• Title/Summary/Keyword: 음성수술

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Clinical Characteristics of Intracordal Cysts (성대낭종에 대한 임상적 고찰)

  • 홍기환;박병암;정우철
    • Proceedings of the KSLP Conference
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    • 1996.11a
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    • pp.81-81
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    • 1996
  • 성대낭종은 후두미세수술의 발달로 보다 정확한 진단 및 치료가 가능하므로서 관심도가 증가하고 있다. 성대 낭종은 낭종의 내용물 및 점막상태에 따라 저류성 낭종과 유표피성 낭종으로 분류하고 있는데, 저류성 낭종은 점액 분비선의 폐쇄로 점액이 저류되어 발생하며 유표피 낭종은 선천성으로 상피하층에 파묻힌 상피세포의 잔여물이거나 혹은 파묻힌 상피세포 위에 외상(음성남용)으로 손상된 점막이 재생하는 과정에서 발생한다는 설이 있다. (중략)

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자가 콜라겐주입술을 이용한 성대구증환자의 치료

  • 최홍식;이준협;정유삼;임영창;김광문
    • Proceedings of the KSLP Conference
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    • 1998.11a
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    • pp.195-195
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    • 1998
  • 성문부폐쇄부전(glottic insufficiency)를 수술적으로 치료하기 위한 노력은 여러 형태(silicone, hydrogen gel, teflon, etc.)의 성대이물주입술, 갑상성형술등 다양하게 시도되어 왔다. 그러나, 이러한 노력에도 불구하고 성문부폐쇄부전은 여전히 해결하기 어려운 문제로 남아있다. 여기에 1995년 Ford 등은 성문부폐쇄부전에 이은 음성장애치료의 새로운 접근방법으로 자가 콜라겐주입술(autologous collagen injection)을 소개하였다. (중략)

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라인케 부종의 수술 전후 음성분석

  • 김광현;성명훈;고태용;박홍주;김동영;김정준;이상준
    • Proceedings of the KSLP Conference
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    • 1998.11a
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    • pp.186-186
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    • 1998
  • 성대주름을 덮고 있는 점막과 안쪽의 성대근육, 성대인대 사이의 잠재적 공간을 라인케격간이라고 부르고, 이 부위의 광범위한 부종으로 인해 진성대가 마치 물주머니처럼 보이는 폴립양비대를 라인케 부종이라고 한다. 라인케 부종은 특징적으로 홉연과 밀접한 관련이 있으며 때로는 성대남용이나 위-식도역류와도 관련이 있다고 알려져 있으나 그 병리기전은 아직 정확히 알려져 있지 않다. (중략)

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Effect of Radiation Therapy on Voice Parameters in Early Layngeal Cancer and Normal Larynx (방사선요법이 초기 후두암 및 정상후두의 음성지표에 미치는 영향)

  • 박한종;이인자;박영학;김민식;조승호
    • Proceedings of the KSLP Conference
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    • 1994.06b
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    • pp.88-88
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    • 1994
  • 초기후두암에 대한 방사선요법은 수술적 치료에 비하여 정상 후두기능 즉 발성 기능을 최대 한 보존할 수 있는 장점이 있다. 그러나 방사선 치료법은 병적 혹은 정상 후두조직에 섬유화, 점막부종 혹은 점액선 간소등의 변영을 초래할 수 있기 때문에 어느 정도의 음성장애를 유발하게 된다. 방사선요법이 후두의 발성기능에 미치는 영향을 알아보기 위하여 초기후두암 환자와 두경부암으로 인하여 정상후두에 방사선 조사를 받았던 환자 및 정상대조군 각 20명에 대하여 음향 및 공기역학적 음성검사를 시행하여 음성장애의 특성을 비교, 검토하였다. 초기 후두암 환자들에게 사는 방사선 치료 후 음성지표들이 관찰되었고, 정상후두에는 큰 영향을 미치지 않았다. (중략)

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Investigation of aerodynamic evaluation in female patients undergoing thyroidectomy (갑상선절제술을 받은 여성 환자의 공기역학 검사변수 조사)

  • Kang, Young Ae;Kwon, In Sun;Won, Ho-Ryun;Chang, Jae Won;Koo, Bon Seok
    • Phonetics and Speech Sciences
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    • v.12 no.2
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    • pp.73-80
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    • 2020
  • Breathing is the voice's driving force and also acts as a regulator of larynx function and efficiency. Respiratory distress is a side effect of general anesthesia in thyroid surgery. Therefore, this study's objective was to provide practical and complementary information for voice recovery after thyroid surgery, based on aerodynamic evaluation pre- and post-thyroidectomy. From May 2014 to July 2015, aerodynamic evaluations were performed on 34 female patients diagnosed with thyroid papillary cancer one week before surgery (PRE), one month after surgery (P1), and three months after surgery (P3). The Phonatory Aerodynamic System (model 6600, KayPENTAX, USA) was employed for this purpose, and a total of 29 analysis parameters were selected. The results showed statistically significant differences in peak expiratory airflow (p=0.004), mean pitch (p<0.01), expiration airflow duration (p=0.001), and expiratory volume (p=0.018), based on time factors. In the comparison of time factors, peak expiratory airflow and mean pitch parameters were different in PRE-P1 and PRE-P3. Expiration airflow duration and expiratory volume parameters were different in PRE-P3 and P1-P3. The interaction effect of time and surgical range was significant only for expiratory volume (p=0.024). Female patients who undergo thyroidectomy require post-operative breathing training, and exhalation improvement is considered to reflect a positive lifestyle after surgery.

