• 한국음향학회:학술대회논문집
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• 한국음향학회 1994년도 FIFTH WESTERN PACIFIC REGIONAL ACOUSTICS CONFERENCE SEOUL KOREA
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• pp.1064-1069
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• 1994

In order to realize the function of human interface of telecommunications whose objective is to interchange useful information among persons, we developed a bone conduction telephone with which hearing impaired persons with conductive or noise-induced hearing loss and presbycusis can communicate with each other without any other additional devices such as hearing aids. The bone conduction telephone we developed has chatacteristics as follows : (i) a hearing impaired person and a normal hearing person can communicate by bone and air conduction hearings, respectively, using only this telephone set because, as its receiver, it uses a bone conduction vibrator with which we can realize such function with the voice coil and damper of a small speaker unit, the vibrating plate, etc., (ii) it has tone control function compensating hearing losses of hearing impaired persons according to their hearing loss/frequency chatacteristics. Using the tone control function together with a received volume control, it has the received volume range of 20dB in loudness rating; and (iii) it has the function of three emergency calls and a bell lamp as the visual display of a received call.

• 대한청각학회지
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• 제24권2호
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• pp.85-90
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• 2020

Background and Objectives: The present study aimed to compare thresholds of direct bone-conduction (BC direct) with those of behaviorally measured BC pure-tone audiometry (PTA) and objectively measured BC auditory brainstem response (ABR) to confirm the clinical feasibility of their relationships. Subjects and Methods: Young adults with normal hearing participated in the study to determine the thresholds from three measurements at four testing frequencies. In the BC direct, the vibrator of a bone-anchored hearing aid softband was placed on the right mastoid of each subject. In both PTA and ABR, a B71 bone oscillator was placed on the subject's right mastoid. While the subject's thresholds of BC direct and BC PTA were determined with a clinically routine 5-dB step procedure, BC ABR was conducted to determine the individual's hearing sensitivity by a peak V of the waveform using tone-burst and click stimuli. Results: The BC direct showed a different pattern between low and high frequencies. Precisely, its thresholds were 13.25 and 12.25 dB HL at 0.5 and 1 kHz, respectively, but 19 and 19.75 dB HL at 2 and 4 kHz, respectively. A significant positive correlation existed between BC direct and PTA at 1 kHz, which was also correlated with ABR. Conclusions: Based on the current data, the thresholds of BC direct were similar to BC PTA at low frequencies and BC ABR at high frequencies. The thresholds of BC direct might be predictable at approximately 5 dB higher (or lower) than that in PTA, although a large data set is required for standardization.

• Journal of Audiology & Otology
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• 제24권2호
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• pp.85-90
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• 2020

Background and Objectives: The present study aimed to compare thresholds of direct bone-conduction (BC direct) with those of behaviorally measured BC pure-tone audiometry (PTA) and objectively measured BC auditory brainstem response (ABR) to confirm the clinical feasibility of their relationships. Subjects and Methods: Young adults with normal hearing participated in the study to determine the thresholds from three measurements at four testing frequencies. In the BC direct, the vibrator of a bone-anchored hearing aid softband was placed on the right mastoid of each subject. In both PTA and ABR, a B71 bone oscillator was placed on the subject's right mastoid. While the subject's thresholds of BC direct and BC PTA were determined with a clinically routine 5-dB step procedure, BC ABR was conducted to determine the individual's hearing sensitivity by a peak V of the waveform using tone-burst and click stimuli. Results: The BC direct showed a different pattern between low and high frequencies. Precisely, its thresholds were 13.25 and 12.25 dB HL at 0.5 and 1 kHz, respectively, but 19 and 19.75 dB HL at 2 and 4 kHz, respectively. A significant positive correlation existed between BC direct and PTA at 1 kHz, which was also correlated with ABR. Conclusions: Based on the current data, the thresholds of BC direct were similar to BC PTA at low frequencies and BC ABR at high frequencies. The thresholds of BC direct might be predictable at approximately 5 dB higher (or lower) than that in PTA, although a large data set is required for standardization.

