• Title/Summary/Keyword: polyp

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Comparative Study on the Acoustic Characteristics of the Korean Vowel /a/ before and after LMS (후두미세수술 전후 /아/의 음향적 특성 비교)

  • Hwang, Yeon-Sin;Seong, Cheol-Jae
    • MALSORI
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    • no.67
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    • pp.33-60
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    • 2008
  • The aim of this study is to show the differences in acoustic parameters between a pathological voice /a/ caused by vocal polyp and a normal voice /a/ produced after LMS (Laryngeal Microscopic Surgery). It was expected that voices of two kinds could be analyzed effectively in terms of HNR in specific frequency bands than in all frequency bands. For this study, 10 patients' voice were recorded before and after LMS and then were manipulated in terms of four acoustic parameter. It was found out that (a) frequency bands of 500Hz in the range of 1,000Hz to 4,000Hz were very useful to obtain HNR values; (b) frequency bands in the range of 1,248Hz to 5,500Hz on a log scale were very useful to obtain HNR values; (c) F0 dropped after LMS but not significantly; (d) the bandwidth of the second formant (B2) decreased significantly after LMS, while that of the first formant (B1) decreased after LMS but not significantly.

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Evaluation of Vocal Efficiency for the Polyps and Nodules

  • Jin, Yong-Da;Pyo, Hwa-Young;Choi, Hong-Shik
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.7 no.1
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    • pp.56-60
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    • 1996
  • The vocal efficiency(VE) can be calculated as the ratio of acoustic power to aerodynamic power. It relates to the vocal intensity, air Sow rate and subglottic pressure. In this study, we treated 20 cases of vocal polyps and 10 cases of vocal nodules by way of laryngo-microsurgery or laser laryngo-microsurgery. The VE was measured preoperatively and postoperatively in all cases. The results showed that there was a significant improvement of VE postoperatively than that of preoperative measurement(p<0.01) in vocal Polyp group. However, there was no significant difference(p>0.05) in vocal nodule group. Through comparing the results, we obtained the conclusion : The laryngo-microsurgery is the reliable method of management for the vocal polyps, but f3r the vocal nodules, the laryngo-microsurgery should be selected after other more conservative approaches fail to produce the desired results.

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Morphologic Changes of Anchoring Fibers in Vocal Polyps (성대용종에서 부착섬유의 형태학적 변화)

  • 정광윤;최종욱
    • Korean Journal of Bronchoesophagology
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    • v.1 no.1
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    • pp.64-68
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    • 1995
  • Vocal folds injury from vocal abuse is important topics of phonosurgery. Recent advances in diagnostic equipment, phonosurgery and speech analysis equipment have provided a lot of Information about fine movement of the vocal folds. However, predicting the reaction of the vocal folds to phonatory trauma remains difficult. The vocal folds need to withstand great vibratory and shearing stress and anchoring fibers of basement membrane Bone play a role in maintaining structural integrity of histologically different epidermis and superficial layer of lamina propria(cover of vocal folds). The purpose of this study is to demonstrate the changes of anchoring fibers in vocal polyp using transmission electron microscope. Various defects were observed : a irregular thickening of basement membrane, a near absence of normal anchoring fiber, a lot of electron dense material in superficial layer of lamina propria, a destruction of hemidesmosome and many vesicles carrying electron dense material In basal keratinocyte. These observations were suggestive of a hyperactivity of basal keratinocyte of vocal folds epithelium in response to vibratory stress.

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Two Cases of the Inverted Papilloma of the Nose and Sinuses (비강 및 부비동의 반전성유두종 2례)

  • 김백순;전병권
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1981.05a
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    • pp.12.3-12
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    • 1981
  • Inverted papilloma of the nose and paranasal sinuses has been classified as a true neoplasm by most authors. Although these tumors are histologically benign, they tend to be act clinically in a malignant fashion. They are certainly characterized by the high recurrence after inadequate removal. The authors report 2 cases of the inverted papilloma which had been diagnosed as a nasal polyp for which an intranasal operation was performed. The polyp recurred and the total mass was removed at our E.N.T. department and proved to be an inverted papillcma by histologic examination.

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Image-Enhanced Endoscopy in Lower Gastrointestinal Diseases: Present and Future

  • Lee, Han Hee;Lee, Bo-In
    • Clinical Endoscopy
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    • v.51 no.6
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    • pp.534-540
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    • 2018
  • From dye-assisted conventional chromoendoscopy to novel virtual chromoendoscopy, image-enhanced endoscopy (IEE) is continuously evolving to meet clinical needs and improve the quality of colonoscopy. Dye-assisted chromoendoscopy using indigo carmine or crystal violet, although slightly old-fashioned, is still useful to emphasize the pit patterns of the colonic mucosa and predict the histological structures of relevant lesions. Equipment-based virtual chromoendoscopy has the advantage of being relatively easy to use. There are several types of virtual chromoendoscopy that vary depending on the manufacturer and operating principle. IEE plays distinctive roles with respect to histologic characterization of colorectal polyps and prediction of the invasion depth of colorectal cancers. In addition, the newest models of IEE have the potential to increase adenoma and polyp detection rates in screening colonoscopy.

