• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.24 no.1
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• pp.33-40
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• 2013

Background and Objectives:This study is to objectively compare and analyze the acoustic changes in the patients with total thyroidectomy before and after RI therapy. Subjects and Methods:For this study, a total of 50 patients with total thyroidectomy were participated as subjects. Voice samples were obtained at the time of post-operation (Post-OP), before high-dose radioactive iodine therapy (Pre-RIT), and after high-dose radioactive iodine therapy (Post-RIT). Acoustic analysis, the maximum phonation time and K-VHI (Korea-Voice handicap index) were used for subjective evaluation. Results:According to the comparison analysis of the three periods, mFo (Hz) was significantly reduced in all of the vowels /a/ and /i/ as the hormone was discontinued. This can be related to the reduction in vocal range. As thyroid hormone was discontinued, Shim (%) and APQ (%) values, which are the parameters related to the degree of aggressiveness, showed a significant increase in the middle vowel /a/. As thyroid hormone was discontinued, emotional index was significantly decreased in VHI (voice handicap index). Conclusion:These results can be assumed that thyroid hormone suspension is related to the increased changes in the vocal intensity, the increase in noise and the reduction in vocal range. Emotionally, these data can be assumed that the responsive factors of one's own voice disorders were significantly decreased in the patients with vocal handicap.

• The Journal of Korean Academy of Prosthodontics
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• v.57 no.4
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• pp.475-482
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• 2019

This report is a case of 76-year old male patient who had difficulty in swallowing, pronunciation and suffered regurgitation of food. The patient lacks uvula and both tonsils, had short palatoglossal arch and soft palate, as well as defective left palatopharyngeal arch. The height and width of the soft palate defect were measured by reconstructing the Computed Tomography (CT) image in three dimensions. Phonation and soft palate obstructing ability were examined by nasometry and nasal endoscopy. Evaluations on phonetics and swallowing were done and improvements were shown. The patient was satisfied with the results of treatment.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.29 no.2
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• pp.83-86
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• 2018

Background and Objectives : This study aimed to evaluate efficacy and complication of injection laryngoplasty using calcium hydroxyapatite (CaHA) for unilateral vocal fold paralysis in Asian. Materials and Methods : A prospective study was conducted on the adult patients with unilateral vocal fold paralysis from May 2015 through January 2016. Injection laryngoplasty was performed by one laryngologist. All patients underwent prospective voice evaluation using the subjective and objective comprehensive battery of assessments, before the procedure and after the procedure at 3 months, and 6 months. Results : A total of 7 patients (5 males and 2 females) were included in this study. VHI-10 was significantly decreased after injection laryngoplasty, at postoperative 6 months (p=0.031), while VAS score and MDADI showed no difference. GRBAS scale gradually decreased in 3 months and 6 months follow-up without statistical significance. Acoustic analysis revealed that jitter, shimmer, and noise-to-harmonic ratio continuously decreased from the baseline at 3 months and 6 months, although statistical significance was not attained. In the aerodynamic analysis, maximal phonation time was gradually increased at 3months and 6 months with significant difference (p=0.016, 0.031, respectively). There was no side effect associated with the procedure. Conclusion : CaHA can be safely used in Asian patients and the onset of maximal efficacy seems to be slow than other studies with Caucasian patients.

• Phonetics and Speech Sciences
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• v.10 no.4
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• pp.127-134
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• 2018

This study aims to explain the difficulties children with articulation and phonological disorders have in producing alveolar fricative sounds. The study will perform a comparative analysis revealing how ordinary children produce alveolar fricative sounds through five different acoustic variables, and consequently identifying objective differences, compared to children with articulation and phonological disorders. Therefore, this study compared and analyzed the differences between 10 children with articulation and phonological disorders and 10 ordinary children according to a phonation type of alveolar fricative sounds (/s/ and /$s^*$), a type of vowel (/i/, /ε/, /u/, /o/, /ɯ/, /ʌ/, /ɑ/), and a structure of syllables (CV, VCV) through acoustic variables including a central moment, skewness, kurtosis, a center of gravity and variance. That is, children with articulation and phonological disorders, when compared to ordinary children, have difficulties with concentrating an agile and momentary friction with strength when articulating alveolar fricative sounds, which uses strong energy and accompany tension. Furthermore, the values of alveolar fricative sounds of children with articulation and phonological disorders appeared to spread evenly over the average range, which means that the range of overall the standard deviation values for children with functional phonological disorders is wider than that of ordinary children. For a future study, if the mispronounced sounds relating to omission, substitution, and addition can be compared and analyzed for various target groups, it could be used effectively to help children with functional phonological disorders.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.32 no.2
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• pp.75-80
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• 2021

