• Radiation Oncology Journal
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• v.23 no.1
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• pp.17-21
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• 2005

Purpose : To evaluate the voices of irradiated patients with early glottic carcinoma and to compare these with the voices of healthy volunteers. Materials and Methods : The voice samples (sustained vowel) of seventeen male patients who had been irradiated for T1a glottic squamous carcinoma at least 1 year prior to the study were analyzed with objective voice analyzer (acoustic voice analysis, aerodynamic test, and videostroboscopic analysis) and compared with those of a normal group of twenty age- and sex-matched volunteers. Average fundamental frequency, jitter, shimmer, and noise-to-harmonic ratio were obtained for acoustic voice analysis. Maximal phonation time, mean flow rate, intensity, subglottic pressure, glottal resistance, glottal efficiency, and glottal power were obtained for aerodynamic test. Results : The irradiated group presented higher values of shimmer in acoustic voice analysis. There was no significant difference between two groups in other parameters. Conclusion : In this study all the objective voice parameters except shimmer were no4 significantly different between the irradiated group and the control group. These results suggest that the voice quality is minimally affected by radiation therapy for 71 a glottic carcinoma.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.21 no.2
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• pp.121-127
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• 2010

Background and Objectives : Unilateral vocal fold paralysis is generally treated using injection laryngoplasty or voice therapy. However, the decision of treatment method is dependent on clinician's preference and hospital facilities without specific criteria. The purpose of the study was to examine factors predictive of voice therapy outcome in patients with unilateral vocal fold paralysis. Materials and Method : 38 patients diagnosed as unilateral vocal fold paralysis, aged from 24 to 81 years and undergone voice therapy more than 1 month were included. After 3 to 12 (mean 5.1) sessions of voice therapy, subjects had divided into responder group (RG, 28 patients) and non-responder group (NRG, 10 patients) according to G scale change. Paramters of perceptual assessment, acoustic and aerodynamic measure, and videostroboscopy were compared between two groups, and factors predictive of voice therapy result were analyzed. Results : RG patients showed significantly reduced rough, breathy, asthenic voice after voice therapy. Change of MPT and MFR was more substantial in RG than in NRG. By videostroboscopy, RG patients showed significantly more mucosal wave symmetry, glottal closure, reduced glottal gap index during the closed phase of phonation, while NRG patients showed more occurrences of abnomal supraglottic activities during phonation (p < 0.05). Poor outcome of voice therapy significantly associated with increased asthenic scale, short MPT, and less glottal closure (p=0.02). In addition, 90% of patients with MPT more than 5 seconds were in RG, whereas 56% of patients with MPT less than 5 secondes were in RG. Conclusion : Voice therapy is useful for large proportion of patients with unilateral vocal fold paralysis as an initial treatment method. However, patients with large asthenia scale, large glottic gap or MPT less than 5 seconds tend to have poor voice therapy outcome, and early injection laryngoplasty maybe recommended for these patients.

• Proceedings of the KIEE Conference
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• 1987.07b
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• pp.881-883
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• 1987

This paper decribes a new technique for the generation of excitation sources in LPC system. We synthesize a speech signal using several excitation sources, according to residual signal energy and ZCR(zero Crossing Rate). One of the excitation sources mix the double differentiated glottal wave form source and noise source. As a result, we got improved speech signal than that produced by conventional LPC system.

• Proceedings of the Acoustical Society of Korea Conference
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• 1995.06a
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• pp.115-118
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• 1995

무제한 음성합성기를 구현하기 위하여 꼭 필요한 음성분석장치의 개발에 대하여 논하엿다. 이 분석장치는 신호처리 보드를 사용하여 PC에서 사용할 수 있도록 되어 있으며, 음성의 A/D, D/A 및 spectrogram display는 물론 pitch pulse 위치를 Glottal instint closure에 맞추어 삽입할 수 있어 linear prediction base의 무제한 합성기에서 필요한 음성 data base를 구축하기 용이하도록 개발하였다. 또한 음성인식을 위한 음성 DB나 현재 사용중인 ARS를 구축하고자 할 때에도 적은 노력과 시간이 소요되도록 하였다.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.19 no.2
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• pp.96-100
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• 2008

Laryngeal stroboscopy is a important clinical tool in the diagnosis and evaluation of patients with voice disorders. Stroboscopic parameters evaluated during examination include symmetry, periodicity, glottic losure, amplitude, mucosal wave, and amplitude. Stroboscopy can provide useful information on glottal closure patterns in patient with/without vocal fold pathology and this paper describes the stroboscopic findings of the laryngeal pathologic lesions.

