• 제목/요약/키워드: 성대용종

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정상인과 성대용종 환자에서의 공기역학적 검사 (Aerodynamic Study in Normal Korean and Patients with Vocal Polyp)

  • 서장수;송시연;정유선;김정수;지덕환;이무경
    • 대한후두음성언어의학회지
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    • 제10권1호
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    • pp.5-11
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    • 1999
  • 최근 음성장애에 관한 관심이 높아지면서 성대질환 내지는 후두질환의 정확한 진단을 위한 발성기능의 측정이 더욱 중요시되기에 이르렀다 이에 본 연구에서는 정상 한국인 남자 81명, 여자 76명과 성대용종 환자 남자 78명, 여자 65명을 대상으로 공기역학적 검사 중 컴퓨터화된 측정기구와 기류저지법으로 최대발성지속시간, 발성기류량, 평균호기류율, 및 성문하압을 연령별 및 성별에 따라 평균치를 측정, 이를 비교 분석하였다. 최대발성지속시간은 정상인 남자가 20.6${\pm}$6.34초, 여자가 17.2${\pm}$4.20초였고, 성대용종 환자에서 남자가 13.1${\pm}$4.26초, 여자가 11.6${\pm}$4.43초였다. 평균호기류율은 정상인 남자가 170.0${\pm}$67.00ml/sec, 여자가 131.1${\pm}$49.03ml/sec였고, 성대용종 환자에서 남자가 255.7${\pm}$216.52ml/sec, 여자가 183.24${\pm}$107.16ml/sec였다. 발성기류량은 정상인 남자가 3179.0${\pm}$648.94ml. 여자가 2144.1${\pm}$650.81ml였고, 성대용종 환자에서 남자가 2905.8${\pm}$1295.35ml, 여자가 1904.4${\pm}$1068.59ml였다 성문하압은 정상인 남자가 4.0${\pm}$1.88cm$H_2O$, 여자가 3.5${\pm}$4.20cm$H_2O$였고, 성대용종 환자에서 남자가 4.2$\pm$1.48cm$H_2O$, 여자가 3.9${\pm}$1.12cm$H_2O$였다. 성대용종 환자에서 통계학적으로 유의성있게 최대발성지속시간은 감소하고, 평균호기류율은 증가하였으며, 발성기류량과 성문하압은 여자환자에서만 의미 있게 각각 감소하거나 증가하였다. 이상의 결과는 정상인과 성대용종 환자에 있어서 객관적인 공기역학적 검사결과를 보여주며 이는 성대용종 환자의 음성이상에 대한 상태판정이나 치료 후 효과 판정에 기본자료로 이용할 수 있을 것으로 생각된다.

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성대용종의 중증도와 음향지수의 상관관계 (A Study of Correlation Between Severity of Vocal Polyp and Acoustic Parameters)

  • 홍기환;양윤수;김진성;이재근;이은정
    • 대한후두음성언어의학회지
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    • 제17권1호
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    • pp.17-27
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    • 2006
  • Background and Objectives: Vocal polyp is the most common disease that causes hoarseness and its incidence is increased currently. The purposes of this study are to investigate the correlation between severity of vocal polyp and acoustic parameters and compare these data with those of the normal Korean. Materials and Methods: We analyzed the acoustic parameters of sustained vowel for 70 vocal polyp patients and 20 normal controls. A CSL(computerized speech lab) was used to carry out the analysis of the voice sample and statistical analysis was used Spearman correlation coefficient & t-test. Results: According to the conclusion of correlation analysis, 21 parameters of all the 34 parameters are significant. Conclusion: These data will be served as basic data for the evaluation of postoperative assessment of the patients with vocal polyp.

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성대마비 및 성대용종 환자의 수술 전과 후의 공기역학적 변수 비교 (Comparison of Pre and Post-operational Phonatory Aerodynamic Parameters in Vocal Polyp and Vocal Cord Palsy Patients)

  • 이다혜;김재옥;오재국;최홍식
    • 대한후두음성언어의학회지
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    • 제26권2호
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    • pp.112-116
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    • 2015
  • Background and Objectives : Aerodynamic analysis is an examination which provides information regarding various vocalization measures indicating laryngeal efficiency. Voice evaluation using such examination must be capable of distinguishing between normal to abnormal voice. It also observes variables on aerodynamic characteristics by gender in regards to patients of vocal disorders, especially of vocal cord paralysis and vocal polyp, and compares the conditions before and after surgery. This paper therefore, seeks to build a framework for establishing standard levels of aerodynamical characteristic on vocal disorders. Subjects and Methods : The study was intended for a total number of 20 patients with vocal polyp or unilateral vocal cord paralysis. Those with the vocal polyp underwent laryngomycroscopy surgery and the vocal cord paralysis, vocal fold injection using Restylane. Aerodynamic analysis fulfilled the Maximum sustained Phonation (MXPH) and Voicing Efficiency (VOEF) by using PAS Model 6600 (KayPENTAX, USA). Results : In MXPH, increase in PHOT were evident with vocal polyp after surgery. As for patients with vocal cord paralysis, MAXDB, MEADB, DHODB, PHOT all have increased and MEAP, PEF, MEAF decreased after surgery. In VOEF, patients with vocal cord paralysis who underwent surgery showed increase in MAXDB, MEADB, DHODB, FET100, ARES, but decreases in PEF, TARF. Conclusion : Overall, it can be concluded that patients with the vocal polyp and vocal cord paralysis seemed to get closer to the normal values after than before surgery in majority of measures. This confirms that the function of their vocal cord has improved nearly to normality through operations.