Background and Objectives Functional aphonia refers to in which by presenting whispering voice and almost producing very high-pitched tensed voices are produced. Voice therapy is the most effective treatment, but there is a lack of consensus for application of voice therapy. The purpose of this study was to examine the vocal characteristics of functional aphonia and the effect of voice therapy applied accordingly. Materials and Method From October 2019 to December 2020, 11 patients with functional aphonia were treated using voice therapy which was processing three stages such as vocal hygiene, trial therapy, and behavioral therapy. Of these, 7 patients who completed the voice evaluation before and after voice therapy was enrolled in this study. By retrospective chart review, clinical information such as sex, age, symptoms, duration, social and medical history, process of voice therapy, subjective and objective findings were analyzed. Voice parameters before and after voice therapy were compared. Results In GRBAS study, grade, rough, and asthenic, and in Consensus Auditory-Perceptual Evaluation of Voice, overall severity, roughness, pitch, and loudness were significantly improved after voice therapy. In Voice handicap index, all of the scores of total and sub-categories were significantly decreased. In objective voice analysis, jitter, cepstral peak prominence, and maximum phonation time were significantly improved. Conclusion The voice therapy was effective for the treatment of functional aphonia by restoring patient's vocalization and improving voice quality, pitch and loudness.

• International Journal of Computer Science & Network Security
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• v.22 no.11
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• pp.157-162
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• 2022

Cerebral palsy is one of the most serious forms of disorders of the psychophysical development of children, which manifests itself in disturbances of motor functions, which are often combined with speech disorders, other complications of the formation of higher mental functions, and often with a decrease in intelligence. The article will discuss the speech disorder in children with cerebral palsy. Emphasis is placed on some important aspects, which should bear in mind, investigating the problem of specifics of speech development of children with cerebral palsy. In particular at the heart of speech disorders in the cerebral palsy is not only damage to certain structures of the brain, but also the later formation or underdevelopment of those parts of the cerebral cortex, which are of major importance in linguistic and mental activity. This is an ontogenetically young region of the cerebral cortex, which is most rapidly developing after birth (premotor, frontal, temmono-temporal). It is important to take into account, that children with cerebral palsy have disturbances of phonemic perception. Often, children do not distinguish between hearing sounds, cannot repeat component rows, allocate sounds in words. At dysarthria, there are violations of pronunciation of vowel and consonant sounds, tempo of speech, modulation of voice, breathing, phonation, as well as asynchronous breathing, alignment and articulation. As a result, we identified the main features and specifics of the speech development of children with cerebral palsy and described the conditions necessary for the full development of language. Language disturbances in children's cerebral palsy depend on the localization and severity of brain damage. Great importance in the mechanism of speech disorders has a pathology that limits the ability of movement and knowledge of the world.

• KIPS Transactions on Software and Data Engineering
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• v.12 no.8
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• pp.365-370
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• 2023

This paper aims to compare the performance of speech data classification into two groups, adult and elderly, based on the acoustic and linguistic characteristics that change due to aging, such as changes in respiratory patterns, phonation, pitch, frequency, and language expression ability. For acoustic features we used attributes related to the frequency, amplitude, and spectrum of speech voices. As for linguistic features, we extracted hidden state vector representations containing contextual information from the transcription of speech utterances using KoBERT, a Korean pre-trained language model that has shown excellent performance in natural language processing tasks. The classification performance of each model trained based on acoustic and linguistic features was evaluated, and the F1 scores of each model for the two classes, adult and elderly, were examined after address the class imbalance problem by down-sampling. The experimental results showed that using linguistic features provided better performance for classifying adult and elderly than using acoustic features, and even when the class proportions were equal, the classification performance for adult was higher than that for elderly.

• The Journal of the Acoustical Society of Korea
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• v.42 no.4
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• pp.298-303
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• 2023

This study aimed to investigate the clinical utility of voiced sentence tasks for voice evaluation. To this end, we analyzed the correlation between perturbation-based acoustic measurements [jitter percent (jitter), shimmer percent (shimmer), Noise to Harmonic Ratio (NHR)] using sustained vowel phonation, and cepstrum-based acoustic measurements [Cepstral Peak Prominence (CPP), Low/High spectral ratio (L/H ratio)] using voiced sentences. As a result of analyzing data collected from 65 patients with voice disorders, there was a significant correlation between the CPP and jitter (r = -.624, p = .000), shimmer (r = -.530, p = .000), NHR (r = -.469, p = .000).This suggests that the cepstrum measurement of voiced sentences can be used as an alternative to the analysis limitations of the pathological voice such as not possible perturbation-based acoustic measurement, and result difference according to the analysis section.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.14 no.2
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• pp.117-122
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• 2003

