• 대한후두음성언어의학회지
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• 제13권1호
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• pp.18-22
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• 2002

Background and Objectives : It has been pointed out that alcohol intake in human beings induces changes in voice register and maximum phonation time. These changes supposedly result from injection of the vibratory vocal folds. The purpose of this study was to clarify the voice changes associated with alcohol intake and the changes of laryngeal mucosa. Materials and Methods : The subjects included 29 volunteers, including 20 men and 9 women ranging in age from 22 to 31 years. Alcohol intake was accomplished by oral administration of 23% soju 1 bottle (255cc). Serum alcohol concentration levels were evaluated hourly for 3 h after ingestion of alcohol. Seven measurements were performed at pre-alcohol intake and post-alcohol intake hourly : fundamental frequency, jitter, shimmer, noise to harmonic ratio as the acoustic analysis, maximal phonation time, mean flow rate, and subglottal pressure as the aerodynamic analysis. The changes of laryngeal mucosa were evaluated by flexible laryngoscope at each measurement. Results : By comparing the acoustic and aerodynamic data and laryngeal mucosa before and after alcohol intake, there were not remarkable changes (p>0.05). Conclusion : The voice and laryngeal mucosa have not remarkably changed according to alcohol concentration in this study. Furthermore studies on the voice change induced by multiple alcohol concentrations are required.

• 한국치위생학회지
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• 제15권2호
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• pp.205-216
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• 2015

Objectives: The purpose of the study is to investigate the psychological state of the patients according to skeletal class III malocclusion symptoms. Methods: The subjects were 200 skeletal class III malocclusion patients. The questionnaire consisted of general characteristics, clinical manifestation, and T score of Korean version of self-rated Symptom Checklist-90-Revision modified by Jae-hwan Kim. The data were analyzed using SAS version 9.2 and t-test, ANOVA, and ANCOVA were used. Clinical manifestation included subjective recognition and radiological analysis. The subjective recognition of the patients consisted of self-satisfaction of the appearance, phonation, mastication, and temporomandibular joint pain. T score consisted of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism. Results: The most serious factor in 9 scales was the severe TMJ pain by ANCOVA. Male patients had a higher T score in phobic anxiety, psyochoticism, somatization and depression than female patients. Those having low appearance satisfaction had the problem in interpersonal sensitivity. Obsessive-compulsive symptoms were conspicuous in phonation difficulty and temporomandibular pain. Conclusions: The patients with skeletal class III malocclusion have more satisfaction with appearance, pronunciation, and phonation than those with skeletal class III malocclusion and overjet. Proper dental treatment will improve the communication and quality of life.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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• pp.11.2-12
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• 1982

