• 말소리와 음성과학
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• 제14권4호
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• pp.11-17
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• 2022

This study investigates closure durations of Korean stops in terms of laryngeal contrasts, places of articulation, and three positions within words. Twenty-two Korean speakers produced the nonsense words containing Korean stops found in word-initial and word-final positions and between vowels. The statistical results showed that the closure durations differed significantly by laryngeal contrast and place of articulation. In addition, the differences by position within words were marginally significant. The closure durations were in the order of lenis < aspirated < fortis stops by laryngeal contrast, velar < alveolar < bilabial stops by place of articulation, and word-final < word-initial < between vowels by positions within words. The laryngeal contrasts were neutralized in word-final position as per coda neutralization in Korean phonology. This study shows that closure durations should be considered a valuable phonetic cue to identify stops on par with voice onset time and f0.

• 한국응급구조학회지
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• 제21권3호
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• pp.7-16
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• 2017

Purpose: The purpose of the study was to investigate the effects of laryngeal mask airway (LMA) insertion from different positions, using different methods, on the quality of the insertion, for identifying a more convenient and effective insertion method. Methods: In a model ambulance, 30 paramedic students performed the LMA insertion procedure, in four different settings, combinations of the rescuer's position (at the head end of the patient, at the side of the patient), and insertion technique (index finger insertion, thumb insertion), in a randomized order. Quality of insertion index and convenience of use were measured. Results: The quality of insertion index (tidal volume, gastric insufflation, airway pressure, airway sealing pressure, midline positions, insertion success grade, and insertion time) were not significantly different among four different settings. However LMA insertion from the anterior (head) end, using the index finger method compared to the thumb method was found to be significantly more convenient. Conclusion: We recommend using the more convenient and familiar LMA insertion method, between index finger insertion and thumb insertion, regardless of rescuer's position.

• 말소리와 음성과학
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• 제14권2호
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• pp.55-65
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• 2022

본 연구에서는 남성 뮤지컬 전공 학생의 발성 시 고, 중, 저의 후두 높이 조건에 따른 음향학적 측정치를 비교하고자 하였다. 또한 휴식 시 후두 융기의 높이를 기준으로 후두의 상대적 높이와 음향학적 측정치 간의 상관관계를 알아보고, 후두의 상대적 높이에 대한 예측 가능성을 확인하고자 하였다. 연구대상은 남성 뮤지컬 가창 전공 남학생 5명이었으며, 고, 중, 저의 후두 위치에서 발성한 /아/ 모음을 각각 10회씩 발성하도록 하여 음향학적 분석을 시행하였다. 발성 시, 휴식 시를 기준으로 고, 중, 저 위치에서의 후두 융기의 상대적 수직 위치를 측정하였다. 연구 결과, 후두의 상대적 위치는 휴식 시를 기준으로 유의한 차이가 있었다. 후두가 하강함에 따라 포먼트 주파수는 감소한 반면, 해당 주파수에서의 스펙트럼 에너지는 증가하였다. 포먼트 주파수는 후두의 상대적 높이와 약함-중간 수준의 정적 상관관계를, 스펙트럼 에너지는 중간 수준의 부적 상관관계를 보였다. 후두의 상대적 높이는 8개의 음향학적 측정치에 의해 예측되었다(수정된 R²=.829). 이를 통하여 비침습적인 방법으로 후두의 상대적 높이를 예측할 수 있는 가능성을 일부 확인하였다.

• 대한핵의학회지
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• 제32권3호
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• pp.276-289
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• 1998

목적 : 인두기 연하곤란증이 있는 환자들을 대상으로 식도신티그라피와 비디오투시검사를 이용하여, 연하곤란증의 객관적인 진단을 하고 이를 정량화하며, 흡인이 나타난 연하곤란증환자에서 자세변화와 음식물의 성상변화가 연하곤란증을 개선시키는지 확인하고자 하였다. 대상 및 방법: 환자군 35례와 대조군 21례를 대상으로 각각 묽은 액체와 된 액체, 고체의 세 가지 성상의 검사식을 이용하여 비디오투시검사와 신티그라피검사를 시행하였다. 비디오투시검사상에서 관찰되는 흡일여부에 따라 환자군을 기도흡인군과 후두홉인군, 비흡인군으로 구분하였고, 기도흡인군과 후두흡인군은 이상소견에 따라 적절히 자세를 변화시킨 후 검사를 반복하였다. 신티그라피검사에서 7가지의 정량적인 연하지표(구강배출시간, 인두통과시간, 윤상인두개구기간, 구강잔량, 인두잔량, 인두연하효율, 구강연하효율)들을 산출하였다. 결과: 비디오투시검사 상에서 기도흡인이 관찰되었던 환자들은 신티그라피검사 상에서 인두통과시간이 증가되고, 인두연하효율이 감소되었다 기도흡인이 관찰되었던 7례 모두에서 적절한 자세변화로 흡인증상이 개선되었으며, 후두흡인도 82%에서 개선되었다. 이 환자들은 자세변화 후 인두통과시간이 단축되고, 인두연하효율이 증가되었다. 기도흡인과 후두흡인은 된 액체와 고체보다도 묽은 액체 연하시에 빈발하였다. 결론 : 연하곤란증환자에서 자세와 음식물의 성상을 바꿈으로써 흡인위험을 감소시킬 수 있다. 신티그라피검사의 인두통과시간과 인두연하효율이 연하곤란증으로 인한 기도흡인을 진단하는데 유용한 지표가 될 수 있으며, 이 두 지표는 자세변화에 따른 효과를 정량적으로 반영할 수 있을 것으로 생각하였다. 연하곤란증을 진단하기 위해서는 비디오투시검사를 통해 관찰되는 정성적인 이상소견과 신티그라피에서 산출되는 정량적인 연하지표들을 상호보완적으로 이용하여야한다.

