• 제목/요약/키워드: Glottal

검색결과 138건 처리시간 0.027초

일측성 성대마비 환자에서 Artecoll을 이용한 성대주입술의 효과 및 안전성 (The Effect of Artecoll Injection for the Patients with Unilateral Vocal Cord Paralysis)

  • 오재원;이승원;김민범;윤영선;김관민;손영익
    • 대한후두음성언어의학회지
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    • 제16권2호
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    • pp.129-134
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    • 2005
  • Background and Objectives : Artecoll(R) is an injectable soft tissue filler, which is a suspension of polymethylmethacrylate microspheres in $3.5\%$ bovine collagen solution. The authors aimed to determine the clinical of Artecoll of Artecoll(R) as an injection material into the vocal fold to correct the glottal insufficiency caused by unilateral vocal cord paralysis. Materials and Methods : Forty-one consecutive patients with unilateral vocal cord paralysis received percutaneous Artecoll injections under local anesthesia. Acoustic, aerodynamic and stroboscopic analyses were prospectively provided before, 1 week and 3 months after injection. Perceptual GRBAS grading by speech language pathologists and subjective ratings of the hoarseness and aspiration by the patients were also obtained. Results : Aerodynamic parameter(maximal phonation time) were significantly improved after the injection (p<0.05). Acoustic parameters (jitter and shimmer) were improved at the 3rd month follow-up. GRBAS uading and patients own subjective scaling of hoarseness and aspiration also showed significant improvement (p<0.05). Early or delayed significant side effects were not observed. Conclusion : Vocal fold injection with Artecoll is a convenient, safe and useful method of temporarily correcting the glottal insufficiency. Further long-term follow-up studies will answer the usefulness and safety of the Artecoll injection laryngoplasty.

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동일 후적자가 산출하는 기관식도 발성($PROVOX^{(R)}$ 발성)과 식도 발성에 대한 음향학적 및 공기역학적 특성 비교 (The Comparison of the Acoustic and Aerodynamic Characteristics of $PROVOX^{(R)}$ Voice and Esophageal Voice Produced by the Same Laryngectomee)

  • 표화영;최홍식;임성은;최성희
    • 음성과학
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    • 제5권1호
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    • pp.121-139
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    • 1999
  • Our experimental subject was a laryngectomee who had undergone total laryngectomy with $PROVOX^{(R)}$ insertion, and learned esophageal speech after the surgery, so he could produce both $PROVOX^{(R)}$ voice and esophageal voice. With this subject's production of $PROVOX^{(R)}$ and esophageal voice, we are to compare the acoustic and aerodynamic characteristics of the two voices, under the same physical conditions of the same person. As a result, the fundamental frequency of esophageal voice was 137.2 Hz, and that of $PROVOX^{(R)}$ was 97.5 Hz. $PROVOX^{(R)}$ voice showed lower jitter, shimmer and NHR than esophageal voice, which means that $PROVOX^{(R)}$ voice showed better voice quality than esophageal voice. In spectrographic analysis, the formation of formants and pseudoformants were more distinct in esophageal voice and several temporal aspects of acoutic features such as VOT and closure duration were more similar with normal voice in $PROVOX^{(R)}$ voice. During the sentence utterance, esophageal voice showed longer pause or silence duration than $PROVOX^{(R)}$ voice. Maximum phonation time and mean flow rate of $PROVOX^{(R)}$ voice were much longer and larger than esophageal voice, but mean and range of sound pressure level, subglottic pressure and voice efficiency were similar in the two voices. Glottal resistance of esophageal voice was much larger than $PROVOX^{(R)}$ voice which showed still larger glottal resistance than normal voice.

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구개열 환자의 비인강폐쇄 기능에 대한 공기역학적 연구 (An Aerodynamic Study of Velopharyngeal Closure Function in Cleft Palate Patients)

