• Title/Summary/Keyword: 발성 치료

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후두미세수술후 지속적인 음성장애환자에 대한 임상적 고찰

  • 김명상;표화영;최홍식;김영호;김광문
    • Proceedings of the KSLP Conference
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    • 1997.11a
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    • pp.257-257
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    • 1997
  • 1996년 10월부터 1997년 6월까지 안ㆍ이비인후과병원과 영동세브란스병원 이비인후과에 음성장애를 주소로 내원한 환자 중 성대양성질환으로 성대미세수술을 시행하고 음성검사를 시행한 환자들을 대상으로 하였다. 대상환자는 총 85명으로 후향적으로 의무기록을 검토하여 수술시 병명, 수술시 레이저(laser)사용유무, 수술 후 발성장애 유무를 확인하였으며 그 중 수술 후 지속적인 혹은 반복적인 발성장애를 보인 환자는 총 12명으로 발성장애의 원인과 치료의 종류 및 치료효과를 판정하기 위해 후두비디오스트로보 스코피 검사, 청각심리검사 및 음성분석을 확인하였으며 통계처리를 하였다. (중략)

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Primary Leiomyosarcoma of the Submandibular Gland (악하선에 발생한 평활근육종)

  • Lee, Dong Hoon;Kim, Young;Lee, Jae Woon;Lee, Joon Kyoo
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.2
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    • pp.51-53
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    • 2013
  • 평활근육종은 주로 사지와 몸통에 주로 발생하며, 악하선의 원발성 평활근육종은 매우 드물다. 악하선의 원발성 평활근육종은 증상과 방사선 검사 모두에서 비특이적이며, 치료는 광범위 절제술이다. 최근 저자들은 악하선에 발생한 원발성 평활근육종을 광범위 적출술을 시행한 후에 술후 방사선 치료를 시행하여 치험하였기에 문헌 고찰과 함께 보고하는 바이다. 악하선의 평활근육종은 드물지만, 방사선 검사에서 경계가 분명하고 조영 증강이 잘되며, 세침흡입검사에서 방추세포가 발견될 경우에 감별 진단으로 고려해야 한다.

Primary Hypoparathyroidism in a Miniature Schnauzer Dog (미니어처 슈나우저에서 발생한 원발성 부갑상선기능저하증)

  • Kang, Min-Hee;Park, Hee-Myung
    • Journal of Veterinary Clinics
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    • v.26 no.6
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    • pp.603-605
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    • 2009
  • A 7-year-old intact female, Miniature Schnauzer dog was presented with an acute seizure episode and tremors. Fever and panting were noted when presented. Physical examination revealed apparent forelimb muscle rigidity, fasciculations and stiff gait. Characteristic laboratory findings in this dog were severe hypocalcemia with hyperphosphatemia. The low serum concentration of intact parathyroid hormone and ionized calcium levels were consistent with the diagnosis of primary hypoparathyroidism. In addition, there were increased urinary excretion of calcium and decreased urinary excretion of phosphorus in this case. Urgent treatment was initiated with 10% calcium gluconate. The dog remained healthy with vitamin D analogue and oral calcium supplementation. A transient hyperphosphatemia was controlled well with sevelamer hydrochloride. To the author's knowledge, this is the first case report describing the clinical and laboratory characteristic features of canine primary hypoparathyroidism and its clinical outcome in Korea.

Effects of Vocalization on Upper Extremity Muscle Activity during Reaching Task in Patients with Hemiplegia (발성이 편마비 환자의 팔 뻗기 시 상지근육의 근활성도에 미치는 효과)

  • Lee, Myoung-Hyo;Choi, Young-Chul;Kim, Jin-Sang
    • The Journal of the Korea Contents Association
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    • v.12 no.12
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    • pp.356-362
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    • 2012
  • This study examined the effects of vocalization on upper extremity muscle activity during reaching task in patients with hemiplegia. Thirteen persons with right brain stroke performed reaching to a cup under four concurrent speech conditions of vocalizing the word "Ah" with hemiplegic side. These four conditions are self-vocalization, external vocalization, imaginary vocalization, and no vocalization. The muscle activity(Biceps brachii, Triceps brachii, Middle deltoid, and Upper trapezius) were measured using MP150. Muscle activity was significantly higher under self-vocalization and external vocalization conditions compared to the muscle activity under imaginary vocalization and no vocalization conditions on triceps brachii muscle.(p<0.05). Triceps brachii muscle was highly correlated with biceps brachii muscle(r=0.777, p<0.05). The results suggest that self-vocalization and external vocalization can be used in facilitating upper extremity movements in patients with stroke. When working with patients with right hemispheric stroke, therapists might explore possibilities of using patient's self-speech to enhance the quality of upper extremity movement performance.

