal Korean. Materials and Methods : In aerodynamic study, maximum phonation time, mean air flow rate, phonatory flow volume and subglottal pressure were tested by using Aerophone II voice function analyzer in 157 normal korean and 143 patients with vocal polyp, aged from 20 to 69 years randomly selected. Results and Conclusion : In vocal polyp, maximum phonation time was significantly decreased and mean air How rate was increased. Phonatory flow volume was significantly decreased and subglottic pressure was increased only in female with vocal polyp. These data will be served as basic data of evaluation after treatment and postoperative assessment of the patients with vocal polyp.

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전통음악 및 서양음악 가수에 대한 음악 음형대 및 성대진동양상에 대한 연구

  • 홍기환;박병암;양윤수;김현기
    • Proceedings of the KSLP Conference
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    • 1997.11a
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    • pp.254-254
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    • 1997
  • 서양음악을 전공하는 숙달된 가수들은 공연시 효과적인 소리의 울림현상을 생성하여 노래소리가 잘 전달되는데 이는 노래소리에 대한 음악 음형대의 형성에 기인한다. 그러나 판소리의 일반적인 창법은 발성중 적절한 감정의 삽입과 더불어 아주 깨끗한 소리보다는 적절하게 탁음을 조화시키므로서 우리민족의 정서에 맞는 감정을 전달하는 것으로 판소리 가수만이 가지는 독특한 발성법에 의해 성대의 과다한 접촉 및 진동에 의해 병변이 초래되며 심한 경우 발성기관에 병적인 병변이 발생하여 치료를 요하는 경우도 많다. (중략)

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Implementation of educational DNC system for multiple users (다수 사용자를 위한 교육용 DNC 시스템의 구현)

  • 서기성;성대중
    • 제어로봇시스템학회:학술대회논문집
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    • 1996.10b
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    • pp.1328-1331
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    • 1996
  • The importance of training for NC, CNC and Machining Center has been greatly increased. This paper presents implementation of a DNC system and operating software for educational purpose. This system is able to connect 8-32 CNCs to Control PC with RS232 multi-port serial card. Therefore, it allows much efficiency in training even after costs are considered. The KISCO DNC S/W for above system includes various communication function, communication parameter setting, program editor, tool management and user-friendly environment.

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모야모야병을 동반한 당원병 Ia형 1례

  • Kim, Yeong-Seon;Lee, Dong-Hwan
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.4 no.1
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    • pp.1-4
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    • 2004
  • 저자들은 4년 전 모야모야병으로 진단되어 수술 받았던 16세의 여아에서 지속적으로 고지질혈증이 있어 검사를 시행한 결과 가족 중 여동생에게서도 고지질혈증이 있음이 확인되었고 대사성산증, 고요산혈증, 젖산혈증 및 간비대가 지속되어 시행했던 염기 서열 분석에서 당원병 type Ia로 진단된 1례를 경험하였기에 보고하는 바이다.

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CROSS-LINKED COLLAGEN IMPLANT INJECTION AND REHABILITATION OF GLOTTIC INCOMPETENCE (Cross-linked collagen 주입에 의한 성문폐쇄부전의 개선)

  • 이정구
    • Proceedings of the KSLP Conference
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    • 1993.12a
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    • pp.18-18
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    • 1993
  • 성문폐쇄부전의 개선을 위해 후두내에 주입하여온 여러 재료 중 현재에는 teflon만이 가장 흔히 사용되어지고 있다. 그러나 teflon은 점막하와 가동성 성대 내에 주입할 수 없어 경도 성문 폐쇄부전의 미세 조정과 성대의 작은 결손에는 부적합하다. 성문폐쇄부전을 개선하기 위하여 9명의 환자에서 17회 cross-linked collagen을 주입한 결과 이 방법은 환자의 음성을 개선하고 성문폐쇄부전을 교정하는데 성공적이었다. (중략)

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Management of Anterior Glottic web with Laser Vaporization and Silastic Keel Insertion (성대전연부 격막의 레이저치료 및 endolaryngeal silastic keel 삽입술의 효과)

  • 최종욱;정도광;김용환;오재훈;허경회
    • Proceedings of the KSLP Conference
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    • 1993.12a
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    • pp.21-21
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    • 1993
  • 발성장애와 호흡곤란을 주소로 하는 성대 전연부 격막은 후두병변의 부적절한 치료, 만성염증 또는 외상 등의 후천적인 원인으로 발생하는 경우가 많다. 성문중 가장 협소한 부위인 전연부에 발생한 격막에 대하여는 여러 가지 다양한 치료방법이 보고되고 있지만, 재협착의 가능성이 높고, 치료후 반흔 조직에 의하여 음성의 질을 높이는데 한계점이 있다. (중략)

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