• Title/Summary/Keyword: laryngeal function

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Cervicomediastinal Anastomotic Loop between Recurrent Laryngeal Nerves (양측 반회후두신경사이의 신경문합궁에 대한 실체)

  • 홍기환;정희수
    • Korean Journal of Bronchoesophagology
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    • v.1 no.1
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    • pp.69-74
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    • 1995
  • The anatomic course of recurrent laryngeal nerve, its branch and its function were most significant for laryngeal, thyroid and tracheoesophageal surgery. Furthermore, the vocal cord palsy resulting from multi-etiology was serious complication and resulted in affecting the life quality. So, for the prevention of this complication, the concepts and knowledge about anatomic course and variants are very important. At now, most of anatomic courses and it's function has been identified precisely. But recently, the report about the anastomotic loops of both recurrent laryngeal nerve was published. In this study, we explored three cadevors for identifying the reality of the anastomotic loops between recurrent laryngeal nerves. Finally, we identified the cervicomediastinal anastomosis at tracheoesophageal groove in 2 of 3 cadevors that was confirmed by pathologic finding. This anatomic reliefs related to it's branch are extremely interest, although research is still in its initial phase. Our study will be extended toward histomorphometrical study and progressive electrophysiologic study, and we will be able io gather the largest amount of useful data regarding any possible use of this anatomic entity in future.

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Development of the Laryngeal Function Identification System Using the Electroglottograph (Electroglottograph를 이용한 후두기능 상태판별 시스템의 개발)

  • Kim, Jong-Myeong;Song, Cheol-Gyu;Lee, Myeong-Ho
    • Journal of Biomedical Engineering Research
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    • v.14 no.4
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    • pp.387-396
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    • 1993
  • In this paper, a laryngeal function identification system based-on the EGG signal is proposed as the decision basis whether the laryngeal function is normal or abnormal. The normal EGG signal is approved an autoregressive model which has the optimal order of 9. It can be analized by determining the transfer function. But it is not meaningful that the determi- nation is made using the transfer function of an autoregressive model on the abnormal EGG signal. The power spectral analysis was applied to discriminate the normal or abnormal cases. The SNR of the EGG signal was enhanced by the optimal position of electrodes.

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Principles of Laser Laryngeal Microsurgery (레이저 후두미세수술의 원칙)

  • Moon, Jeong Hwan;Lee, Sang Joon;Chung, Phil-Sang
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.24 no.1
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    • pp.13-17
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    • 2013
  • Laser laryngeal microsurgery is currently the primary method of treatment of various laryngeal diseases. The development of laryngeal microsurgery came from the introduction of a small spot $CO_2$ laser micromanipulator and more precise microlaryngeal instruments. $CO_2$ laser laryngeal microsurgery has enabled very precise surgery because it has small focus size and hemostatic effect. There are some limitations to the use of the $CO_2$ Laser such as adjacent tissue damage and vocal fold scarring. These problems can be minimized through understanding the mechanisms by which lasers function and correctly manipulating the parameters under a surgeon's control. We should also recognize the safety of $CO_2$ laser for the surgeon to precisely perform the procedure.

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Vibratory pattern analysis of vocal folds for layngeal function assessment usig electroglottograph system

  • Song, Chulgyu;Lee, Myoungho
    • 제어로봇시스템학회:학술대회논문집
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    • 1994.10a
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    • pp.583-585
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    • 1994
  • In this study, we have evaluated the effect of amplitude and frequency perturbation of EGG signal during single vowels associated with laryngeal pathology. The normal EGG signal is properly characterized by an autoregressive model which has the optimal order of ninth using the parametric method. This can be analyzed by determining the transfer function. Perturbations in the fundamental pitch and in the peak amplitude of EGG signal derived with a four-electrode system using the modulation/demodulation techniques were investigated for the purpose of developing a decision criteria for the laryngeal function identification.

