• 제목/요약/키워드: 애성

검색결과 65건 처리시간 0.024초

소아애성에 영향을 주는 환경에 대한 연구 (Environments of Hoarseness in Children)

  • 안철민;박상준;이건영
    • 대한후두음성언어의학회지
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    • 제8권2호
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    • pp.173-177
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    • 1997
  • The speech movements are acquired activity, not determined by instincts or by biologic inheritance either. The child listens to the sound from the surrounding persons, observes the speech movement of the people and tried to imitate them. Then the child acquires their specific phonation pattern. We guessed that the parents influences to the child are very important in the developing of the speech movements. Because the parents are first contact person to the baby. The recognition of parents about the voice changes in the child will be important too. And social environments such as kindergarden, school, friends contact with, can influence to the voice of the child. We investigated the state of the voice, parents influence and social environmental factor. In the bases of this study, we knew that the parents recognition about the voice changes of child, faulty vocal habits of child, social environmental factors influenced to the voice of child. And we thought we have to do our best for the early detection of voice changes and proper treatment.

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애성환자에 있어서 원인 및 치료에 따른 고찰 (Clinical Study of Patients with Hoarseness in According to Causes and Therapies)

  • 안철민;권기환;박효진;이용배
    • 대한후두음성언어의학회지
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    • 제6권1호
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    • pp.16-21
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    • 1995
  • Clinical study was performed on 128 cases who complained of hoarsseness in according to causes therapies. which causes were newly known and advanced treatment methods were developed. The following results were obtained : 1) Among 128 cases, male was 45.3%, and female 54.7%, so sex ratio was 1:1.2. 2) The highest incidence of age causing hoarseness in order of frequency were 4th decade 30.5%, 5th decade 26.6% and 6th decade 24.8%. 3)The underlying diseases causing hoarsensess in oder of frequency were functional dysphonia 26.5%, laryngeal nodule 17.7% and chroic laryngitis 16.3%. 4) In view of the occupation. sterss group was 84.1% and non-stress group 15.9%. 5) The highest incidence of associated diseases in order of frequency were gastro intestinal diseases 29.7%, hypertension 9.4% and pulmonary tuberculosis 2.3%. 6) Vocal hygiene and voice therapy are the most needful therapeutic modalities.

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애성환자에서 음향지표인 RAP, PPQ 및 APQ의 유용성 (Significance of Acoustic Parameter - RAP, PPQ, APQ- in Hoarseness)

  • 안철민;이종혁;강현국;이용배
    • 대한후두음성언어의학회지
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    • 제6권1호
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    • pp.22-26
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    • 1995
  • Change of voice, espicially hoarseness show irregular vibration of vocal cord. So, computerized acoustic analysis has presented many acoustic parameters for objective evaluation of voice. We objectively investigated the vocal vibration of normal persons and hoarseness patients in Korea. The RAP(relative average perturbation), PPQ(pitch period perturbation quotient) and APQ(amplitude perturbation quotient) of normal persons were compared with that of hoarseness patients with multidimensional voice program for the possibility of distinguishing the pathologic vocal vibration from normal. Authors agree that RAP, PPQ and APQ showed interesting differences between the normal and the hoarseness patients by the multivariate statistical analysis. In conculusion, relative average perturbation, pitch period perturbation and amplitude perturbation quotient might be meangingful screening parameters distinguishing hoarseness patients from normal.

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성대마비를 동반한 특발성 종격동 섬유화증 1예 (A Case of Idiopathic Mediastinal Fibrosis Presenting with Vocal Cord Palsy)

  • 유성재;서요안;김상일;김대한;곽진영;이재철;박종호;정진행
    • Tuberculosis and Respiratory Diseases
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    • 제51권4호
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    • pp.373-378
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    • 2001
  • 저자들은 애성을 주소로 내원한 60세 남자 환자에서 prednisolone과 tranilast의 투여로 호전된 특발성 종격동 섬유화증 1예를 경험하였기에 문현고찰과 함께 보고하는 바이다.