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성대용종 음성에 대한 음향지표와 청지각지표의 상관관계 연구 (A Study of Correlation Between Acoustic and Perceptual Parameters in the Patients with Vocal Polyp)

  • 이현두;전이슬;홍기환
    • 대한후두음성언어의학회지
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    • 제26권1호
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    • pp.40-45
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    • 2015
  • Objectives:This study aims to investigate the correlation between the measurements of Praat as an acoustic evaluation and those of GRBAS and CAPE-V as perceptual rating tool respectively. Through this, it also tries to find out parameters to which attention should be paid when an evaluator, who is untrained in auditory-perceptual voice evaluation, conducts voice evaluation with objective tool. Materials and Methods:Voice samples of this study were 33 vocal polyp patients(23 males and 10 females) who visited our Department of Otorhinolaryngology. They sustained vowel voices of 'e' were recorded and acoustically analyzed. Results:As the results of correlation analysis between GRBAS and Praat measurements, G scale and R scale showed statistically significant correlation with Jitt, Shim and NHR. And it is found that B scale represented significant correlation with Jitt, S scale with Shim. As the results of analysis on correlation with CAPE-V and Praat measurements, OS scale and R scale showed statistically significant correlation with Jitt, Shim and NHR. B scale represented significant correlation with Jitt, S scale with Shim. Conclusion:Although, both GRBAS and CAPE-V were highly reliable, in comparison between CAPE-V and Pratt, more parameters that showed statistically significant correlation are observed, which implies that VAS has more potential to make detailed evaluation than ORD.

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후두미세수술 전후의 성대 용종 및 결절 환자의 음성분석 (Voice Analysis of Vocal Polyp and Vocal Nodule Before and after Microlaryngeal Surgery)

  • 홍종철;이강대;김우성;장애란;김경아;권순복
    • 대한후두음성언어의학회지
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    • 제20권1호
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    • pp.42-46
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    • 2009
  • Background and Objectives : Vocal polyps and nodules are representative chronic benign laryngeal disease. Treatment options for vocal polyp and nodule in general include voice therapy or laryngeal microsurgery. The purpose of this study was to analyze voice results before and after laryngeal microsurgery. Materials and Method: Vocal polyp and vocal nodule patients were treated by laryngeal microsurgery from March 2004 to December 2006 at Kosin University Hospital. All were women. Voice analysis studies were done before and after laryngeal microsurgery. Five measurements were performed: MPT, Fo, jitter, shimmer and NHR. Results: There was significant improvement in the vocal polyp patients regarding MPT, jitter, shimmer and NHR. Also there was significant improvement in the vocal nodule patients regarding MPT, jitter and shimmer. Conclusion: MPT, jitter, shimmer and NHR will be effective acoustic parameters in documenting the quantitative changes in the vocal polyp patients. MPT, jitter and shimmer will be effective acoustic parameters in documenting the quantitative changes in the vocal nodule patients before and after laryngeal microsurgery.

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성대용종 환자의 후두미세수술 전후 공기역학 변수 변화 (Aerodynamic features in patients with vocal polyps before & after laryngomicrosurgery)

  • 강영애;장재원;구본석
    • 말소리와 음성과학
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    • 제8권3호
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    • pp.39-49
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    • 2016
  • The present study examined the change of aerodynamic features after laryngomicrosurgery in patients with vocal polyps. Aerodynamic evaluation was performed in thirty-nine patients (15 males and 24 females) one week before surgery and four weeks after surgery. Evaluation protocols of vital capacity, maximum sustained phonation(MXPH), and voicing efficiency(VOFT) were used to collect 29 phonatory aerodynamic measures, requiring voice with a comfortable pitch and loudness. Statistically significant changes were found for phonation time and airflow values in the MXPH protocol, while changes were also found for airflow values, subglottal pressure values and acoustic resistance values in the VOFT protocol. Although phonation time was increased in both male and female patients, gender-dependent changes were found in airflow measurements. Men's phonation time increased with no difference in airflow rate, but women's phonation time increased with decreased airflow rate and lower subglottal pressure. The changes of aerodynamic features may be affected by women's self-perceived change for vocal attitude, which was reducing sense of vocal effort after surgery.

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

  • 정광윤;최종욱
    • 대한기관식도과학회지
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    • 제1권1호
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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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