• Proceedings of The Korean Cleft Lip And Palate Association
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• 1997.06a
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• pp.35-35
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• 1997

• Proceedings of the KSLP Conference
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• 1998.11a
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• pp.201-207
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• 1998

현악기의 대표격 악기라고 할 수 있는 바이올린이나 기타는 소리(음원)를 만들어 내는 역할을 하는 줄(현)과 공명통이 합쳐져 있는 모양을 하고 있다. 활로 바이올린 줄은 긁거나 기타줄을 손으로 튕겨서 소리를 만들어 내면, 이 소리는 공명통을 울려서 크고 아름다운 소리가 발생되는 것이다. 사람의 목소리도 이러한 현악기와 비슷한 구조를 가지고 있어서, 두 개의 줄모양을 하고 있는 성대에서 성대음(glottal sound)을 만들어 내며 이 성대음이 성도(성도, vocal tract)를 통과하면서 여과(filtration) 되고 성도의 모양에 따른 특성에 따라 공명(resonance) 현상을 일으켜서 입술이나 콧구멍 바깥으로 방출되어 말소리(speech sound)를 만들어내는 것이다. (중략)

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.27 no.1
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• pp.45-50
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• 2016

Background and Objectives : This study aims to conduct post-voice therapy to patients with unilateral vocal fold paralysis for vocal improvement, motility recovery and analyze the results. Materials and Methods : Voice therapy was conducted to 13 patients who had shown response to voice therapy amongst 98 patients diagnosed with unilateral vocal fold paralysis. In order to be able compare before and after perceptual, acoustic and aerodynamic evaluations were conducted after voice therapy. Also, by using dysphagia checklist, we have verified whether if the patient had dysphagia prior to voice therapy. The therapy was conducted by improving the larynx movement and glottal contact, whilst removing hypertension of the supraglottic. Results : All 13 patients who underwent voice therapy had shown improvements that are statistically significant from 4 scales excluding the S scale from auditory perception evaluation (p<0.05), with enhanced glottal contact. In acoustic evaluation, Jitter, Shimmer and NHR had shown significant improvement after voice therapy. MPT was also notably improved among aerodynamical evaluation (p<0.001). All 11 patients had with dysphagia prior to voice therapy reported to have improved swallowing functions. Conclusion : Application of adequate voice therapy to patients with unilateral vocal fold paralysis, is an effective method that might be employed in the initial phase. Especially, the voice therapy proposed in this study is expected to be useful for patients in hypertension status due to secondary compensation after initial paralysis, since it focuses on improving vocal symptoms in a calm state with the supraglottis sufficiently relaxed. Also, the therapy is expected to be effective for improving swallowing functions.

• The Journal of the Acoustical Society of Korea
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• v.13 no.1E
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• pp.82-88
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• 1994

It is important to exactly detect the GCI(Glottal Closure Instant) in the speech signal processing. A few methods to detect the GCI of voiced speech have een proposer, untill now. But these are difficult to detect the GCI for wide range of speakers and or various vowel signals. In this paper, we prposed a new method for GCI detection using the G-peak. The speech waveforms are passed through the LPF of variable bandwidth. Then, the GCI's of voiced speech are detected by the G-peak based on the filtered signals. We compared the detected with the eye-checked GCI at the SNR of clean, 20dB, and 0dB. We took into account the range within 1ms between eye-checked and detected GCI. We obtained the result of the detection rate as 97.9% in the clean speech, 96.5% in 20dB SNR, and 94.8% in 0dB SNR, respectively.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.16 no.2
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• pp.118-122
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• 2005

Background and Objectives The compensatory articulation not only influences general speech intelligibility, but also prevents precise assessment of the velopharyngeal function. This study was performed to investigate frequently affected phonemes, prevalence and the characteristics of compensatory articulation in the patients with cleft palate having velopharyngeal insufficiency. Material and Method An archival review was taken on 103 cleft palate subjects. Their age ranged from 2.6 to 63 years (mean age of 9.8 years). They were grouped into two : preschool group (n=71) and older patient group (n=32). The prevalence and patterns of compensatory articulation were examined on oral high pressure consonants such as plosives, fricatives and affricates. Results : Compensatory errors were observed in $49.5\%$ of the subjects and were mostly glottal stops with the exception of 4cases who had pharyngeal fricatives in addition to glottal stops. The most frequently substituted phonemes were velar plosives and tense sound. There was no significant difference of prevalence in both groups. However, errors for bilabial and alveolar plosives were more frequently observed in preschool group. Conclusion High prevalence of compensatory articulation observed in both preschool and older age group indicates that their articulation errors tend to remain unless appropriate speech therapy is provided. To improve speech intelligibility of the patients with cleft palate having velopharyngeal insufficiency, it is advisable to address and correct the compensatory articulation errors in their earlier ages.