• 한국음향학회지
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• 제14권2호
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• pp.113-122
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• 1995

본 논문에서는 전음성 난청 등의 청각장애인이 외부의 보조기기를 사용하지 않고도 전화통화를 할 수 있도록 개발한 골도 전화기의 특징과 성능 평가결과에 대해 기술한다. 골도청각 뿐만 아니라 기도청각을 이용하여 음성선호를 청취할 수 있도록 설계된 골도 진동자를 개발하여, 청각장애인과 정상인이 골도 전화기를 함께 사용할 수 있다. 또, 청각장애인의 청력특성에 따른 손실을 보상해 줄 수 있는 음색조절 기능이 있으며, 이 기능과 수화음량조절기능을 이용하여 20dB범위의 수화음량정격을 가변할 수 있어 수화음량 증폭기능을 가진 고출력 전화기의 효과도 겸비하고 있다. 19명의 청각장애인을 대상으로 한 명료도 평가 및 요해도 실험 결과에 의하면, 약61dB이내의 골도 청력손실의 청각장애인은 단어나 문장을 이해하여 골도 전화기를 유용하게 사용할 수 있음을 알 수 있었다.

• Journal of Audiology & Otology
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• 제24권2호
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• pp.79-84
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• 2020

Background and Objectives: Hearing can be elicited in response to vibratory stimuli delivered to fluid in the external auditory meatus. To obtain a complete audiogram in subjects with normal hearing in response to pure tone vibratory stimuli delivered to fluid applied to the external meatus. Subjects and Methods: Pure tone vibratory stimuli in the audiometric range from 0.25 to 6.0 kHz were delivered to fluid applied to the external meatus of eight participants with normal hearing (15 dB or better) using a rod attached to a standard clinical bone vibrator. The fluid thresholds obtained were compared to the air conduction (AC), bone conduction (BC; mastoid), and soft tissue conduction (STC; neck) thresholds in the same subjects. Results: Fluid stimulation thresholds were obtained at every frequency in each subject. The fluid and STC (neck) audiograms sloped down at higher frequencies, while the AC and BC audiograms were flat. It is likely that the fluid stimulation audiograms did not involve AC mechanisms or even, possibly, osseous BC mechanisms. Conclusions: The thresholds elicited in response to the fluid in the meatus likely reflect a form of STC and may result from excitation of the inner ear by the vibrations induced in the fluid. The sloping fluid audiograms may reflect transmission pathways that are less effective at higher frequencies.

• 대한청각학회지
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• 제24권2호
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• pp.79-84
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• 2020

Background and Objectives: Hearing can be elicited in response to vibratory stimuli delivered to fluid in the external auditory meatus. To obtain a complete audiogram in subjects with normal hearing in response to pure tone vibratory stimuli delivered to fluid applied to the external meatus. Subjects and Methods: Pure tone vibratory stimuli in the audiometric range from 0.25 to 6.0 kHz were delivered to fluid applied to the external meatus of eight participants with normal hearing (15 dB or better) using a rod attached to a standard clinical bone vibrator. The fluid thresholds obtained were compared to the air conduction (AC), bone conduction (BC; mastoid), and soft tissue conduction (STC; neck) thresholds in the same subjects. Results: Fluid stimulation thresholds were obtained at every frequency in each subject. The fluid and STC (neck) audiograms sloped down at higher frequencies, while the AC and BC audiograms were flat. It is likely that the fluid stimulation audiograms did not involve AC mechanisms or even, possibly, osseous BC mechanisms. Conclusions: The thresholds elicited in response to the fluid in the meatus likely reflect a form of STC and may result from excitation of the inner ear by the vibrations induced in the fluid. The sloping fluid audiograms may reflect transmission pathways that are less effective at higher frequencies.

• Archives of Plastic Surgery
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• 제46권6호
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• pp.525-534
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• 2019

Background In microtia patients with bilateral hearing impairment, hearing improvement is crucial for language development and performance. External auditory canal reconstruction (EACR) has been performed to improve hearing, but often results in complications. We performed transcutaneous bone conduction implant (TBCI) surgery in these patients. This study aimed to evaluate the safety and efficacy of TBCI surgery. Methods A retrospective review was performed of five patients who underwent auricular reconstruction and TBCI surgery and 12 patients who underwent EACR between March 2007 and August 2018. Hearing improvement was measured based on the air-bone gap values using pure-tone audiometry over a 6-week postoperative period. We reviewed other studies on hearing improvement using EACR and compared the findings with our results. The surgical techniques for TBCI were reviewed through case analyses. Results Postoperative hearing outcomes showed a significant improvement, with a mean gain of 34.1 dB in the TBCI cohort and 14.1 dB in the EACR cohort. Both gains were statistically significant; however, the TBCI cohort showed much larger gains. Only three of the 12 patients who underwent EACR achieved hearing gains of more than 20 dB, which is consistent with previous studies. All patients who underwent TBCI surgery demonstrated hearing gains of more than 20 dB and experienced no device-related complications. Conclusions TBCI is a safe and effective method of promoting hearing gains in microtia patients with bilateral hearing impairment. TBCI surgery provided better hearing outcomes than EACR and could be performed along with various auricular reconstruction techniques using virgin mastoid skin.