Fiberoptic Laryngeal Laser Surgery (굴곡내시경과 레이저를 이용한 후두수술)

  • Lee, SeungWon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.29 no.2
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    • pp.76-78
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    • 2018
  • With recent developments in medical technology and the introduction of various types of lasers, the role of fiberoptic laryngeal laser surgery (FLS) in laryngology has been significantly expanded. FLS are typically performed under local anesthesia, and patients may return to normal activities immediately after the procedure. This corresponds to the current trend of minimally invasive surgery and may limit unnecessary general anesthesia, reduce medical costs, and increase patient compliances. Main indications of FLS procedure were vocal polyp, recurrent respiratory papillomatosis, vocal fold granuloma and vocal fold dysplasia. In this review, we discuss practical tips and unique value of FLS.

Gastric Polyp - Is It Serious? (위용종 - 어떻게 할 것인가?)

  • Lee, Kyuwon;Kim, Tae Ho
    • Journal of Digestive Cancer Reports
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    • v.7 no.2
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    • pp.40-44
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    • 2019
  • Gastric polyps are morphological diagnoses that collectively refer to various types of lesions, and are commonly found by accident in gastroscopy. Gastric polyps in the broad sense are commonly referred to as abnormal structures protruding toward the gastric lumen, but are generally used only in lesions of the gastric mucosa. The incidence of gastric polyps ranged from 1 to 30% and varied by reporter, and differs by region. Fundic gland polyps were the most common in the West, while hyperplastic polyps were the most common in Korea. Gastric polyps are usually discovered by accident, but because some kinds of polyps have the potential to transform of malignant tumors, histological diagnosis is essential. There should be adequate treatment and management according to the histological results.

Optimal Indication of Prophylactic Cholecystectomy for Gallbladder Stones and Polyps in terms of Risk Factors of Gallbladder Cancer

  • Seung Eun Lee
    • Journal of Digestive Cancer Research
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    • v.4 no.2
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    • pp.83-87
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    • 2016
  • Till now, two distinct epithelial lesions, dysplasia and adenoma, are currently recognized as premalignant stages of gallbladder (GB) carcinogenesis. In these two carcinogenesis pathways, GB stones and polyps are regarded as one of the most important risk factors of GB carcinoma respectively. Although there still remain controversies for the indication of prophylactic cholecystectomy for GB stones and polyps due to lack of high-level evidence, the present review demonstrated that patients who have GB stones with more than 3 cm size, chronic typhoid carriers, porcelain GB, or anomalous pancreaticobiliary ductal union and patients with more than 1 cm sized GB polyp would be recommended prophylactic cholecystectomy.

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The Effect of Voice Therapy in Vocal Polyp Patients (성대용종 환자의 음성치료 효과)

  • Kim, Seong-Tae;Jeong, Go-Eun;Kim, Sang-Yoon;Choi, Seung-Ho;Lim, Gil-Chai;Han, Ju-Hee;Nam, Soon-Yuhl
    • Phonetics and Speech Sciences
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    • v.1 no.2
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    • pp.43-49
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    • 2009
  • Vocal polyps are benign phonotraumatic lesions which are traditionally treated using phonomicrosurgical techniques. In the case of hyperfunctional voice use, voice therapy is effective and results in voice improvement. However, the utility of voice therapy about vocal polyp is in great demand. The purpose of this study was to evaluate the effects of voice therapy in patients with vocal polyps. The authors reviewed the medical records of 193 patients with vocal nodules or vocal polyps, and 64 patients (31 nodules and 33 polyps) were enrolled. All of the subjects had received explanation of problems, vocal hygiene education, and been treated by the $SKMVTT^{(R)}$ (Seong-Tae Kim's multiple voice therapy technique) ranging from 4 to 16 sessions (mean: 8.6 sessions). All subjects were examined by perceptual assessment, acoustic and aerodynamic measures, and VRP (voice range profile). In perceptual assessment, patients with vocal nodules had more breathy and strained voices than the vocal polyp group. Both groups significantly reduced rough, breathy voice after voice therapy. Patients with vocal polyps had worse voice quality than patients with nodules in acoustic measures. Both groups showed reduced jitter and shimmer after voice therapy. In aerodynamic measures, MPT and Psub were increased, and MFR was reduced (p<.05). Participants' frequency range and intensity range were increased after voice therapy, but only frequency range resulted in a significant difference (p<.05). In conclusion, the therapeutic effect of voice therapy in patients with vocal nodules and polyps was demonstrated perceptually and acoustically. We can suggest that voice therapy, including advice, vocal hygiene, and $SKMVTT^{(R)}$ is a useful as an initial choice of treatment for patients with vocal polyps before considering a surgical approach.

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