Background and Objectives : $VoCoM^{\circledR}$ is a commercialized set composed of prefabricated hydroxylapatite implants and shims of various sizes which are specially designed for the type I thyroplasty. Even though a previously published preliminary report showed that $VoCoM^{\circledR}$ is a convenient and safe product for the type I thyroplasty, further investigations or experiences are yet to be reported. Authors aimed to evaluate the efficacy of $VoCoM^{\circledR}$type I thyroplasty, and its advantage and/or disadvantage. Materials and Method : Twenty three consecutive patients with unilateral vocal cord palsy enrolled for the study, who received type I thyroplasty with $VoCoM^{\circledR}$ between July 2001 and June 2003. Acoustic, aerodynamic and stoboscopic analyses were performed prior to surgery and 1 to 3 months after surgery. Speech language pathologists evaluated their voice quality by GRBAS scale, and patients themselves reported subjective changes of their voice by visual analog scale. Results : The average time for the operation was 80 min, which is about 30 min less than other methods. Preoperative jitter was 3.25$\pm$1.65% and improved to 1.94$\pm$1.79% postoperatively (p<0.05). Preoperative shimmer was 9.72$\pm$6.56% and improved to 5.61 $\pm$3.76% (p<0.05), Maximal phonation time increased from 4.41$\pm$2.99 to 7.98$\pm$4.35 sec (p<0.05) The postoperative stroboscopy revealed an effective medialization in 91.3% of the patients. The subjective phonetic improvements were reported in 21 out of 23 patients. GRBAS scale improved from 2.71$\pm$0.46 to 1.47$\pm$1.12(p<0.05). Additional medialization with $Gore-Tex^{\circledR}$ was easily performed in two revision cases. Previously inserted $VoCoM^{\circledR}$ implant was hard to remove because of the tight integration of soft tissues around the implant. Side effects such as extrusion or foreign body reaction are not observed. $VoCoM^{\circledR}$ was relatively expensive and costed more than 10 times of $Gore-Tex^{\circledR}$. Conclusion : Prefabricated hydroxylapatitie implant($VoCoM^{\circledR}$) provides a convenient, safe and efficient way of vocal fold medialization. However it is relatively expensive and hard to remove.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.15 no.4
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• pp.239-252
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• 1993

This study was done to analyze phonetic dysfunction and the effect of orthognathic surgery to phonation in the patients of mandibular prognathism. 20 persons were chosen as normal group and 20 patients of mandibular prognathism as abnormal for this study. 5 vowel sounds-'ㅏ(a)', 'ㅔ(e)', 'ㅣ(i)', 'ㅗ(o)', 'ㅜ(u)' and 14 consonant sounds-'ㄱ(g)', "ㄴ(n), 'ㄷ(d)', 'ㄹ(l)', 'ㅁ(m)', 'ㅂ(b)', 'ㅅ(s)', 'ㅇ(ng)', 'ㅈ(j)', 'ㅊ(ch)', 'ㅋ(k)', 'ㅌ(t)', 'ㅍ(p)', 'ㅎ(h)', were checked. We recorded these sounds in the period of preopration, postop. 12 months, postop. 24 months. A Formant ratio and a length of consonant time were studied with discriminant analysis. As a result of the study, the following conclusion were gained. 1. As a result of the analysis on vowel dysfunction patiensts of mandibular prognathism, more than 80% of men patients showed the dysfunction in prelingual sound 'ㅔ(e)' and 'ㅣ(i)'. More than 70% of women patients showed the dysfunction in all vowel. 2. One year later from the orthognathic surgery, men patients showed a marked improvement in 'ㅏ(a)'. The next were 'ㅗ(o)', 'ㅜ(u)' and 'ㅣ(i)'. Women patients showed a marked improvement in 'ㅜ(u)'. 3. Two year later from the orthognathic surgery, men patients showed a marked improvement in prelingual sound 'ㅔ(e)' and postlingual sound 'ㅗ(o)'. Women patients showed a marked improvement in 'ㅏ(a)'. More than 20% of patients showed the phonetic improvement compared with the condition of the postop. 12 months. 4. As a result of the analysis on consonant dysfunction patient of mandibular prognathism. more than 80% of men patients showed the dysfunction in lingual sound 'ㅅ(s)'. Most women patients showed the dysfunction in labial sound 'ㅁ(m)' and lingual sound 'ㄴ(n)'. More than 50% of patients showed the dysfunction in labial sound and lingual sound. 5. One year later from the orthognathic surgery. men patients showed a complete improvement in hard palatal sound 'ㅈ(j)'. The next were labial sound 'ㅂ(b)', lingual sound 'ㅅ(s)', soft palatal sound 'ㄱ(g)' and 'ㅋ(k)'. Women patients showed a marked improvement in soft palatal sound 'ㅇ(ng)' and 'ㄱ(g)'. 6. Two year later from the orthognathic surgery, all patients showed remarkable improvement in consonant sounds. except for labial sound 'ㅁ(m)', 'ㅍ(p)' and lingual sound 'ㄴ(n)'. The improvement ratio was increased as the time was going on compared with the condition of postop 12 months.