최근 우리나라에 있어서도 후두미세수술의 발달로 음성외과 분야에 대한 관심이 높아졌으며 음성장애 환자의 진단 및 치료면에서도 괄목할 만한 발전을 가져왔다. 우리는 작금의 음성외래에서 진단되는 음성장애 환자중에서 특히 성대의 유리연(遊離緣)을 따라서 평행하는 선상(線狀)의 성대구 (聲帶溝)를 보게되는데 이와같이 성문의 폐쇄부전을 동반하는 성대구증 (Sulcus Vocalis)은 1901 년 Salvi에 의해서 처음으로 명명보고된 이래로 유럽과 일본등에서 다수 보고된 바있으나. 우리나라에서는 비교적 관심이 적었던 질환으로 그 뚜렷한 원인과 치료에 대해서는 아직도 정설이 없는 상태이다. 이에 본 교실에서는 1981년 5월부터 1982년 3월까지 본원 음성언어연구실로 내원한 성대구증환자 35예에 대하여 일련의 음성검사를 시행하여 약간의 치험을 고찰한 바 있기에 그 결과를 보고하는 바이다. 1 ) 발생 빈도는 음성 장애를 주소로 내원한 290 예의 환자 중 35예로써 약 12 %였다. 2) 발병연령은 10세 이하에서 19예 (54%)로 가장 많았으며 다음은 10대, 20대의 순이였다. 3 ) 발병연령은 대부분의 예에서 불명이었으나 4예에서는 홍역 후에, 3예에서는 심한 감기 후에 병발했으며, 2 예는 선천적인 것으로 사려되었다. 4) 예중 25예 (71 %)에서 양측성이었고, 좌,우 편측성인 경우가 각각 8예 (23 %), 및 2예 (6 %)였다. 5 ) 임상증상은 거의가 애성을 주소로 하고 있었으며 7 예에서는 만성후두염을 동반하고 있었다. 6 ) 공기역학적검사에서는 20 예(57 %)에 서 최대발성지속시간 (Maximal Phonation time)이 감소되어 있었고, 발성율(發聲率, Phonation Quotient)은 22예(63 %)에서 증가되었으며, 발성시평균호기유율(Mean Air Flow Rate)은 23예 (66 %)에서 증가되었다. 7 ) 스트로보스코피(Stroboscopy) 를 시행할 수 있었던 33예 중 31예 (93%)에서 성문폐쇄부전 (glottic chink)이 있었으며 양측성대의 진동성은 거의 전례에서 규칙적 (regular)이었고, 4예(12 %)에서 비대칭(asymmetric)이었으며, 진폭 (amplitude) 은 5 예 (21 %)에서 감소되었으며, 점막파동(mucosal wave) 은 24 예 (73 %)에서 감소되었다. 8) 치료로서 상기 환자중 5예에서 성대내 테프론(Teflon) 주입을 실시하였고 1예에서 성대구절제술(Sulcusectomy)를 실시하였는데 테프론을 주입한 1예에서 증상의 호전이 있었을 뿐 다른 예에서는 효과가 뚜렷치 않아서 앞으로의 원격성적이 요망되었다.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1982년도 제16차 학술대회연제순서 및 초록
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• pp.10.1-10
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• 1982

최근의 후두미세수술 (Laryngo-microsurgery)의 보편화와 이에 따른 음성외과학(phonosurgery)의 발달로 종전까지 성대결절이나 성대폴립등의 양성종양 절제나 반회신경 마비등예에서 진단된 성문간격 (glottic chink)을 $Teflon^{{\circledR}}$ injection등으로 치료해오던 후두경술(Laryngoscopy)하에서의 수술적 조작이 그 한계와 범위를 넘어서서 이제는 우리 나라에 있어서도 후두의 기능외과적인 측면에서 음성을 개선하려는 시도가 고조되고 있으며 특히 성대마비나 변성기발성장애 (Mutational dysphonia), 성대위축 (Vocal cord atrophy), 운동기능 항진성발성장애 (Hyperkinetic dysphonia), 성대구증(Sulcus vocalis)등을 위한 음성개선수술이 실시되고 있음은 우리나라의 음성외과학의 발전이라는 견지에서도 매우 기꺼운 일이다. 이러한 뜻에서 내시경술을 통해서 성대에 직접 수술적 조작을 가하지않고서도 성문외적으로 후두구조를 수술하여 성대의 위치와 물리적 성질을 변화시킴으로서 음성을 개선하려는 갑상연골성형술 (thyroplasty)이 성행되고 있음을 강조하고싶다. Isshiki(1974)는 이러한 thyroplasty 를 4종류로 분류하였으며 편측성 성대마비의 경우 I 형 thyroplasty (lateral compression of vocal cord) 와 IV형 thyroplasty (Lengthening of vocal cord) 가 효과적인 수술방법인데 이들 수술의 장점은 국소마취하에서 환자의 목소리를 들어가면서 lateral compression의 정도를 조정해서 시술할 수 있다는것과 갑상연골내측 연골막 밖에서 의 조작으로서 후두내 출혈이나 호흡곤란등의 위험성이 전혀 없다는 것이다. 본 교실에서는 1981 년 9월부터 1982년 3월까지 7개월간에 경험한 편측성 성대마비 7예에 대하여 국소마취하에서 thyroplasty를 시행하여 약간의 지견을 얻었기에 보고하는 바이다. 수술에 앞서서 모든 환자에게 미리 공기역학검사, 청각심리적검사, 스트로보스콥검사(stroboscopy) 및 음향분석(Sound spectrographic analysis) 을 실시하였으며 thyroplasty 시행 2 개월후에 상기한 검사를 다시 시행해서 수술전후의 음성을 비교관찰하여 다음과 같은 성적을 얻었다. 1) 공기역학검사상 최장발성지속시간 (Maximum phonation time)은 58 % 증가되었으며 이에따른 발성시호기유율 (Phonation quotient)과 평균호기유율(Mean flow rate)은 각각 58 %, 54 %로 감소되었다. 2) 청각심리적검사에서 애성의 정도가 호전되었으며 스트로보스콥검사에서도 발성시 성문간격의 개선을 보았다. 3) 음향분석도상에서 성대 진동의 주기성 (Periodicity)이 회복되었으며 특히 고주파역에서의 잡음분포가 감소되었다.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1979년도 제13차 학술대회 연제순서 및 초록
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• pp.7.2-8
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• 1979