  • 안태섭;양상일;신효근
    • 음성과학
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    • 제1권
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    • pp.237-259
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    • 1997
  • Cleft Palate speech appears to have hyper/hyponasality with velopharyngeal insufficiency and articulation disorders. Previous studies on Cleft Palate speech have shown that speech tends to have lower airflow and air pressure. To examine the aerodynamic characteristics of Cleft Palate speech, Aerophone II Voice function Analyzer was used. We measured sound pressure level, airflow, air pressure and glottal power. Three Cleft Palate adults and five normal adults participated in this experiment. The test words are composed of: (1) the sustained vowel /o/ (2) /CiCi/, where C is one of three different stop consonants in Korean (3) /bimi/. Subjects were asked to produce /bimi/ five times without opening their lips. All the data was statistically tested by t-test for Cleft Palate patients before operation groups and control groups and paired t-test for Cleft Palate patients before and after operation groups. The results were as follow: (1) Cleft Palate patients generally speak with incomplete oral closure and lower oral air pressure. As a result, the SPL of Cleft Palate before operation is 3 dB lower than control groups. (2) Airflow of Cleft Palate in phonation and articulation is lower than that of control groups. However, it increased after operation. Lung volume and mean airflow in phonation are significantly increased (p<0.05). (3) Although velopharyngeal function (velar opening rate) of Cleft Palate is poor in comparison with control groups, it was recovered after operation. In this event maximum flow rate and mean airflow rate are significantly increased (p<0.05). (4) Air pressure of Cleft Palate in speech is lower than that of control groups. In general, the air pressure of Cleft Palate increased after operation. In this event air pressure of glottalized consonant is significantly increased (p<0.04). (5) Glottal Power(mean power, mean efficient and mean resistant) of Cleft Palate patients is lower than that of control groups. But mean efficient and mean resistant of Cleft Palate patients increased significantly (p<0.05) after operation.

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Electroglottographic Measurements of Glottal Function in Voice according to Gender and Age

  • Ko, Do-Heung
    • 말소리와 음성과학
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    • 제3권1호
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    • pp.97-102
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    • 2011
  • Electroglottography (EGG) is a common method for providing non-invasive measurements of glottal activity. EGG has been used in vocal pathology as a clinical or research tool to measure vocal fold contact. This paper presents the results of pitch, jitter, and closed quotient (CQ) measurements in electroglottographic signals of young (mean = 22.7 years) and elderly (mean = 74.3 years) male and female subjects. The sustained corner vowels /i/, /a/, and /u/ were measured at around 70 dB SPL since the most notable among EGG variables is the phonation intensity, which showed positive correlation with closed phase. The aim of this paper was to measure EGG data according to age and gender. In CQ, there was a significant difference between young and elderly female subjects while there was no significant difference between young and elderly male subjects. The mean value for young males was higher than that for elderly males while the mean value for young females was lower than that for elderly females. Thus, it can be said that in mean values, increased CQ was related to decreased age for females, while CQ decreased for males as the speaker's age decreased. Although the laryngeal degeneration due to increased age seems to occur to a lesser extent in females, the significant increase of CQ in elderly female voices could not be explained in terms of age-related physiological changes. In standard deviation of pitch and jitter, the mean values for young and elderly males were higher than that for young and elderly females. That is, male subjects showed higher in mean values of voice variables than female subjects. This result could be considered as a sign of vocal instability in males. It was suggested that these results may provide powerful insights into the control and regulation of normal phonation and into the detection and characterization of pathology.

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External photoglottography, intra-oral air pressure, airflow and acoustic data on the Korean fricatives /s', s/

  • Kim, Hyunsoon;Maeda, Shinji;Honda, Kiyoshi;Crevier-Buchman, Lise
    • 말소리와 음성과학
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    • 제14권3호
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    • pp.11-25
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    • 2022
  • From simultaneous recordings of the external photoglottography, intra-oral air pressure (Pio), airflow and acoustic data from four native Seoul Korean speakers (2 male and 2 female), we have found that the two fricatives are not significantly different in glottal opening peak and airflow peak height either word-initially or word-medially and that the duration of aspiration is significantly reduced in word-medial /s/, compared to those in word-initial /s/, not in /s'/. We have also found that the duration of a high Pio plateau is significantly longer in /s/ than in /s'/ both word-initially and word-medially and that airflow resistance (R=Pio/U) at the onset and offset of a Pio plateau and at the time of airflow peak height is significantly higher in /s'/ than in /s/ across the contexts. However, the differences in Pio peak and F0 are not significant. In addition, the transition time to reach airflow peak height from the offset of a Pio plateau is found to be significantly longer in /s/ than /s'/ in both word-initial and word-medial positions. No significant differences in glottal opening peak and airflow peak height confirm that /s/ is specified as [-spread glottis] like /s'/. As for the other significant differences, we propose that /s/ is [-tense], and /s'/ [+tense].

