• Title/Summary/Keyword: Glottis

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Primary Squamous Cell Carcinoma of the Posterior Glottis (성문후부(Posterior Glottis)에서 원발한 편평상피세포암종 1례)

  • 조승호;김형태;조재홍;김민식
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.9 no.2
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    • pp.160-163
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    • 1998
  • The glottis consists of two parts : The intermembranous portion or the anterior glottis, and the posterior glottis. The posterior glottis has been described by various inappropriate terms such as posterior commissure and interarytenoid region. The structure surrounding the posterior glottis consists of three portions ; The cartilaginous portion of the vocal fold, the lateral wall of the posterior glottis, and the posterior wall of the glottis. The posterior glottis may be a very rare site for primary squamous cell carcinoma of the larynx because of its embriologic and histologic differences from the anterior glottis. Recently we have experienced a case of a 81-year-old woman who had been presented with throat discomfort and voice change for 10months. She had the smoking history of 40 pack-year. The physical examination revealed poorly demarcated, papillary, whitish-pink colored mass on the posterior glottis. The vocal cord mobility was not affected. Biopsy under the suspension larygoscope showed moderately differentiated squamous cell carcinoma. No regional and distant metastasis was found. She was irradiated with 7000cGy over 7 weeks at a daily dose of 200cGy. No evidence of recurrence was found by the fifteenth month following radiation therapy. We report this case with a review of literature.

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Speech Recognition Using Formant Bandwidth Normalization (포만트 밴드폭 정규화를 이용한 음성인식)

  • 홍종진;강석건;박군작;박규태
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.16 no.5
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    • pp.458-467
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    • 1991
  • In this paper, the cause of linear prediction error is analysed and the theoretical basis for nomalizing the format bandwidth to 0is given and its validity is verified. The formant and bandwidth in relation to the position of the poles of AR filter are measured for an alaysis of the relation between the pole position and the formant bandwidth. By changing the glottis reflection coefficient to 1. the pole position and the formant bandwidth. By changing the glottis reflection coefficient to 1. the effect of the glottis is eliminated and as the result a new linear preiction coefficients are obtained by normalizing the formant bandwidth of the signal to 0. since these coefficients are symmetrical, the standard deviation is larger than the coefficients with fixed glottis reflection coefficient. The bit rate for speech coding can be reduced by a factor of 2 without any loss of information. Through computer simulation, recognition rate of 96.7% is botained by using the proposed algorithm in recognizing 5 Korean vowels in noisy environment.

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A Case of Giant Lobular Capillary Hemangioma in Glottis Causing Airway Obstruction (기도 폐색을 유발한 성문부 거대 소엽성 모세관 혈관종 1예)

  • Choi, Jeon Ha;Lim, Sung Hwan;Lee, Mi Ji;Kim, Seung Woo
    • Korean Journal of Head & Neck Oncology
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    • v.32 no.1
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    • pp.49-52
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    • 2016
  • The lobular capillary hemangioma (LCH) was previously known to pyogenic granuloma and is benign vascular lesion which grows rapidly on skin and mucosa. It arises from whole body, but oral and nasal cavities are most predilection sites in the head and neck area. The laryngeal LCH looks like a granulomatous lesion of posterior glottis and its common etiology are tracheal intubation and laryngopharyngeal reflux disease etc. The LCH in larynx can cause blood tinged sputum and lump sense. The lesions refractory to medical therapy or causing dyspnea may require surgical excision. A 74-year-old man who presented gradually aggravated dyspnea, lump sensation and hoarseness of one month came to our hospital. The stroboscopic examination revealed large well-margined glottic mass. It was excised with $CO_2$ laser and finally diagnosed as LCH. We present a rare unique case of glottic LCH with a review of literatures.

Detection of Glottal Closure Instant for Voiced Speech Using Wavelet Transform (웨이브렛 변환을 이용한 음성신호의 성문폐쇄시점 검출)

  • Bae, Keun-Sung
    • Speech Sciences
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    • v.7 no.3
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    • pp.153-165
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    • 2000
  • During the phonation of voiced sounds, instants exist where the glottis is opened or closed, due to the periodic vibration of the vocal cord. When closed, this is called the glottal closure instant(GCI) or epoch.. The correct detection of the GCI is one of the important problems in speech processing for pitch detection, pitch synchronous analysis, and so on. Recently, it has been shown that the local maxima points of the wavelet transformed speech signal correspond to the GCIs of speech signal. In this paper, we investigate the accuracy of Gels estimated from this wavelet transformed speech signal. For this purpose we compare them with the negative peak points of the differentiated EGG signal that represents the actual GCIs of speech signal.