성악가와 비성악가에서의 음도에 따른 성대외근의 surface EMG activity 변화

  • 손영익;윤영선;추광철;김선일
    • Proceedings of the KSLP Conference
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    • 1998.11a
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    • pp.198-198
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    • 1998
  • 성악발성 시 전문적인 성악가와 비전문가에서 성대외근의 수축 경향을 파악함으로써, 성대외근이 성악발성에 갖는 중요성을 파악하고, 얻어진 자료를 토대로 성악발성 숙련도의 판정이나 성악인의 음성치료에 활용할 수 있는 가능성을 알아보고자 하였다. 서양음악을 전공한 지 10년 이상 된 20-30대의 소프라노 4인을 성악가 군으로, 비전공자 여성 4인을 대조군으로 하여, E3 부터 C6 내의 9개 음을 낮은 음부터 시작하여 차례로 /이/ 모음을 수초간 발성하게 하였다. Multi-Mode Program (UP) Plus (Nicolet, Viking IV)와 1개 채널의 음성신호 및 3개 채널의 surface electrode를 이용하여 발성 시설골상근, 설골하근, 견갑설골근의 활동전위를 측정한 뒤, 단위시간 당 근전위 진폭의 합을 구하여 두 군간에 그 양상을 비교하였다. (중략)

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Primary Malignant Melanoma of the Cervical Spinal Cord -Case Report- (경추 척수의 원발성 흑색종양)

  • Kim, Chul-Yong;Choi, Myung-Sun
    • Radiation Oncology Journal
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    • v.5 no.1
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    • pp.43-47
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    • 1987
  • Primary malignant melanom of the spinal cord is extremely rare. The best treatment appears to be total surgical excision, when possible and postoperative irradiation, but the value of radiotherapy is unknown because the number of cases that have been irradiated postoperatively is small. The 2-year survival rate for primary malignant melanoma of the spinal cord is usually less than $16\%$ and most patients died within 1 year. The prognosis of this tumor is poor.

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Clinical Efficacy of 7-French Catheter for Initial Treatment of Primary Spontaneous Pneumothorax (원발성 자연기흉에 대한 초 치료로서 7-French 흉관의 적용)

  • Ryu Kyoung-Min;Jung Eui-Seok;Cho Suk-Ki;Sung Sook-Whan;Jheon Sang-Hoon
    • Journal of Chest Surgery
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    • v.39 no.5 s.262
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    • pp.394-398
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    • 2006
  • Background: Goal of the initial treatment of primary spontaneous pneumothorax is re-expansion of the lung by evacuation of air from pleural space. Authors thought small caliber catheter could reach to this goal instead of conventional large bore chest tube. This retrospective study was undertaken to assess the effectiveness of 7-French (Fr) catheter for the initial treatment of primary spontaneous pneumothorax. Material and Method: Between May 2003 and April 2005, 111 patients with primary spontaneous pneumothorax were managed with tube drainage; 7 Fr catheter for 86 patients and 24-French chest tube for 25 patients. We analyzed catheter indwelling time, use of analgesics, re-expansion of the lung, and catheter related problems by medical records. Result: Mean catheter indwelling time was $2.4{\pm}1.1$ days in 7 Fr group and $2.3{\pm}1.3$ days in chest tube group (p>0.05). All patients with 24 Fr catheter needed analgesics injection but never in 7Fr group. Complete re-expansion of the lung based on plane chest radiograph was obtained in 77% of 7 Fr group. The problem related with 7 Fr catheter was kinking, which showed in 5.6%. Conclusion: Application of the 7 Fr catheter for initial management of primary spontaneous pneumothorax was as effective as 24 Fr catheter.

Primary Aortoesophageal Fistula - A case report - (원발성 대동맥-식도 누공 - 1예 보고 -)

  • Kim, Dae-Hyun;Kim, Bum-Shik
    • Journal of Chest Surgery
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    • v.41 no.4
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    • pp.520-522
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    • 2008
  • Aortoesophageal fistula that causes massive bleeding from the esophagus is a rare and fatal disease. The most common cause of aortoesophageal fistula is an aortic aneurysm, and the other causes are inflammatory disease and neoplasm. The treatment of choice for aortoesophageal fistula is surgery, and this surgery carries a high rate of mortality and morbidity. Stent-graft treatment is now being applied for this malady. Herein we report on a case of primary aortoesophageal fistula that was treated with primary repair of the fistula openings, and we include a review of the relevant literature.

The network analysis of acupoints for primary dysmenorrhea (원발성 월경곤란 치료를 위한 경혈 및 경혈 조합의 네트워크 분석)

  • In-Seon Lee
    • Journal of Convergence Korean Medicine
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    • v.4 no.1
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    • pp.13-17
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    • 2022
  • Objectives: Primary dysmenorrhea is a representative disease that causes intestinal pain, and it has long been known that acupuncture treatment is effective. In this study, a network analysis was conducted using acupuncture points reported in the existing systematic literature review, and the combination of acupuncture points used to treat primary dysmenorrhea was analyzed. Methods: Among of a total of 60 papers, excluding those that used ear acupuncture, the analysis results indicated that combinations of BL23, BL40, BL25, BL60, BL30, Ashi-points, BL26, GB34, and GV3 were used in combination. Results: Through this, it can be seen that previous studies to reveal the effectiveness of acupuncture on back pain mainly used the acupoints of the bladder meridian (BL), local acupoints group, and distal acupoints group. Conclusion: In order to reveal the correlation between acupoints and therapeutic effects through future studies and to provide guidelines on the principles of selecting and combining acupoints, it is necessary to employ a quantitative analysis method for therapeutic effects and to provide detailed reports on acupoints.