• 대한후두음성언어의학회지
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• 제9권1호
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• pp.22-26
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• 1998

Uvulopalatopharyngoplasty(UPPP) is one of the most popular surgical procedure for the treatment of obstructive sleep apnea syndrome(OSAS) occurring at the level of oropharynx. However, voice changes after UPPP have been a challenging issue for the professional voice users, because even minor changes in voice quality or articulation may be critical to professional singers, teachers, and so on. Several acoustic changes after UPPP have been proposed. However, based on the authors understanding, there is no report about voice changes after UPPP in Korean. We measured the first, second and third formant frequencies of /a/, /i/, /u/ phonations in 20 adult male patients who had undergone UPPP surgery, and the nasalances of Rabbit, Baby, and Mama passages. These parameters were measured preoperatively, at 1 month and 3 months after the operation. Any subjective voice changes were asked to be reported at the posto-perative visits. The third formant(F3) of /u/ phonation was significantly reduced at postoperative 1 month measurement. The nasalance of Mama passage was singnificantly increased at postoperative 3 months measurement. No one complained of subjective changes in voice quality, timbre, articulation or speech. Even though there are no complaints about postoperative voice changes subjectively, significant changes in the formant characteristics of certain vowel and changes in the nasality after UPPP require the clinicians to be mort cautious and careful in deciding UPPP for the professional voice users.

• 대한후두음성언어의학회지
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• 제9권1호
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• pp.47-52
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• 1998

Objectives : To compare the objective differences in voice quality and voice problems between clergies and normal male control group. Materials and Methods : The sustained vowel sound of 46 clergies and 40 normal persons were analyzed, using a videostroboscopy and acoustic analyzer. Together with these analyses, a questionnaire associated with current and past voice problems was handed over to the patients. Results : The most common symptom in subjective group was the voice fatigue. Stroboscopic findings in subjective group were as following 23 cases(50%) of pachydermia, 17 cases(37%) of phase difference, 12 cases(25%) of anterior-posterior contracture, 6 cases(13%) of vocal polyp and 3 cases(7%) of vocal nodule. The mean maximal phonation time in clergies was 17.8 seconds and in control group was 19 seconds. litter, pitch perturbation quotient and shimmer were significantly increased in subjective group than in control group(p<0.05), but there were no significant differences between two groups in fundamental frequency, vFo, amplitude perturbation quotient and noise to harmonic ratio. Conclusion : In the clergies using loud and forceful voice, vocal polyp and functional voice disorder findings were frequently noted in stroboscopic examination. litter and shimmer, reflecting the roughness of voice, were increased in acoustic analysis. Therefore, clergies, classified into untrained professional voice users, need professional career guidance and counseling.

• 대한후두음성언어의학회지
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• 제23권1호
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• pp.13-17
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• 2012

An understanding of the history of laryngology is both interesting and useful for those in the field so this study attempts to uncover some of the interesting aspects of its history. The oldest reference of laryngology in the Orient is in the medical documents called the "Whangjainaekyung",(황제내경) which was written over a time period between 3000-4000 B.C., and described the laryngeal function of respiration, protection of the airway and phonation. In the West, a drawing that seems to portray a tracheostomy was found in medical tombs in the plains of Saqqara in Egypt. These drawings date from approximately 3600 B.C. A watershed in laryngology occurred when a spanish music professor named Manuel Garcia in first successfully used a mirror to inspect the larynx. Since that time, laryngology has developed relatively quickly and clinical laryngology made it possible by means of a number of favorable developments. Great advances in laryngological diagnosis and treatment has occurred since the 1970s thanks to improvements in technology leading to the introduction of an operating microscope, endoscopes and lasers. Despite our recent advances in laryngology, we still have not achieved uniformly favorable outcomes and there is much that we do not know. Our future promises continued advances in the field of laryngology such as gene therapy to improve wound healing and tissue engineering to allow the recreation of normal mucosa. In this review, I divide the history of the larynx into the past, present and future. In the last section, I described the history of laryngology in Korea briefly.

