• Title/Summary/Keyword: laryngeal

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Arytenoidopexy with Bilateral Vocal Cord Excision (laryngofissure) for the Relief of Laryngeal Paralysis (후두마비 개에 대한 피열연골고정술)

  • 연성찬;남치주;권오경
    • Journal of Veterinary Clinics
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    • v.14 no.2
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    • pp.185-194
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    • 1997
  • This study was conducted to assess the application of spectrograms in the diagnosis of laryngeal paralysis and the arytenoidopexy with bilateral vocal cord excision (laryngofissure) for the relief of laryngeal paralysis. Laryngeal paralysis represented two types of stridor A and B (AN, PN). There were significant differences in Dominant Frequency ( DF, p<0.01), which were $3590{\pm} 209.81 Hz, 7445\{pm}418.54 Hz$, respectively. After arytenoidopexy with bilateral vocal cord excision (laryngofissure), $PaO_{2} levels (100.57{\pm}7.59 mmHg) were more increased than that (86.5 {\pm} 3.34 mmHg)$ of pre-operative dogs.

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The Effects of Vertical Laryngeal Movements on the Vocal Folds (후두 수직운동이 성대에 미치는 영향)

  • Hong, Ki-Hwan;Kim, Hyun-Ki
    • Speech Sciences
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    • v.1
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    • pp.261-274
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    • 1997
  • In spite of the presumed importance of the strap muscles on laryngeal valving and speech production, there is little research concerning the physiological role and the functional differences among the strap muscles. Generally, the strap muscles have been shown to cause a decrease in the fundamental frequency(Fo) of phonation during contraction. In this study, an in vivo canine laryngeal model was used to show the effects of strap muscles on the laryngeal function by measuring the Fo, subglottal pressure, vocal intensity, vocal fold length, cricothyroid distance, and vertical laryngeal movement. Results demonstrated that the contraction of sternohyoid and sternothyroid muscles corresponded to a rise in subglottal pressure, shortened cricothyroid distance, lengthened vocal fold, and raised Fo and vocal intensity. The thyrohyoid muscle corresponded to lowered subglottal pressure, widened cricothyroid distance, shortened vocal fold, and lowered Fo and vocal intensity. It was postulated that the mechanism of altering Fa and other variables after stimulation of the strap muscles is due to the effects of laryngotracheal pulling, upward or downward, and laryngotracheal forward bending, by the external forces during strap muscle contraction.

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Digital Image Processing for Dynamic Color Images of Laryngeal Lesions Obtained With Electronic Videoendoscopy

  • Kawaida, Masahiro
    • Proceedings of the KSLP Conference
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    • 1998.11a
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    • pp.192-193
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    • 1998
  • Introduction : Laryngeal lesions were observed using the OLYMPUS EVIS-200 electronic videoendoscope system attached to the OLYMPUS ENF-200 rhinolarynx endoscope portion. This endoscope portion can be introduced into the laryngeal cavity by inserting it through the nasal passages. Since it is also possible to connect the OLYMPUS EVIP-230 digital image processor capable of processing dynamic images in real time to this system, an attempt has also been made to process the dynamic color images of laryngeal lesions obtained with the electronic videoendoscope system. Structure enhancement and color enhancement were peformed as processing images. The images of laryngeal lesions obtained with this system and the processed images are presented and described from the standpoint of diagnostic usefulness (omitted)

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A Case of Nonrecurrent Inferior Laryngeal Nerve (비반회후두신경 치험 1례)

  • 김찬우;오승철;김선태;차흥억
    • Korean Journal of Bronchoesophagology
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    • v.4 no.1
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    • pp.132-136
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    • 1998
  • Nonrecurrence of the inferior laryngeal nerve always results from a vascular anomaly during embryonic development of the aortic arches. The nonrecurrent inferior laryngeal nerve is important clinically for two reasons, it is vulnerable during thyroid surgery and it is associated with difficulty in swallowing. It can be suspected preoperatively from signs associated with the vascular anomaly : dysphagea, thoracic x-ray images showing evidence of retroesophageal subclavian artery, or situs inversus viscerum. If such signs are noted, a barium swallow test and chest computed tomography are justified. We experienced a case of Rt. nonrecurrent inferior laryngeal nerve, which is diagnosed thyroid papillary carcinoma.

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The Communited Fracture of Larynx (후두 분쇄 골절의 치료)

  • 김형태;조승호;김민식;선동일;최재혁
    • Korean Journal of Bronchoesophagology
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    • v.3 no.1
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    • pp.174-180
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    • 1997
  • Acute laryngeal trauma is a rare injury, but it threatens both the quality and maintenance of life. The optimal goal of treatment for acute communited laryngeal fracture is restoration of the skeletal framework and epithelial lining of endolarynx. But though the diagnostic skill has been developed, decision making for treatment of laryngeal trauma such as operating tim, open exploration versus closed reduction and stenting is very difficult and controversial. Recently, the authors experienced two cases with severe communited fractures of laryngeal framework and endolaryngeal avulsion injuries who were treated successfully with open surgical repair without stenting. So we report these two cases with review of the literatures.

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Closure durations of Korean stops at three positions

  • Yungdo Yun
    • Phonetics and Speech Sciences
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    • v.14 no.4
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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.