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Time-varying Estimation of Vocal Track Parameters During the Speech Transition Regions (음성천이구간에서의 성도 파라메타 시변추정에 관한 연구)

  • Choi, Hong-Sub
    • The Journal of the Acoustical Society of Korea
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    • v.16 no.2
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    • pp.101-106
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    • 1997
  • In this paper, sample selective RLS(SSRLS) method is proposed, which aims to eliminate the influence of pitch bias. Its basic concepts are as follows. First it extracts the open glottis interval by using the residual signals, then estimates the formant values from the selected speech samples excluding above open glottis interval. This method has some analogy with the SSLPS, the simulation is conducted upon the synthetic and real speech. From these results, we find more usefulness of the proposed method than the conventional ones.

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A Case of Neurofibroma of the Vocal Cord (성대에 발생한 신경섬유종 1례)

  • Won, Cheong-Se;Park, Sung-Su;Shin, Tae-Hyun;Kim, Min-Su
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.30 no.1
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    • pp.72-75
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    • 2019
  • Solitary neurofibroma of the glottis is extremely rare and accounts for only 0.1-1.5% of benign laryngeal tumors. Aryepiglottic fold is the most frequent involved site followed by arytenoids and ventricular folds. There have been few reports of neurofibroma of the true vocal cord. We report a case of neurofibroma which was deeply embedded in the vocal cord and misdiagnosed as muscle tension dysphonia with a review of literatures.

Comparison of tracheal intubation using the Miller blade versus Macintosh blade in difficult airway: A manikin study among novice intern doctors (기도확보가 어려운 상황에서 Miller blade와 Macintosh blade를 이용한 기관내삽관의 비교 : 숙련되지 않은 인턴을 대상으로 한 마네킨 연구)

  • Lee, Mi-Lim;Kim, Chul-Tae;Lee, Hyo-Cheol
    • The Korean Journal of Emergency Medical Services
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    • v.22 no.3
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    • pp.35-45
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    • 2018
  • Purpose: The purpose of this study was to compare laryngoscopic views and ease of use and success of intubation, via the percentage of glottic opening (POGO) scale when using the Miller blade and Macintosh blade in paraglossal approach. Methods: Forty intern doctors were randomized for laryngoscopy to be performed in a crossover manner. They performed endotracheal intubation with Miller blade and Macintosh blade in two airway scenarios: normal airway and difficult airway with edema. We observed the rate of successful intubation, time required for visualizing the glottis, time to complete endotracheal intubation, ease of intubation, and the POGO scale. Results: In the normal airway, there was no difference in intubation between the two endoscopes. In the difficult airway, the time for visualizing the glottis (7.80 versus 10.24 sec; p=.006), the time to tube passage (19.38 versus 23.03 sec; p=.038) and the time to complete endotracheal intubation (21.84 versus 28.54 sec; p=.022) with Miller blade was shorter than with Macintosh blade. The POGO scale(%) of the Miller blade was higher than that of the Macintosh blade's (62.25 versus 56.32; p=.030). Conclusion: Compared to the Macintosh blade, Miller blade provided better visualization of the glottis and POGO scale, and faster time to completion of endotracheal intubation.

Relationship between Formants and Constriction Areas of Vocal Tract in 9 Korean Standard Vowels (우리말 모음의 발음시 음형대와 조음위치의 관계에 대한 연구)