• 대한후두음성언어의학회지
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• 제8권2호
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• pp.178-184
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• 1997

Vocal nodule due to vocal hyperfunction is one of the representative chronic diseases of vocal folds, and it can be cured by surgical movement, and/or voice therapy. The present study is, focusing on the latter, to compare the acoustic and aerodynamic results of the pretreatment with those of posttreatment, and then to investigate the objective date on the efficiency of the voice therapy for the patients with vocal nodules. 11 females(age : 7-49) and 5 males(age : 8-40), total 16 patients wi vocal nodules treated by voice therapy were participated as subjects. Six measurements and comparisons of pretreatment and posttreatment of the results were performed : litter, shimmer, and noise-to-harmonic ratio as acoustic analyses ; maximum phonation time, mean flow rate, and the subtraction of mean flow rate from maximum flow rate as aerodynamic analyses. As a result, 14 of 16 subjects showed improvement at more than 4 of 6 measurements, and in group data, every measurements of posttreatment was improved significantly than the pretreatment. On the whole, the improvement of aerodynamic aspects was more statistically significant than that of acoustic ones.

• 대한후두음성언어의학회지
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• 제28권1호
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• pp.25-31
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• 2017

Background and Objectives : Though voice therapy is proven to be effective in academia, treatment results and satisfaction level are inconsistent in clinics. The inconsistency may rise from diverse vocal cords misuse patterns in patient population as they suffer from different diseases or have bad phonation habits. In order to overcome the limitation, we uniformized patients' vocal cords with injection laryngoplasty prior to voice therapy. The efficacy of voice therapy and consistency in treatment results after injection laryngoplasty were assessed. Materials and Methods : Patients diagnosed with vocal nodules were either treated with injection laryngoplasty followed by voice therapy (combined treatment group) or voice therapy only (voice therapy group). Each group consisted of 15 patients. Acoustic measures (jitter, shimmer, NHR), aerodynamic measures (MPT, Psub, MAFR), and subjective auditory conscious measures (K-VHI, K-VRQOL) between two groups were analyzed. Results : After treatments, both groups improved in terms of acoustic, aerodynamic, and subjective auditory conscious measures compared to pre-treatment. Combined treatment group had statistically significantly greater improvement in shimmer, P in K-VHI, and PF in K-VRQOL compared to voice therapy group. Conclusion : Injection laryngoplasty treatment prior to voice therapy synergizes in treating patients compared to voice therapy only.

• 센서학회지
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• 제22권2호
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• pp.156-161
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• 2013

This study was aimed to implement the electroglottography (EGG) system for analyzing fundamental frequency of the phonation. EGG was recorded from the conductance between ring electrodes attached to the neck skin area near thyroid cartilage with high frequency carrier electric signals during vocalization, and voice signal was recorded with microphone simultaneously. EGG and voice signals were transmitted to the audio port in PC and recorded with stereo sound recording program. From the digitized data, several parameters such as pitch, jitter, shimmer, CQ and SQ were analyzed from the vowel sounds. For the voice training, sound fundamental frequency was displayed during the vocalization and singing a song using pitches analyzed from the EGG. The system implemented in this study could be used for vocal exercise.

• 대한후두음성언어의학회지
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• 제21권1호
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• pp.32-36
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• 2010

Background : Vocal fold injection using autologous material (fat or collagen) is very useful. However, Autologous material have variable resorption times and results, Plasma gel is a new injection material. The purpose of this study is to introduce a new injection material and discuss the effectiveness and complications. Subjects and Method: Eleven cases with vocal cord paralysis were analyzed after plasma gel injection, The plasma gel was acquired from patient's own blood. The preoperative and postoperative parameters including maximum phonation time (MPT) and subject aspiration score were analyzed. Results: There was a significant improvement in MPT and aspiration score in the case of vocal cord palsy. There was only one laryngeal complication. Conclusion : According to these preliminary results, the injection laryngoplasty with Plasma gel is a simple, safe, cheap procedure for temporally vocal fold palsy.

