• 제목/요약/키워드: Larynx position

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운동학습이론에 기초한 발성운동조절법이 근오용성 발성장애의 음성에 미치는 효과 (Effects of Motor Learning Guided Laryngeal Motor Control Therapy for Muscle Misuse Dysphonia)

  • 서인효;이옥분;이상준;정필상
    • 말소리와 음성과학
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    • 제3권3호
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    • pp.133-140
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    • 2011
  • Muscle misuse dysphonia (MMD) is defined as a behavioral voice disorder resulting from inappropriate contractions of intrinsic and/or extrinsic laryngeal muscles. The purpose of this study was to investigate the effect of motor learning guided laryngeal motor control therapy (MLG-LMCT) which is designed to improve an existing LMT and further the effective voice treatment on people with muscle misuse dysphonia. Forty-six people with MMD (M:F=16:30) participated in this study. The voice samples of the participants were recorded to investigate the effect of MLG-LMCT before and after the voice therapy. Voice samples were analyzed via electro-glotto-graph (EGG). Contact quotient (CQ), speed quotient (SQ), and waveform were reported. In addition, perceptual and acoustical evaluation were conducted to determine the change of voice improvement after treatment. The experimenter massaged the tensioned muscles around the neck. In order to find more proper phonation the experimenter showed the subjects their EGG wave forms as to whether or not they are moving the vocal folds to the appropriate position. Therefore, the EGG wave forms were used as a type of visual feedback. With the wave form, the experimenter helped subjects move the vocal folds and laryngeal muscles to find more proper voice production. The sensory stimuli from the experimenter gradually faded out. A paired dependent t- test revealed that there was significant differences in CQ between pre- and post-therapy. Perceptually, overall, rough, breathy, strain, and transition were significantly reduced. Acoustically, there were significant differences in Fo, jitter, shimmer, and NHR. After using MLG-LMCT, most of the subjects showed improvements in voice quality. The results from this study led us to the following conclusions: Motor learning guided laryngeal motor control therapy (MLG-LMCT) has reduces muscle misuse dysphonia. These results may occur because a visual feedback from EGG wave form can maintain the effect of the muscle tension reduction from laryngeal manual therapy. In case of people with MMD who reduced muscle tension from the therapy (LMT) but, not appropriately manipulating the location of larynx or adducting the vocal folds, MLG-LMCT might be an alternative therapy approach.

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Advantages, Disadvantages, Indications, Contraindications and Surgical Technique of Laryngeal Airway Mask

  • Anubhav, Jannu;Ashim, Shekar;Ramdas, Balakrishna;Sudarshan, H.;Veena, G.C.;Bhuvaneshwari, S.
    • 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.

Angle씨 II급 1류 부정교합아동의 발음에 관한 음향학적 연구 (AN ACOUSTIC ANALYSIS OF PRONUNCIATION IN CHILDREN WITH ANGLE'S CLASS II DIV. 1 MALOCCLUSION)

  • 박윤정;이상훈;손동수
    • 대한소아치과학회지
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    • 제24권1호
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    • pp.95-111
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    • 1997
  • The human speech organ consists of respiration system (lung, larynx), phonation system (vocal cord), articulation system (esophagus, pharynx, uvula, teeth, gingiva, palate, tongue, lip) and resonating system(oral cavity, nasal cavity, paranasal sinus). Because teeth are components of the articulation system, it has been reported that the persons with abnormally positioned teeth generally have abnormal occlusion and pronunciation. In this study, using /ㅅ(s)/, the most commonly mispronunced consonant in children with malocclusion, and the seven single vowels, /사(sa), 서($s\delta$), 소(so), 수(su), 스($s\omega$), 시(si), 세(se)/ and / ㅏ(a), ㅓ($\delta$), ㅗ(o), ㅜ(u), ㅡ($\omega$), 1(i), ㅔ(e)/ were recorded and analyzed using speech analysis program on computer by measuring formants and compared them for investigating the differences in pronunciation in children with Angle's class I occlusions and those with Angle's class II div.1 malocclusion. The result were as follows: 1. In the Angle's Class II div.1 group, there were no significant differences in F1 of all recorded sounds as compared with Angle's Class I group(p>0.05). 2. In the consonants, there were significant differences in F2 of /스($s\omega$)/ and F2/F1 ratio of /사(sa), 서($s\delta$), 시(si)/ between the two group(p<0.05). 3. In the vowels, there were significant differences F2/F1 ratio of /ㅓ($\delta$)/(p<0.05) and no significant differences in F2/F1 ratio between two group(p>0.05). 4. In the consonants, there were significant differences in F2 and F2/F1 ratio when succeeding vowels were high or low, and F2/F1 ratio when front in accordance with tongue position (p<0.05). 5. In the vowels, there were no significant differences in formant in accordance with tongue position(p>0.05)