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애성환자에 있어서 잘못된 발성습관에 관한 연구 (The Study of Faulty Vocal Habits in Patients with Hoarsenes)

  • 안철민;박정은
    • 대한후두음성언어의학회지
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    • 제10권1호
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    • pp.12-16
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    • 1999
  • Background and Objectives : The common cause of voice disorders may be bad habits of phonation. faulty vocal habits might aggravate the voice disorder or make the dysphonia. Authors thought the analysis of faulty vocal habits might help to evaluate the causes and to choose the treatment methods in patients with dysphonia. Authors studied to evaluate which vocal habits were used in patients with dysphonia. Materials and Methods : Patients with dysphonia(N= 32) and person without dysphonia(N=20) were evaluated through pre-evaluation test by otolaryngologist and SLP. All subjects were evaluated accordingly Posture of body, expansion of cervical vein, excessive movements of thyroide prominence, position of tongue, tension of lower lip, tension of jaw, breathing pattern related with phonation. Results : In dysphonia group, we found 23 cases with tension of jaw, 15 cases with expansion of cervical vein, 7 cases with bad position of tongue, 3 cases with excessive movement of thyroid prominence and a lot of cases with bad breathing Pattern on Phonation. In control group, only 3 cases with bad position of tongue, 2 cases with tension of lower lip, 1 case with tension of jaw were found. Conclusions : More faulty vocal habits were found in dysphonia group. Authors thought faulty vocal habits could be the cause of dysphonia and aggravate the dysphonia and the control of vocal habits would be very important in patients with dysphonia.

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외상후 스트레스 장애와 감별이 필요한 외상관련 자기애적 증상(TANS) - 증 례 보 고 - (Trauma-Associated Narcissistic Symptoms as a Differential Diagnosis from Post-Traumatic Stress Disorder - A Case Report -)

  • 전상원;박효인;김대호
    • 대한불안의학회지
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    • 제5권2호
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    • pp.133-138
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    • 2009
  • Diagnosing post-traumatic stress disorder (PTSD) is challenging for several reasons: a lack of training in trauma assessment for most clinicians, underreporting and avoidance by patients, the overlapping of symptoms, and a high comorbidity with other mental disorders. Thus, a careful evaluation and differential diagnosis are essential for the treatment and management of this population. A concept of posttraumatic reaction in people with narcissistic vulnerability, called Trauma-Associated Narcissistic Symptoms (TANS) had appeared in the literature; this has not been, however, systemically investigated. This study examines three cases of TANS that developed after traumatic events such as traffic accidents and physical assault. TANS may mimic PTSD and can show similar features; however, a careful attention to the context and meaning of symptoms can help the clinicians in differentiating TANS from PTSD. Clinicians working with trauma and compensation evaluators should be on alert for this easily overlooked condition.

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양측성대마비에 대한 임상적 고찰 (A Clinical Study on Bilateral Vocal Fold Paralysis)

  • 김광문;최홍식;최흥식;조정일;김세헌
    • 대한음성언어의학회:학술대회논문집
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    • 대한음성언어의학회 1996년도 제6회 학술대회 심포지움
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    • pp.84-84
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    • 1996
  • 1986년 10월부터 1996년 8월까지 연세대학교 의과대학 영동세브란스병원 이비인후과에 내원한 환자로서 문진, 이학적검사 및 방사선학적검사에 의하여 양측성대마비로 진단된 47례를 대상으로 성별, 연령, 주증상, 성대마비의 원인 및 치료경과에 대하여 후향적으로 분석하였다. 성별은 남자가 34례(72%), 여자가 13례(28%)였고 연령별로는 20대에서 60대에 걸쳐 비교적 고르게 분포하였으며 평균연령은 46세였다. 주증상이 호흡곤란이었던 경우가 22례(47%)로 가장 많았고 애성이 19례(40%)로 그 다음 순이었다. 성대마비의 원인별로 보면, 중추성이 4례(9%)였고, 나머지는 말초성으로 이중 비수술적 외상에 의한 경우가 15례(32%)로 가장 많았고 수술적 외상이 10례(21%), 특발성이 9례(19%), 기도내 삽관이 5례(11%)였으며, 이외에도 염증성요인에 의한 것이 2례, 갑상선종양에 의한 것이 1례, 그리고 중증근무력증에 의한 것이 1례이었다. 양측성대마비에 대한 치료로서 기관절개술이 13례(28%), 피열연골절제술이 13례(28%)에서 행해졌으며 이중 술후 완전탈관이 가능하였던 경우는 기관절개술을 시행하였던 경우에 6례(46%), 피열연골절제술을 시행하였던 경우에 9례(69%)였고 수술후 완전탈관까지의 기간은 기관절개술의 경우 평균 18개월, 피열연골절제술의 경우 평균 3개월이었다. 이외 보존적 치료가 20례(43%)에서 행해졌으며 이중 2례는 자연치유되었다.