• 대한후두음성언어의학회지
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• 제21권1호
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• pp.17-21
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• 2010

Dysphonia is a medical terminology for voice disorders characterized by hoarseness, harshness, weakness, or even loss of voice ; any impairment in ability to produce voice sounds using the vocal organs, larynx, The causes of dysphonia can be classified into two groups, organic and functional. Functional dysphonia includes spasmodic dysphonia, muscle tension dysphonia, mutational dysphonia and conversion dysphonia, etc, The findings of laryngoscopy in these dysphonia are almost normal. Therefore, physicians should diagnosis these diseases from careful history taking and abundant understandings about the phonation pattern, Organic dysphonia is caused by anatomical problems in the larynx, especially on the vocal fold, Some lesions, however, are not easily found because these lesions are too small, or located on the lower lip of vibrating vocal fold. Laryngopharyngeal reflux induced laryngitis, vascular lesions, sulcus vocalis, vocal atropy including presbylaryngis, and mucosal tears are common lesions easily missed in laryngoscopy, Therefore, a high index of suspicion is necessary to avoid missing vocal fold mucosal lesions, and the strobovideolaryngoscopy is indispensable in making the diagnosis,

• 말소리와 음성과학
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• 제10권2호
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• pp.69-76
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• 2018

The elderly are at increased risk of developing dysphagia due to aging and illnesses. The aim of the current study was to analyze, via an acoustic study, the change in the voice quality of normal elderly people after a 3oz water-swallow test. Subjects included a group of 60 normal elderly people (age: $mean{\pm}SD=76.9{\pm}6.66$) and 60 healthy young adults (age: $mean{\pm}SD=25.1{\pm}2.36$). Every participant produced a five-second /a/ phonation pre- and post-swallowing, and the fractioned two-second sections were analyzed using the MDVP (multi dimensional voice program) analysis. The elderly group demonstrated a post-swallowing increase in the following related acoustic parameters: fundamental frequency, fundamental frequency variation, amplitude-variation, and noise in both two-second sections. However, the younger group showed an increase only in frequency related acoustic parameters (i.e., STD ) in the first two-second section. The significant changes in values in the post-swallowing parameters might indicate temporary irregularities in pitch and amplitude along with higher amounts of noise in the voice. The results could be attributed to water residues in the vocal fold and vocal tract, as well as a deterioration of the motor and sensory functions caused by anatomical and physiological changes that result from aging.

• 음성과학
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• 제4권2호
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• pp.115-139
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• 1998

The aim of this study is to develop an the assessment program for the singing voice which is based on the physiological and acoustic methods. 22 sopranos, 6 mezzo sopranos, 4 tenors and 4 baritones participated to these experiments. The results measured by Visi-Pitch, spectrograph, and strobo-scope can be summarized as follows: (1) The maximum phonation time of singers must over 14 second higher with one deep inspiration (2) The parts classified by vocal range using Visi-Pitch: soprano between 167Hz $\sim$1,190Hz, mezzo soprano between 146Hz$\sim$956Hz, tenor between 75Hz$\sim$503Hz and baritone between 73 Hz and 385 Hz. (3) Longitudinal glottal size of singers decreases depending on the high-low pitch variation while lattitudinal glottal size increases depending on high-low pitch variation. (4) Well-trained singers show over 5 times the vibrato rate of untrained singers and regular pitch variation during measured periods. Vibrato's intensity do not over 3 dB. (5) Singer's formant indicates professional voice depending on the each parts: 3,207 Hz for soprano, 3,057 Hz for mezzo soprano, 2,754 Hz for tenor and 2,560 Hz for baritone.. (6) $F_1$ of singing voice is higher than that of speech while $F_2\;and\;F_3$ of singing voice are lower than those of speech.