  • 서경식;김재영;김영기
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.5 no.1
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    • pp.44-58
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    • 1994
  • The formants of the 9 Korean standard vowels(which used by the average people of Seoul, central-area of the Korean peninsula) were measured by analysis with the linear predictive coding(LPC) and fast Fourier transform(FFT). The author already had reported the constriction area for the Korean standard vowels, and with the existing data, the distance from glottis to the constriction area in the vocal tract of each vowel was newly measured with videovelopharyngograms and lateral Rontgenograms of the vocal tract. We correlated the formant frequencies with the distance from glottis to the constriction area of the vocal tract. Also we tried to correlate the formant frequencies with the position of tongue in the vocal tract which is divided into 2 categories : The position of tongue in oral cavity by the distance from imaginary palatal line to the highest point of tongue and the position in pharyngeal cavity by the distance from back of tongue to posterior pharyngeal wall. This study was performed with 10 adults(male : 5, female : 5) who spoke primary 9 Korean standard vowels. We had already reported that the Korean vowel [i], [e], $[{\varepsilon}]$ were articulated at hard palate level, [$\dot{+}$], [u] were at soft palate level, [$\wedge$] was at upper pharynx level and the [$\wedge$], [$\partial$], [a] in a previous article. Also we had noted that the significance of pharyngeal cavity in vowel articulation. From this study we have concluded that ; 1) The F$_1$ is related with the oral cavity articulated vowel [i, e, $\varepsilon$, $\dot{+}$, u]. 2) Within the oral cavity articulated vowel [i, e, $\varepsilon$, $\dot{+}$, u] and the upper pharynx articulated vowel [o], the F$_2$ is elevated when the diatance from glottis to the constriction area is longer. But within the lower pharynx articulated vowel [$\partial$, $\wedge$, a], the F$_2$ is elevated when the distance from glottis to the constriction area is shorter. 3) With the stronger tendency of back-vowel, the higher the elevation of the F$_1$ and F$_2$ frequencies. 4) The F$_3$ and F$_4$ showed no correaltion with the constriction area nor the position of tongue in the vocal tract 5) The parameter F$_2$- F$_1$, which is the difference between F$_2$ frequency and F$_1$ frequency showed an excellent indicator of differenciating the oral cavity articulated vowels from pharyngeal cavity articulated vowels. If the F$_2$-F$_1$ is less than about 600Hz which indicates the vowel is articulated in the pharyngeal cavity, and more than about 600Hz, which indicates that the vowel is articulated in the oral cavity.

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Comparison of Setup Deviations for Two Thermoplastic Immobilization Masks in Glottis Cancer (성문암 세기변조방사선치료에서 두 가지 열가소성 마스크에 대한 환자위치잡이 오차 평가)

  • Jung, Jae Hong
    • Journal of radiological science and technology
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    • v.40 no.1
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    • pp.63-70
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    • 2017
  • The purpose of this study was compare to the patient setup deviation of two different type thermoplastic immobilization masks for glottis cancer in the intensity-modulated radiation therapy (IMRT). A total of 16 glottis cancer cases were divided into two groups based on applied mask type: standard or alternative group. The mean error (M), three-dimensional setup displacement error (3D-error), systematic error (${\Sigma}$), random error (${\sigma}$) were calculated for each group, and also analyzed setup margin (mm). The 3D-errors were $5.2{\pm}1.3mm$ and $5.9{\pm}0.7mm$ for the standard and alternative groups, respectively; the alternative group was 13.6% higher than the standard group. The systematic errors in the roll angle and the x, y, z directions were $0.8^{\circ}$, 1.7 mm, 1.0 mm, and 1.5 mm in the alternative group and $0.8^{\circ}$, 1.1 mm, 1.8 mm, and 2.0 mm in the alternative group. The random errors in the x, y, z directions were 10.9%, 1.7%, and 23.1% lower in the alternative group than in the standard group. However, absolute rotational angle (i.e., roll) in the alternative group was 12.4% higher than in the standard group. For calculated setup margin, the alternative group in x direction was 31.8% lower than in standard group. In contrast, the y and z direction were 52.6% and 21.6% higher than in the standard group. Although using a modified thermoplastic immobilization mask could be affect patient setup deviation in terms of numerical results, various point of view for an immobilization masks has need to research in terms of clinic issue.

Aero-dynamic Study (공기역학적 검사)

  • 김영호
    • Proceedings of the KSLP Conference
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    • 1994.06a
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    • pp.87-92
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    • 1994
  • - 발성의 공기역학적 측면은 다음 4가지의 인자에 의하여 특징지어진다. a. 성문하부압(Subglottal pressure) b. 성문상부압(Supraglottal pressure), c. 성문저항(Glottal impedance) d. 성문부위의 공기 체적유속(Volume velocity of air of airflow at the glottis) (중략)

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