음성외과는 발성기능를 취급하는 기능외과이기 때문에 수술적응의 결정 수술효과의 판정 수술성적의 비교를 위하여 발성기능의 검사가 필요하다. 청력을 취급하는 수술에서 청력검사가 필요한 것과 같다. 연자는 구유미대학 이비인후과를 방문한 각종후두환자(56례 즉Recurrent laryngeal nerve paralysis, polyp. polipoid vocal cord. sulcus vocalis, Laryngeal cancer, Benign mass, Epitherial hypertrophy. 등에서 발성지적시간, 폐활량/담성지적시간, 평균호기유율 및 후두 Stroboscopy 검사를 시행하여 다음과같은 결과를 얻었다. 1) 성대의 편측성병변은 35례(62.5%)이고 양측성병변은 21례(37.5%)로 편측성병변이 많았다. 2) 성별로는 남성이 39례(69.8%) 여성이 17례(30.2%)로 남성이 많았다. 3) 발성지적시간은 10초이하가 26례(46.4%) 10초이상이 30례(53.6%)이였다. 4) 폐활양/발성지적시간은 300m1/sec이하가 33례(58.9%) 300m1/sec이상이 23례(41.1%)이였다. 5) 평균호기류율은 300m1/sec이하가 37례(66.1%)300ml/sec 이상이 19례(33.9%)이였다. 6) 후두 stroboscopy 검사에서 성대의 대칭성, 규칙성, 진폭, 점막파동 및 성문패쇄에 대해서 관찰하였다. 7) 후두수술전후의 음성검사와 stroboscopy 검사의 비교는 수술후의 성적이 매우 좋다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제14권1_2호
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• pp.1-21
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• 1992

In order to find the causes of velopharyngeal incompetency after primary palatorrhaphy in cleft patients, we analyzed the form and function of the velopharyngeal space of fifteen operated cleft palate patients and five normal subjects. The velopharyngeal function was evaluated by lateral cephalometric radiography, velopharyngography and hypernasality cul-de-sac test. The obtained results were as follows. 1. The rate of velopharyngeal incompetency was twenty percent, three of the fifteen operated patients. Two of them were complete cleft palate and the other was incomplete one. 2. The length of soft palate and levator eminence were longer in normal group than those of good speech group and complete cleft palate group during phonation of /i/ (P<0.05). The lengthening rate of soft palate was smaller in good and poor speech group than that of normal group(P<0.05), and, reduced in order, normal group, complete cleft palate group and incomplete palate group(P<0.05). 3. The nasopharyngeal distance had no significant difference between all groups at rest, but, smaller in normal group than that of both cleft palate group(P<0.05), good speech group and poor speech group(P<0.05) during phonation of /i/ The difference in nasopharyngeal distance between rest and /i/ phonation was greater in normal group than that of both cleft palate group, good speech group and poor speech group. 4. The moving distance of sop palate reduced in order, normal group, incomplete cleft palate group, complete cleft palate group(P<0.05). 5. The distance between lateral pharyngeal wall had no significant difference between all groups in rest, but, smaller than that of complete cleft palate group in normal group(P<0.01) and increased in order normal group, good speech group, poor speech group(P<0.01) during phonation of /a/. The mobility of lateral wall was reduced in order, normal group, good speech group poor speech group(P<0. 01). 6. There was low corelationship between the mobility of lateral pharyngeal wall and soft palate. Therfore, it suggest that the movements of lateral pharyngeal wall and soft palate occurs independently.