A Case of Primary Large B-cell Lymphoma of Larynx Presenting as Supraglottic Mass (성문상부 종물 양상의 일차성 후두 Large B세포 림프종 1예)

  • Choi, Jeon Ha;Kim, Choon Dong;Kim, Yoon Jung;Kim, Seung Woo
    • Korean Journal of Head & Neck Oncology
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    • v.31 no.1
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    • pp.31-33
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    • 2015
  • The extranodal non-Hodgkin lymphoma is uncommonly occurred in larynx, accounting for less than 1% of all laryngeal neoplasm. In general, the laryngeal lymphoma is appeared as submucosal mass without mucosal ulceration and is most commonly found in supraglottis. The primary laryngeal lymphoma constitute a diagnostic challenge because they are characterized by absence of clinical and gross differential criteria, compared with squamous cell carcinoma (SCC). We encountered a 74-year-old man with hoarseness and lump sensation in the throat. On direct laryngoscope, multiple ulcerative and exudative mass in glottis and supraglottic areas were observed. The patient was finally diagnosed as large B-cell lymphoma through the laryngeal microsurgery. He received radiation therapy and there is no evidence of recurrence. Although the laryngeal mass has superficial mucosal change, primary laryngeal lymphoma must be included in the differential diagnosis.

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Effects of Chronic Electrical Stimulation on Functional Recovery Following Laryngeal Reinnervation in the Rat (흰쥐에서 반회후두신경 손상 후 만성적 전기자극이 후두 기능 회복에 미치는 영향)

  • 김지연;조선희;한후재;박수경;신유리;정성민
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.11 no.2
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    • pp.172-177
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    • 2000
  • Background and Objectives : Until now, various attempts have been made fir reinnervating paralyzed vocal cord. Nevertheless, the most cases did not produce satisfactory outcome due to occurrence of synkinesis of larynx secondary to misdirected axonal regeneration. Accordingly, the purpose of this investigation is to learn the effect of chronic electrical stimulation on regeneration of the recurrent laryngeal nerve. Material and Methods : Using 20 healthy male Sprague-Dawley rats(250-300g) with normal vocal functions, transections were made on their left recurrent laryngeal nerves and then primary anastomosis were performed under the operating microscope and they were divided into an experimental group and a control group each having 10 rats. After the procedure, for the experimental group, chronic electrical stimulation was carried out until vocal cord movement was functionally recovered. for the control group, only chronic electrical stimulation was not given. Result : In experimental group, the number of functionally recovered rats was two and in control group, that of functionally recovered rate was same. The reorganization of posterior cricoarytenoid muscle motoneuron in nucleus ambiguus appeared in the case of directed reinnervation of recurrent laryngeal nerve. Conclusion : The chronic electrical stimulation does not a direct beneficial effect on the early functional recovery in rats with injured recurrent laryngeal nerve.

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Laryngeal Transplantation in the Canine by End-to-end Anastomosis of the Recurrent Laryngeal Nerve Branches (반회신경분지의 단단문합에 의한 개의 후두이식)

  • 최홍식;김영호;조정일;김세헌;김상균;김광문;홍원표
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.9 no.1
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    • pp.59-65
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    • 1998
  • Instead of brilliant advancement of the organ transplantation in the medical fields, laryngeal transplantation still has couple of problems to be solved before trial on human. Among them functional restoration of the implanted larynx is the most important point. Recent advancement in animal model studies showed possibility of solving the main problem. Eighteen cases of canine laryngeal transplantation in mongrel dogs were done in this department. One cranial artery and two external jugular veins were connected. External and internal branches of the superior layngeal nerve and anterior and posterior branches of the recurrent laryngeal nerve were connected individually. Only two dogs have lived longer than 4 weeks(4weeks, and 10 1/2weeks) and they died unfortunately due to asphixia caused by obstruction of the cannula. Thirteen dogs only lived five days through 15 days. The main causes of the failure were obstruction of the connecting vein, pharyngocutaneous fistula and the wound infection. Although the result was not good enough to evaluate the functional restoration of the implanted larynx, the implanted larynges from the two dogs lived longer than minimum criteria of long term survival(4 weeks) were relatively good in shape at the time of autopsy. This program will be continued after renovation of the animal lab. facilities.

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Surgical Experience of Pulsed Dye Laser Using Laryngeal Mask Airway Under General Anesthesia in Glottal Papillomatosis Patient who Had Previously Failed to Undergo Surgery Under General Anesthesia Due to Impossible Laryngeal Exposure (전신 마취하 후두 노출이 되지 않았던 후두 유두종 환자에 대하여 시도한 후두 마스크 전신 마취하 Pulsed Dye Laser 수술 치험 1예)

  • Chung, Hyun-Pil;Park, Jun-Hee;Kim, Won-Sik;Choi, Hong-Shik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.19 no.1
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    • pp.54-57
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    • 2008
  • Non-visualization of larynx is one of the reasons for failure of vocal fold surgery. Many otorhinolaryngologists may have a trouble in choice of alternative treatment if they experience this situation. The laryngeal mask airway could be alternative approach for this situation. We report a glottal papillomatous patient who was treated by pulsed dye laser via laryngeal mask airway after failure of vocal fold surgery via endotracheal intubation. The patient was a 73-year-old man. Laryngoscopy revealed a severe diffuse papillomatous lesion on right true vocal cord, anterior commissure, and partial left true vocal cord. The patient was refered for difficult laryngeal exposure during laryngomicrosurgey under general endotracheal anesthesia.

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