• 말소리와 음성과학
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• 제2권3호
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• pp.91-99
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• 2010

This paper reports on an identification test where KFL learners identified the Korean three-way laryngeal contrast in the phrase-initial position, when the phrase-initial tone was systematically manipulated. It turns out that heritage learners have some sensitivity to phrase-initial tone and show a plain-aspirated alternation in their identification according to the phrase-initial tone, as native speakers do, whereas non-heritage students do not show such tone sensitivity. However, after a weekly prosody training, second-year non-heritage students have shown a significant improvement in their performance. This paper clearly shows that the phrase-initial tone plays a critical role in distinguishing laryngeal features of Korean obstruents, and also suggests that prosody including the tone-segment correlation should be incorporated in the KFL curriculum.

• 대한후두음성언어의학회지
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• 제24권2호
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• pp.96-101
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• 2013

Laryngeal framework surgery (LFS) is a unique phonosurgical concept that enables us to influence the laryngeal biomechanics by changing the shape/position of the laryngeal cartilages. LFS procedures can be favorably combined with one another but also with other phonosurgical methods, and they are usually reversible and correctable. Type I thyroplasty and arytenoid adduction are still useful in spite of the recent popularity of injection laryngoplasty. Basic surgical principles have seldom been changed since Isshiki's development, but a number of modifications have been tried and are still going on. These delicate surgeries require exhaustive training, but the reward is great to both the surgeon and the patient.

• 대한후두음성언어의학회지
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• 제33권2호
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• pp.59-63
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• 2022

The laryngeal framework surgery (LFS) is an operation to correct the position and tension of the vocal cords by changing the laryngeal cartilage and muscles. LFS such as type 1 thyroplasty, arytenoid adduction, and arytenopexy is performed to improve the voice of patients with unilateral vocal cord paralysis. It is known that the voice improvement effect of LFS in patients with unilateral vocal cord paralysis is excellent and lasts for a long time. LFS can also be operated under local anesthesia. Complications are not common, however, severe complications like airway obstruction could occur after the operation. Recently, several other attempts to modify the traditional surgical method have been reported. This review is intended to be helpful in understanding the characteristics and changes in laryngeal framework surgery.

• 대한후두음성언어의학회지
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• 제31권1호
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• pp.31-34
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• 2020

Tracheostomy is considered as a first treatment, when oral intubation seems to be difficult in patient who present severe upper airway obstruction. Generally, tracheostomy is performed in supine position. But if airway obstruction is severe enough to cause dyspnea, low oxygen saturation and inability to maintain supine position, tracheostomy should be performed in sitting position. The authors report a case of successful tracheostomy using high flow nasal cannula which help to maintain stable oxygen saturation and respiration in patients with laryngeal cancer.

• 대한후두음성언어의학회지
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• 제16권1호
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• pp.53-67
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• 2005

It is known that Korean stop consonants in syllable-initial position are of three types : lax, aspirated and forced (or unaspirated). In syllable-final position, however, these three different types are merged to a single type with the same place of articulation, although the original three-way distinction is preserved in Korean orthographic (Hangul) system. Thus the syllable-final stops are phonetically realized as voiceless "applosives" which are characterized by the absence of oral release. The aim of the present study is to investigate the laryngeal adjustments for these syllable-final stops in various phonological conditions by using fiberscope, and, is to further investigate electromyographically the laryngeal adjustments for Korean stops both in the syllable-initial and final positions in various phonological conditions. The results can be summarized as follows : 1. In the case of syllable-initial stops, the glottal widths in each three types of the Korean stops during the articulatory closure are clearly different. And the pattern of thyroarytenoid(VOC) activity appeared to characterize the three different types of Korean stops. 2. The basic laryngeal feature of the Korean syllable-final applosives is characterized by a small degree of glottal opening which begins at or slightly after the oral closure. 3. In the case, syllable-final stop followed by the copula "ita", the syllable- final stop is pronounced as the stop consonant at the initial position of the following syllable containing the vowel[i], the underlying features of three-way distinction for the stops in the Korean orthographic(Hangul) system being manifested at the laryngeal adjustment. 4. In the case of the final applosives followed by the initial stops and fricatives, the laryngeal feature of the final applosives appears to be assimilated by that of the following consonant irrespective of the difference in the place of articulation, as far as the glottal abduction/adduction is concerned. It is clearly demonstrated in the case of syllable-initial stop that thyoarytenoid(VOC) activity is suppressed for the production of the stop consonants in question, the degree of which is slightest for the forced type and most marked for the aspirated type, while it is moderate for the lax type.

• 대한두개안면성형외과학회지
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• 제18권4호
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• pp.223-229
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• 2017

The beauty of the laryngeal mask is that it forms an air tight seal enclosing the larynx rather than plugging the pharynx, and avoid airway obstruction in the oropharynx. The goal of its development was to create an intermediate form of airway management face mask and endotracheal tube. Indication for its use includes any procedure that would normally involve the use of a face mask. The laryngeal mask airway was designed as a new concept in airway management and has been gaining a firm position in anesthetic practice. Despite wide spread use the definitive role of the laryngeal mask airway is yet to be established. In some situations, such as after failed tracheal intubation or in oral surgery its use is controversial. There are several unresolved issues, for example the effect of the laryngeal mask on regurgitation and whether or not cricoids pressure prevents placement of mask. We review the techniques of insertion, details of misplacement, and complications associated with use of the laryngeal mask. We then attempt to clarify the role of laryngeal mask in air way management during anesthesia, discussing the advantages and disadvantages as well as indications and contraindications of its use in oral and maxillofacial surgery.