• Title/Summary/Keyword: Aging larynx

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Histopathologic and Physiologic Features of the Aging Larynx (노인성 후두의 조직병리학적, 생리학적 특성)

  • Park, Il-Seok
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.25 no.1
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    • pp.20-23
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    • 2014
  • Age-related changes in larynx can have a direct impact on voice quality and general comfort level. Observations of vocal aging have spanned perceptual, acoustic, aerodynamic, physical, electromyographic (EMG) and histological levels. Evidence of differential vocal aging in relation to gender and physical condition has been reported. Perceptual, acoustic, aerodynamic, kinematic, EMG and histological data document age-related changes in laryngeal structure and function with advancing age. These changes contribute to a functional age-related impact of vocal hypofunction or compensatory hyperfunction. This review will focus on the current understanding of the clinical and cellular changes in the larynx that lead to presbyphonia.

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Clinical Manifestation of Aging Voice (노인성 음성의 임상양상)

  • Baek, Min-Kwan;Kim, Dong Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.25 no.1
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    • pp.16-19
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    • 2014
  • The presbyphonia is a combination of physiological and structural changes due to aging of the larynx in elderly patients with voice problems. Some of these changes are inevitable, while others may be avoidable or reversible. The fatigue of phonation is the most common clinical symptom of the aging voice. The voice problems with aging are produced from variable causes including the organic lesions of the larynx. It is essential that the curers understand physiologic and pathologic changes of aging voice for minimizing glottal incompetence and improving vocal performance and quality of life of the elderly.

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Development of Secretory Element in Murine Trachea and Larynx (백서 기관 및 후두에서 분비조직의 발생)

  • 조정일;박기현;김광문
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.67-67
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    • 1993
  • Mucosal surface of the trachea and larynx is protected by several complex defense mechanism, namely mucociliary clearance, immunoglobulin, antibacterial secretory enzyme, which have also been demonstrated in the middle ear mucosa and eustachian tube. The morphologgy of secretory glands and cells of the trachea and larynx is well-known, but knowledge concerning their development related to secretory activity is still sketchy. The secretory element of the murine trachea and larynx, aging from gestational day 16 to postnatal day 21, was studied using hematoxylin & eosin and alcian blue/periodic acid-Schiff staining including lysozyme immunohistochemistry to investigate the development of secretory element of the murine trachea and larynx and to provide with basis of the future study for developmental morphology of the trachea and larynx. The results of this study suggest that the secretory activity starts to be established immediately after birth with the aeration of the lung.

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Reinterpretation of Stop Production in Korean Elderly Speakers (노년층 파열음 발음의 재해석)

  • Kim, Ji-Eun
    • Phonetics and Speech Sciences
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    • v.7 no.2
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    • pp.139-145
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    • 2015
  • Researchers have claimed that Korean younger speakers tend to less clearly differentiate aspirated and lax stops with VOT values while older speakers clearly differentiate these two stops with VOT values. To explain this phenomena, the current study consider both an aging effect and a general sound shift. For this study, VOT values and F0 of Korean stops produced by eight male speakers(years of birth were 1942 ~ 1952) analyzed using Praat. Their productions were compared with the values of participants whose year of birth were 1943 ~ 1952) in Silva(2006)'s research. Silva's research was conducted in 2004 using the same methods. The result shows that 2014's VOT gap between aspirated and lax stops and less F0 gap between aspirated and lax stops than those of 2004. When the F0 values related to physical conditions of the larynx is considered, it could be analyzed as the following: to distinguish the three-way phonation type clearly, older speakers depend on the VOT value more instead of F0 which they have difficulty to control.

Fundamental Frequencies in Korean Elderly Speakers (한국 정상 노인 음성의 기본주파수)

