• 대한후두음성언어의학회지
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• 제16권2호
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• pp.118-122
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• 2005

Background and Objectives The compensatory articulation not only influences general speech intelligibility, but also prevents precise assessment of the velopharyngeal function. This study was performed to investigate frequently affected phonemes, prevalence and the characteristics of compensatory articulation in the patients with cleft palate having velopharyngeal insufficiency. Material and Method An archival review was taken on 103 cleft palate subjects. Their age ranged from 2.6 to 63 years (mean age of 9.8 years). They were grouped into two : preschool group (n=71) and older patient group (n=32). The prevalence and patterns of compensatory articulation were examined on oral high pressure consonants such as plosives, fricatives and affricates. Results : Compensatory errors were observed in $49.5\%$ of the subjects and were mostly glottal stops with the exception of 4cases who had pharyngeal fricatives in addition to glottal stops. The most frequently substituted phonemes were velar plosives and tense sound. There was no significant difference of prevalence in both groups. However, errors for bilabial and alveolar plosives were more frequently observed in preschool group. Conclusion High prevalence of compensatory articulation observed in both preschool and older age group indicates that their articulation errors tend to remain unless appropriate speech therapy is provided. To improve speech intelligibility of the patients with cleft palate having velopharyngeal insufficiency, it is advisable to address and correct the compensatory articulation errors in their earlier ages.

• 대한구순구개열학회지
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• 제11권2호
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• pp.59-63
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• 2008

Craniofacial Centre at Children's Hospital Boston is a worldwide leader in the care of children and adolescents with craniofacial anomalies especially with cleft lip and/or cleft palate, which provides a team approach to the evaluation, diagnosis and treatment of children and adults with congenital (present at birth) or acquired facial deformities. This is staffed by an experienced team of clinicians, such as in oral and maxillofacial surgery, plastic surgery, neurosurgery, dentistry, audiology, speech and language pathology, genetics, psychiatry, otolaryngology, and social work, all with specialized training in the care of children with craniofacial anomalies. Here, there is a short introduction of history, attending surgeons, works, and sequential treatment for cleft lip/palate patients about this institution.

• 대한구순구개열학회:학술대회논문집
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• 대한구순구개열학회 2003년도 종합학술대회
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• pp.43-43
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• 2003

• 대한구순구개열학회지
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• 제15권2호
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• pp.97-108
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• 2012

Velopharyngeal insufficiency (VPI) is improper closure of velopharynx during the phonation and swallowing due to various causes, especially appeared in cleft palate patients. The several surgical techniques and speech therapy can be considered in treatment of VPI. The surgical techniques such as Furlow's double opposing Z-plasty, pharyngeal flap, push-back palatoplasty, etc. have been widely used when the speech therapy is not so much effective. However, there is considerable variability in the methods for evaluation and in success criteria making difficult to compare among surgical techniques. This article reviewed the recent articles about comparing the surgical techniques in treatment of VPI. Although there is no significant difference in speech assessment by speech pathologist, Furlow's double opposing Z-plasty is a useful technique especially diminishing hypernasality and nasal emission.

• 대한구순구개열학회지
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• 제11권1호
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• pp.23-30
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• 2008

From 2001 year, our department has been participated medical charity for cleft lip and palate patients with Japanese team, on general hospital of Quang Nam Province in Tamky, Vietnam. Also we started medical service with student volunteer in Hue University Hospital, sisterhood relationship with Chonbuk National University, from 2006. The central area of Vietnam is a hard fought-field during the Vietnam war, many chemical weapons (defoliant etc.) were used during war. As the mountain region lose currency, this area was still retarded. We would like to introduce the medical charity service of our department and the classification of operated patients and performed operation.

• 대한구순구개열학회:학술대회논문집
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• 대한구순구개열학회 2003년도 종합학술대회
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• pp.45-45
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• 2003

• 대한구순구개열학회:학술대회논문집
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• 대한구순구개열학회 2002년도 종합학술대회
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• pp.11-11
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• 2002

• 대한구순구개열학회:학술대회논문집
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• 대한구순구개열학회 2002년도 연수회
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• pp.61-63
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• 2002

• 대한음성학회:학술대회논문집
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• 대한음성학회 2005년도 춘계 학술대회 발표논문집
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• pp.81-84
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• 2005

This purpose of the present study was to determine the effects of yawn-sigh technique in voice quality of a cleft palate child. A 9-year old cleft palate child participated in the study 3 times a week for a month. The assessments were done by Dr. Speech (Version 4.0, Tiger DRS) on $F_{0}$, jitter, shimmer and NNE. The results showed that there was a tendency that the voice improved in terms of NNE. However, it did not reach a statistical significance.

• 음성과학
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• 제8권3호
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• pp.185-200
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• 2001

This study was designed to investigate the treatment, generalization, and maintenance effects of vocal relaxation treatment on compensatory articulation(i.e., glottalization of plosive sound) of three children with cleft palate. Multiple baseline design was applied to evaluate treatment, generalization, and maintenance effects. The targeted phonemes were ph/, th/, /t/ which Were frequently substituted by glottal stop sounds. The main component of the treatment program was vocal relaxation using humming and aspiration sound /h/. The following conclusions were deduced from the results: (1) the treatment program for compensatory articulation was effective in facilitating correct production of targeted phoneme and eliminating glottalization for all subjects, (2) the treatment effects on articulation accuracy were generalized to untreated phonemes (/c/, /c$c^{h}$/) for 2 subjects, (3) the treatment effects on decrease of glottalization were generalized to untreated phonemes for all subjects, and (4) the treatment effects were maintained for all subjects for 2 weeks after treatment was terminated.