• 말소리와 음성과학
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• 제11권1호
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• pp.63-63
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• 2019

• 말소리와 음성과학
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• 제1권2호
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• pp.37-42
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• 2009

The purpose of the present study was to determine the effect of the management program known as vocal function exercise (VFE) on voice quality. Typical VFE was modified and applied to patients with vocal nodules by controlling intensity of voice and relieving the vocal fold to solve hyperfunctional problems in VFE. Eight female subjects aged between 28 and 54 who had been diagnosed with vocal nodules took part in the study. The patients performed VFEs once a week for eight weeks. Vocal function exercises consist of voice hygiene, respiratory training, phonation training, and glide training. The subjects' voices were analyzed pre and post therapy on the aspects of acoustics, maximum phonation time (MPT), GRBAS, and voice handicap index (VHI). As a result, it was found that fundamental frequency ($F_o$) was significant increased, shimmer decreased remarkably and that noise to harmonic ratio (NHR) lowered obviously in the acoustic parameter. In addition, MPT was increased significantly. The scale of GRBAS indicated significant improvement in grade, roughness, and strained voice. VHI indicated significant improvement in an emotional part. In conclusion, VFE was effective in improving voice quality for patients with vocal nodules.

• 말소리와 음성과학
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• 제6권1호
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• pp.95-101
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• 2014

This paper investigated the effects of frequency band limitation on perceptual characteristics of Korean consonants. Monosyllabic speech (144 syllables of CV type, 56 syllables of VC type, 8 syllables of V type) produced by two announcers were low- and high-pass filtered with cutoff frequencies ranging from 300 to 5000 Hz. Six listeners with normal hearing performed perception test by types of filter and cutoff frequencies. We reported phoneme recognition rates and types of perception error of band-limited Korean consonants to examine how frequency distortion in the process of speech transmission affect listener's perception. The results showed that recognition rates varied with the following factors: position in a syllable, manner of articulation, place of articulation, and phonation types. Consonants in the final position were stronger to the frequency band limitation than those in the initial position. Fricatives and Affricates are stronger than stops. Fortis consonants were less stronger than their lenis or aspirated counterparts. Types of perception error also varied depending on such factors as consonant's place of articulation: In case of bilabial stops, they were perceived as alveolar stops with while in cases of alveolar and velar stops, there were changes in phonation types without any change in the place of articulation.

• 대한후두음성언어의학회지
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• 제30권2호
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• pp.87-94
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• 2019

The purpose of this study was to investigate the speech characteristics and speech therapy of Parkinson disease (PD). This study selected 28 papers published in Korea from 1998 to 2018 after searching the terms 'Parkinson voice' and 'Parkinson speech therapy.' Literature review had been conducted in the two aspects of speech characteristics and speech therapy. The speech characteristics were divided into respiration, phonation, articulation, prosody, vowel production, and voice questionnaire. Speech therapy was divided into Lee Sliverman voice treatment (LSVT) and other voice therapy. PD patients did not differ in respiration function compared to normal elderly people, but their speech and articulation function were poorer. There was also a difference in the speech rate, frequency of pause, and accuracy of vowel production compared with normal elderly people. PD had a lower VHI score and their voice related quality of life was a little poorer. The LSVT was typically used in speech therapy for PD. The methods of speech therapy for PD have been shown to improve respiration and phonation. It is necessary to establish voice norms in PD patients and develop effective speech therapy in the following study.