Temporal and Spatial Regulation of Cell Cycle Genes during Maize Sex Determination (옥수수 성 결정에 있어서 세포주기 유전자들의 시간적, 공간적 조절)

  • Lee, Jung-Ro;Kim, Jong-Cheol
    • Journal of Life Science
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    • v.16 no.5
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    • pp.828-833
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    • 2006
  • Maize (Zea mays L.) pistil cell death and stamen cell arrest are pivotal process on the sex determination, which diverges from bisexual state of floral meristem to unisexual state in staminate or pistillate floret. We investigated the temporal and spatial distribution of cell cycle gene expression during maize sex determination. The positive regulatory genes of cell cycle, cyclin A, cyclin B, cyclin dependent kinase (CDK) and Mad2 were highly expressed in the developing pistil and stamen but the expression was disappeared in the dying pistil and arresting stamens. In contrast, the negative regulatory genes of cell cycle, Wee1 and CDK inhibitor (CKI) were expressed in the arresting stamens in the wild-type ear and tasselseed2 mutant tassel, however, these genes were not detected in dying pistil although the cyclin B gene expression was disappeared. These results suggest that both the pistil cell death and stamen cell arrest process in maize sex determination are involved in cell cycle regulation, but the different expression patterns of negative regulatory cell cycle genes in the arresting stamens and aborting pistils suggest that the two processes may have distinctive modes of action.

Sulcusectomy and Soft Tissue Augmentation in Sulcus Vocalis (성대구(Sulcus vocalis)에 대한 구절제술(Sulcusectomy)과 연조직 삽입술)

  • Choi, Jong-Wook;Min, Heon-Ki;Choi, Gun;Jung, Kwang-Yoon;Seok, Yoon-Sik
    • Proceedings of the KSLP Conference
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    • 1996.11a
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    • pp.83-83
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    • 1996
  • 성대구는 성대점막 고유층의 일부 결손 또는 위축성 함입으로 유리연이 내함되어 성대궁형(bowing cord)이 형성되기 때문에 발성시 정상점막 파동이 소실되고 성문폐쇄부전을 보이며 그 결과 애성을 초래하게 된다. 이러한 성대의 내함을 교정하기 위하여 구절제술, 성대 상하순(upper and lower lip) 점막의 위치조절 둥이 시행되고 있으나 성대궁형이 교정되지 않아 음성개선에 실패하는 경우가 많다. 저자들은 구절제술 후 성대궁형을 교정할 목적으로 연골막을 포함한 연조직을 성대근 내측으로 삽입하여 음성을 개선하는데 도움을 얻고자 하였다. 이러한 방법으로 음성수술을 시행한 5례의 경험과 그 효과 및 문제점을 문헌고찰과 더불어 보고하고자 한다.

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The Phoniatric Evaluation of the Effect of the Laryngomicrosurgery for the Laryngeal Polyps and the Nodules (성대폴립및 결절의 치료 효과에 대한 음성의학적 고찰)

  • 김기령;홍원표;김광문;이경재;정태영;이명호
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.8.2-9
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    • 1983
  • Recently, the laryngomicrosurgery has been done for the removal of benign laryngeal mass and for the improvement of voice. For the evaluation of the effect of the treatment, there must be any objective method such as aerodynamic study, vocal fold vibration study, acoustic analysis, psycho-acoustic evaluation and the neuro-muscular study. The authors evaluated the phoniatric effect of the laryngomicrosurgery for the patients of 15 laryngeal polyps and 9 laryngeal nodules, who received pre-op. and post-op. vocal function study from Jun. 1981 to Mar. 1983. The results obtained were as follows ; 1) The post-op. mean value of the maximum phonation time was increased 40 % in the unilateral polyps, 62 % in the bilateral nodules and 18 % in the unilateral nodules. 2) The post-op. mean value of the phonation quotient was decreased 25 % in comparison with pre-op. value in the case of the bilateral polyps, 26 % in the unilateral polyps, 55 % in the bilateral nodules and 12 % in the unilateral nodules. 3) The post-op. mean value of the mean air flow rate was decreased 27 % in comparison with the pre-op. value in the case of the bilateral polyps, 25 % in the unilateral polyps, 65 % in the bilateral nodules, 25 % in the unilateral nodules. 4) The glottic chink of the 10 cases of polyps among the 11 cases were disappeared, and the glottic chink of the 5 cases of nodules among 7 cases were also disappeared after surgery. 5) The pre-op. hoarseness of the 10 cases of polyps among the pre-op. hoarseness of the 11 cases of polyps were changed to clear and the 3 cases of nodules were also changed to clear.

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Role of Voice Therapy after Post-Thyroidectomy Dysphonia (갑상선 수술 후 발생한 음성장애에 대한 음성치료 역할)

  • Yun, Young-Sun
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.26 no.1
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    • pp.21-24
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    • 2015
  • Voice therapy after post-thyroidectomy dysphonia is designed to improve glottal closure without supraglottic hyperfunction by development of abdominal support for breathing and intrinsic muscle strengthening exercises. Regarding voice therapy of unilateral vocal fold paresis/paralysis, several techniques such as head positioning, digital manipulation, pushing and pulling method are used for trial or temporary therapy. And the holistic voice therapy such as LSVT, Accent method, VFE are useful for hypofunctional voice disorders. These may be effective interventions as a temporary improvement until normal voice recovers or may provide the essentials for long-term rehabilitation.

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