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자폐스펙트럼장애 아동의 후두 높이 및 음성 특성 (Laryngeal height and voice characteristics in children with autism spectrum disorders)

  • 이정헌;김고운;김성태
    • 말소리와 음성과학
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    • 제13권2호
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    • pp.91-101
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    • 2021
  • 본 연구의 목적은 자폐스펙트럼장애를 가진 아동의 후두 특성을 확인하고자 하였다. 자폐스펙트럼장애로 진단받은 2~4세 아동 8명과 같은 연령의 정상 대조군 42명을 포함하여 총 50명의 아동이 실험에 참여하였다. 모든 아동들은 경추와 후두의 중앙시상면의 X-ray 영상을 촬영하여 두 군의 후두 위치를 비교하였다. 또한 모음 연장발화 시 음성 샘플을 수집하여 음향 매개 변수들을 분석하였다. X-ray 검사 결과, 정상군의 설골 높이는 3세가 가장 낮았으며, 4세에 후두 높이가 상승하였다. 다른 한편으로, 외이도에서 설골까지의 거리는 4세가 가장 긴 것으로 나타났다. 이와는 대조적으로, 모든 연령대의 자폐스펙트럼장애군의 설골 높이는 정상군보다 낮았으며, 연령에 따른 설골 위치의 차이는 없었다. 음향학적 평가 결과, PFR, vFo, vAm은 정상 대조군에 비해 자폐스펙트럼장애군이 통계적으로 유의미하게 높게 나타났다. 결론적으로, 자폐스펙트럼장애 아동들의 낮은 후두 높이는 언어발달의 지연과 관련이 있는 것으로 사료된다. 음향학적 변수들 중 음성 조절기능을 보여주는 PFR, vFo, vAm은 정상 아동과 자폐스펙트럼장애 아동의 음질 차이를 보여주는 voice marker로 생각된다.

대중가요 보컬 전공 남학생의 성종에 따른 모음 간 음역 차이 (Voice range differences in vowels by voice classification among male students of popular music vocals)

  • 지일송;김재옥
    • 말소리와 음성과학
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    • 제16권2호
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    • pp.37-47
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    • 2024
  • 본 연구는 대중가요 관련학과에서 보컬을 전공하고 있거나 입시를 준비하는 전공하는 남성 27명을 대상으로 자신의 성종과 음역을 제대로 파악하고 있는지를 살펴보기 위해 주관적으로 평가한 성종과 음향학적으로 평가한 성종 간에 차이가 있는지를 비교하였고, 성종 간 기본주파수(fundamental frequqency, F0)와 평균발화기본주파수 간의 차이도 비교하였다. 또한, 이들이 모음에 따라 고음역에서 산출할 수 있는 정도가 다를 수 있으므로 극모음인 /a/, /i/, /u/ 모음 간 음역의 차이와 성종별로 구분하여 모음 간 음역의 차이가 있는지를 살펴보았으며, 모음별로 성종 간에 음역의 차이가 있는지도 비교하였다. 연구 결과, 대중가요 보컬을 전공하거나 입시를 준비하는 남성의 절반 이상이 본인의 성종을 정확하게 파악하지 못하고 있으며, 모음 간에 최대기본주파수와 주파수범위는 통계적으로 유의한 차이를 보여 모음의 종류에 따라 산출할 수 있는 음역의 차이가 있음을 알 수 있었다. 특히 모음 /a/>/u/>/i/ 순으로 음역이 감소하였다. 이는 모음 /a/가 다른 모음에 비해 고음역에서 조음하기에 용이하지만, 모음 /u/와 /i/는 고모음으로 혀의 위치가 상승함으로써 구강 면적이 좁아지고 후두의 상승이 동반되기 때문에 음역이 감소하고 고음에서 발성하기에 어려움이 초래된다는 것을 알 수 있다.