노인성 음성의 임상양상 (Clinical Manifestation of Aging Voice)

  • 백민관;김동영
    • 대한후두음성언어의학회지
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    • 제25권1호
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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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성문파형을 이용한 문장독립 화자 인식기 (Text-Independent Speaker Recognition Using Glottal Flow Waveform)

  • 양기혁;전범기;백성준;강상기;성굉모
    • 한국음향학회:학술대회논문집
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    • 한국음향학회 1999년도 학술발표대회 논문집 제18권 2호
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    • pp.57-60
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    • 1999
  • 본 논문에서는 성문파에서 화자특성 계수를 추출하여 화자 인식기에 적용하고자 한다. 공분산 방법으로 음성의 잔류신호를 추정하고 이를 적분하여 성문파를 얻어낸다. 하나의 성문파 구간을 성문닫힘순간 사이가 아닌 잔류신호의 오차가 최대가 되는 순간 사이로 잡았다. 구해진 성문파를 M개의 데이터로 다시 샘플링하여 특성 벡터로 삼고 VQ기반 인식기를 사용하여 인식률을 측정하였다. 4초의 test data와 30차의 특성벡터를 사용한 경우 남성의 경우 평균 $96.08\%$, 여성에 대하여 $93.61\%$의 평균 인식률을 얻었다.

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제3형 갑상연골성형술에 의한 병적인 고음성 치료 (Type III Thyroplasty for High-Pitched Voice)

  • 홍기환;정상술;정희수;김미정
    • 대한후두음성언어의학회지
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    • 제5권1호
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    • pp.69-74
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    • 1994
  • Thyroplasty type III provides an effective mean of shortening the vocal fold. It is used primarily fer lowering vocal pitch. The indications for this surgery are the male patients with too high a vocal pitch of long duration which has proven resistant to voice therapy and a type of dysphonia characterized by high pitch and a breathy voice, in which the laryngeal findings include a very narrow glottal chink and a small amplitude of vibration, suggesting a stiff vocal cord. In this study, we have experienced two cases of high pitched voice, one is mutational falsetto and other is high pitched, breathy voice with stiff vocal fold. The results were satisfactorily successful with type III thyroplasty. So we report the cases of type III thyroplasty in patients of dysphonia with high pitched voice.

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경직형과 이완형 마비말장애의 명료도 비교 (Comparing the Intelligibility of Spastic and Flaccid Types)

  • 김수진
    • 대한음성학회지:말소리
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    • 제48호
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    • pp.1-17
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    • 2003
  • Among the types of dysarthria, spastic and flaccid types are the most prominent manifestations. The objectives of the present research are (1) to discover the phonetic contrasts that differentiate spastic dysarthria from flaccid dysarthria, (2) to analyze the degrees of predictability of each phonetic contrast for intelligibility in spastic and flaccid dysarthrias and to compare them. The 'phonemic contrast word intelligibility pairs' for dysarthric speakers were tested and proved to be useful for clinical assessment of and research on dysarthria. In the group of spastic type, it showed that initial fricative vs. affricate and front vs. back vowel contrasts are transmitted relatively less effectively than flaccid type. In the group of flaccid type, initial glottal vs null contrast is transmitted less effectively than spastic type. The overall intelligibility of spastic dysarthria was predicted by multiple regression analysis with 88% accuracy by three phonetic contrasts(initial fricative vs. affricate; front vs. back vowels; initial consonant correlates). And the intelligibility of flaccid dysarthria was predicted by two phonetic contrasts(initial nasal vs. stop, front vs. back vowels) with 60% accuracy.

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음성 신호의 다구간 에너지 차를 이용한 새로운 프리엠퍼시스 방법에 관한 연구 (A Study on a New Pre-emphasis Method Using the Short-Term Energy Difference of Speech Signal)

  • 김동준;김주리
    • 대한전기학회논문지:시스템및제어부문D
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    • 제50권12호
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    • pp.590-596
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    • 2001
  • The pre-emphasis is an essential process for speech signal processing. Widely used two methods are the typical method using a fixed value near unity and te optimal method using the autocorrelation ratio of the signal. This study proposes a new pre-emphasis method using the short-term energy difference of speech signal, which can effectively compensate the glottal source characteristics and lip radiation characteristics. Using the proposed pre-emphasis, speech analysis, such as spectrum estimation, formant detection, is performed and the results are compared with those of the conventional two pre-emphasis methods. The speech analysis with 5 single vowels showed that the proposed method enhanced the spectral shapes and gave nearly constant formant frequencies and could escape the overlapping of adjacent two formants. comparison with FFT spectra had verified the above results and showed the accuracy of the proposed method. The computational complexity of the proposed method reduced to about 50% of the optimal method.

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