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The Results of Conservation Surgery in Laryngeal Cancer (보존적 수술을 시행받은 후두암 환자의 치료성적)

  • Lee Soon-Young;Choi Jong-Ouck;Jung Kwang-Yoon;Yoo Hong-Kyun
    • Korean Journal of Head & Neck Oncology
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    • v.7 no.1
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    • pp.17-23
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    • 1991
  • The purpose of conservation surgery is complete eradication of the lesion with maximal maintenance of the proper function of the larynx. But the re are various methods of conservation surgery for the laryngeal cancer because of the unique embriological and anatomical characteristics of the larynx, which is the narrowest portion of the upper airway. The authors experienced 24 cases of conservation surgery for laryngeal cancer(7 in supraglottie cancer, 13 in glottic cancer, 4 in transglottic cancer) during recent 5 years and performed retrospective analysis of the cases. The result shows 91.6% of overall 3 years survival rate(87.5% of disease free 3 year survival rate). The authors concluded that conservation surgery for the laryngeal cancer preserve the function of larynx as possible and high cure rates were achieved by postoperative radiation therapy for the incomplete resection margin.

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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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Clinical Application of the Laryngostroboscopy in the Laryngeal Disorders (후두 스트로보스코피의 임상적 응용)

  • 김광문;김기령;최홍식;전영명;박한규
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.3 no.1
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    • pp.22-28
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    • 1989
  • Laryngostroboscopy is one of the most practical techniques for clinical examination of the larynx. The videostroboscopy provides valuable information concerning the nature of vocal folds' vibration, an immediate image of the presence or absence of pathology, and a permanent record. Additionally, when used by trained observers in conjunction with other instrumentation, it can provide both qualitative and quantitative data on vocal function of both the normal and disordered larynx. The authors examined the 388 patients with voice disorders by videostroboscope. This paper describes the clinical procedure of laryngostroboscopy based on some introductory remarks on laryngeal anatomy and function. And the findings of parameters observed by the stroboscopy is noted for the laryngeal disorders.

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Speech processing strategy and executive function: Korean children's stop perception

  • Kong, Eun Jong;Yoo, Jeewon
    • Phonetics and Speech Sciences
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    • v.9 no.3
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    • pp.57-65
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    • 2017
  • The current study explored how Korean-speaking children processed the multiple acoustic cues (VOT and f0) for the stop laryngeal contrast (/t'/, /t/, and /$t^h$/) and examined whether individual perceptual strategies could be related to a general cognitive ability performing executive functions (EF). 15 children (aged from 7 to 8) participated in the speech perception task identifying the three Korean laryngeal stops (3AFC) on listening to the auditory stimuli of C-/a/ with synthetically varying VOT and f0. They completed a series of EF tasks to measure working memory, inhibition, and cognitive shifting ability. The findings showed that children used the two cues in a highly correlated manner. While children utilized VOT consistently for the three laryngeal categories, their use of f0 was either reduced or enhanced depending on the phonetic categories. Importantly, the children's processing strategies of a f0 suppression for a tense-aspirated contrast were meaningfully associated with children's better cognitive abilities such as working memory, inhibition, and attentional shifting. As a preliminary experimental investigation, the current research demonstrated that listeners with inefficient processing strategies were poor at the EF skills, suggesting that cognitive skills might be responsible for developmental variations of processing sub-phonemic information for the linguistic contrast.

Intraoperative Neuromonitoring of Recurrent Laryngeal Nerve and Superior Laryngeal Nerve (되돌이후두신경과 상후두신경의 수술중 신경감시)

  • Hah, J. Hun;Jin, Young Ju
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.26 no.1
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    • pp.13-15
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    • 2015
  • Intraoperative neuromonitoring of thyroid surgery has gained universal validity to help in nerve identification, safe nerve dissection, and prediction of postoperative vocal cord function. In this article, standard intraoperative neuromonitoring procedure, interpretation about loss of signal, and the indications covered by health insurance will be described.

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Segmental effects on Prosodic Domain -initial Strengthening

  • Oh, Mi-Ra
    • Speech Sciences
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    • v.9 no.2
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    • pp.13-23
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    • 2002
  • This study examines the effect of laryngeal consonants of Korean on prosodic domain-initial strengthening. Keating, Cho, Fougeron & Hsu (1999), Fougeron & Keating (1996), and Hsu & Jun (1998) found that consonants at the beginnings of larger phrases are more constricted than consonants at the beginnings of smaller phrases. Korean laryngeal consonants pose a counter-example to the general pattern of domain-initial strengthening since tense and aspirated consonants are longer word-medially than word-initially. Previous work on domain-initial strengthening focused on domain-initial consonants at different prosodic domains. This study shows that acoustic cues that are not domain-edge also function to demarcate prosodic structure when the domain-initial consonant is laryngeal: VOT for an aspirated consonant and duration of V2 for a tense consonant.

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