• 한국음향학회지
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• 제30권4호
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• pp.207-214
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• 2011

사람의 청력은 노화로 인해 자연스럽게 저하된다. 하지만 최근 들어 젊은 나이에 난청이 발생하는 경우가 크게 늘고 있다. 이처럼 난청인구가 증가하는 가장 큰 이유는 각종 휴대용 멀티미디어 기기의 대중화에 기인한다. 현재 이어폰/헤드폰으로 유발되는 소음성 난청 연구는 많이 이루어지고 있으나, 직접적인 휴대전화 통화에 따른 소음성 난청유발에 대한 연구는 거의 없다. 본 연구에서는 선행 조사를 토대로, 골전도 스피커에 Active Noise Reduction기술을 접목하여 소음성 난청을 예방하는 기술을 제안한다. 이 기술은 주변소음을 골전도 스피커를 통해서 능동적으로 역위상 진동을 부과하여 노이즈를 줄이는 방법이다. 제안한 시스템을 적용할 경우 실제 청각에 유입되는 소음레벨이 12 dB 이상 감소되며, 이러한 음량 감소폭은 휴대폰 통화에 따른 소음성난청 요인을 근본적으로 예방하는 것이다. 감성실험 결과 통화음량이 감소된 상황에서도 원활한 통화가 가능하였다.

• 한국멀티미디어학회논문지
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• 제22권2호
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• pp.271-280
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• 2019

Recently, hearing loss patients have been increasing to excessive use of various multimedia devices. One of the hearing rehabilitation systems, bone conduction hearing aid can be used to conductive deafness patients efficiently. However, the conventional bone conduction hearing systems has some problems such as skin diseases, repulsion of patients, and vibration power reduction by skin damping. In this paper, to overcome the conventional problems, we proposed power improvement method by curved beam diaphragm. The proposed method is skin attachment system which is non-implantable, and then the power of transducer is improved by the proposed method. In order to improve the vibration power of diaphragm, variable that has correlation with displacement are extracted, the diaphragm designed by extracted variable. To verify efficient of the proposed method, experiment conducted by finite element analysis. As a result of, the proposed method confirmed improved power to compare with the conventional method and proposed method.

• 한국음향학회지
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• 제32권5호
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• pp.423-429
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• 2013

본 논문은 소음 속에서 다양한 청력보호구 착용 시 청자의 두개골 위에 골진동체 자극을 이용하여 가장 민감한 어음인지 부위를 찾고자 하였다. 20명의 정상청력의 남성과 여성(각 10명)에게 강강격의 이음절어를 사용하여 네 종류의 청력보호구 (이어폼, 이어플러그, 이어머프, 이어폼과 머프 동시 착용)와 다섯 군데의 골진동체 위치 (하악골각, 관절구, 관자놀이, 유양돌기, 정수리)를 네가지의 소음 방향(0, 90, 180, 270도)에 따라 어음인지역치검사를 시행하였다. 연구 결과는 다음과 같다. 1) 골진동체의 위치 중 관절구가 가장 역치가 낮았으며, 2) 청력보호구 종류는 이어폼과 머프를 동시에 착용(이중 보호) 하였을 때 가장 역치가 낮았다. 3) 소음 방향에 따라서는 90도에서 소음이 제시되었을 때 가장 낮은 역치를 나타냈으나, 4) 실험 대상자의 성별에 따라서는 유의미한 차이가 없었다. 따라서 소음성난청을 예방하며 소음 속에서 원활한 의사소통을 위해서는 이중보호 청력보호구 착용 하에서 관절구를 통한 언어전달이 가장 효율적이다.