  • Kim, Sun-Hai;Ko, Do-Heung
    • Speech Sciences
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    • v.15 no.3
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    • pp.95-102
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    • 2008
  • Multiple physical changes of the larynx and its components occur with age. Vocal pitch, commonly expressed through measures of fundamental frequency (Fo) relate to physical conditions of the larynx. Available data is lacking for the senescent voice, and should be applied to the of changes of elderly speakers' Fo characteristics. The purpose of this study was to investigate the Fo of normal elderly speaker's voice. A total of 406 normal elderly speakers (207 males and 199 females) participated in this experiment. Age ranged from 60 years to 89 years. The subjects were asked to produce sustained corner vowels (/a/ /i/ /u/) three times each and the data were analyzed using the MDVP of CSL. According to the results of this study, the mean Fo from the ages of 60's to 80's shows 143.95Hz(SD 13.94) for men and 185.42Hz (SD 15.29) for women. For men, a significant change is found as a function of age in the Fo (F=16.181, p<.05). A post-hoc Scheffe test revealed significant differences between the Fo data of subjects aged 60's and 70's, 60's and 80's. For women, a significant change is found as a function of age in the Fo (F=49.013, p<.05). A post-hoc $Scheff'{e}$ test revealed significant differences between the Fo data of subjects in their 60's and 70's, 70's and 80's, 60's and 80's. The Fo of men goes up from their 60's to 80's gradually, whereas the Fo of women goes down gradually until their 70's, and after their 70's it again increases. It has been known that diminishing estrogen levels in women in old age may be a factor in lowering Fo, whereas diminishing testosterone levels in men may contribute to a rising Fo. This result may be used as some meaningful guideline and lead the basic data to differentiate between normal aged voice and aged voice disorders.

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Effect of Kinesiology Taping on Hyolaryngeal Complex Movement in Stroke Patient with Dysphagia

  • Hong, Junyong;Oh, Donghwan;Park, Jisu;Jung, Youngjin
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.2
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    • pp.2052-2059
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    • 2020
  • Background: Kinesiology taping (KT) is a method that helps immediately increase muscle activation, strength and joint stability by being attached to various skeletal muscles and structures of the body. Objectives: To investigate the effect of KT applied below the hyolaryngeal complex on the movement of the hyolaryngeal complex during swallowing in patients with dysphagia after stroke. Design: One-group, pre-post design. Methods: Twenty individuals with dysphagia after stroke participated in this study. KT was applied to the sternum and both clavicles from the hyolaryngeal complex. We analyzed the motion of the hyolaryngeal complex during swallowing with and placebo KT and KT using the Image-J software with videofluoroscopic swallowing study. In addition, a 0-to-10 numerical rating self-report scale was used to check the required effort and resistance felt during swallowing. Results: KT condition showed that the anterior and superior movement of the hyoid bone during swallowing was significantly lower than placebo KT (P<.05, all). Also, KT condition showed that the anterior and superior movement of the larynx during swallowing was significantly lower than placebo KT (P<.05, all). In result of statistical comparison between KT group and placebo KT group, the KT group showed significantly higher self-report scale score than the placebo KT group in terms of two category; the required effort and resistance felt (P<.05, all). Conclusion: This study demonstrated that KT applied below the hyolaryngeal complex inhibits the anterior and superior movement of hyoid bone and larynx during swallowing of patients with dysphagia after stroke.

Trends in Incidence of Common Cancers in Iran

  • Enayatrad, Mostafa;Mirzaei, Maryam;Salehiniya, Hamid;Karimirad, Mohammad Reza;Vaziri, Siavash;Mansouri, Fiezollah;Moudi, Asieh
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.39-42
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    • 2016
  • Cancer is a major public health problem in Iran. The aim of this study was to evaluate trends in incidence of ten common cancers in Iran, based on the national cancer registry reports from 2004 to 2009. This epidemiological study was carried out based on existing age-standardized estimate cancer data from the national report on cancer registry/Ministry of Health in Iran. The obtained data were analyzed by test for linear trend and $P{\geq}0.05$ was taken as the significant level. Totals of 41,169 and 32,898 cases of cancer were registered in men and females, respectively, during these years. Overall age-standard incidence rates (ASRs) per 100,000 population according to primary site weres 125.6 and 113.4 in males and females, respectively. Between 2004 and 2009, the ten most common cancers (excluding skin cancer) were stomach (16.2), bladder (12.6), prostate (11), colon-rectum (10.14), hematopoeitic system (7.1), lung (6.1), esophagus (6.4), brain (3.2), lymph node (3.8) and larynx (3.4) in males; and in females were breast (27.4), colon-rectum (9.3), stomach (7.6), esophagus (6.4), hematopoeitic system (4.9), thyroid (3.9), ovary (3.6), corpus uteri (2.9), bladder (3.2) and lung (2.6). Moreover, results showed that skin cancer was estimated as the most common cancer in both sexes. The lowest and the highest incidence in females and males were reported respectively in 2004 and 2009. Over this period, the incidence of cancer in both sexes has been significantly increasing (p<0.01). Like other less developed and epidemiologically transitioning countries, the trend of age-standardized incidence rate of cancer in Iran is rising. Due to the increasing trends, the future burden of cancer in the Iran is going to be acute with the expected increases in aging populations. Determining and controlling potential risk factors of cancer should hopefully lead to decrease in its burden.