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노인애성환자에 대한 임상적연구 (Clinical Study of Aged Patients with Hoarseness)

  • 안철민;권기환
    • 대한후두음성언어의학회지
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    • 제7권1호
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    • pp.27-31
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    • 1996
  • The voice of aged persons is known generally to be somewhat different from that of other adults, suggesting that laryngeal change occurs with advancing age. However, because knowledge of the voice characteristics of aged persons is limited, it is difficult to judge whether their voices arc normal. Chart review and laryngoscopic examination from ninety-one patients with hoarseness over the age of 60(1st group) and one hundred sixteen patients with hoarseness below the age of 50(2nd group) were done to define aging related voice disorders. The following results were obtained. 1) Associated diseases related to laryngeal disease were hypertension(12%), pulmonary disease(4.4%), thyroid disease(1.1%) in 1st group and hypertension(9.5%), thyroid disease(1.7%) in 2nd group. 2) The underlying diseases causing hoarseness in order of frequency were benign vocal fold lesion(37.7%), inflammatory disease(36.8%), functional dysphonia(17%) in 1st group and benign vocal fold lesion(43.6%), functional dysphonia(26.3%), inflammatory disease(16.5%) in 2nd group. 3) In stroboscopic findings, atrophy and sulcus of vocal cords are more prevalent in males than in females and edema of vocal cords is more common in females. Generally the voice characteristics of aged persons depend on the mass of the vocal folds which may be decreased through atrophy or be increased by edema. However, other factors such as systemic diseases, drug side effects and compensatory mechanism to presbylaryngis must be taken into account in diagnosing and treating voice disorders in aged persons.

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기관 골형성증 1예 (A Case of Tracheopathia Osteoplastica)

  • 김창호;강태경;박기수;박재용;정태훈;배경수;강덕식;이상한;곽정식
    • Tuberculosis and Respiratory Diseases
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    • 제43권2호
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    • pp.257-261
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    • 1996
  • 저자들은 10년간의 애성을 주소로 내원한 환자에서 전산화단층촬영과 기관지내시경을 통한 생검으로 확진된 기관 골형성증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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우총경동맥류의 수술적 치료 (Surgical Treatment of a Right Common Carotid Artery Aneurysm)

  • 민선경;황은구;장진순;김용인
    • Journal of Chest Surgery
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    • 제42권2호
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    • pp.279-281
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    • 2009
  • 38세 남자가 우측 경부의 약 $5{\times}6cm$ 크기의 박동성 종괴를 주소로 내원하였다. 종괴는 최근 2개월간 빠르게 커졌으며 간헐적인 경부 통증과 애성 등의 증상이 동반되었다. 방사선학적 검사를 통하여 우측 총경동맥 분지부 직하방에 위치한 동맥류를 확인하였으며 그것은 내경동맥과 외경동맥을 압박하고 있었다. 내부 단락을 사용하여 뇌혈류를 유지한 상태에서 우내경동맥 일부 내막절제술을 시행하였으며 동맥류를 절제하고 도관대치를 시행하였다. 수술 중 주위 신경조직의 손상은 없었으며 별다른 합병증 없이 회복하여 환자는 수술 후 7일에 퇴원하였다.