• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.9 no.2
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• pp.168-172
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• 1998

Several kinds of surgical methods have been used to treat the submucous cleft palate with hypernasality. The purpose of this study was to evaluate the double opposing Z-plasty which is one of the newly established surgical methods by Dr. Furlow in three cases of submucous cleft palate with hypernasality operated in this department. There were a number of advantage of double opposing Z-plasty. The surgery is adaptable for use in early patient. Midfacial growth retardation and complication were not seen in all cases. Hypernasality was improved subjectively. Using the nasometer, the nasalance score of the postoperative period was compared with that of before surgery, much improvement were noted in 'Ah', 'PaPa'. And fiberoptic endoscope was used to evaluate the velopharyngeal closure pattern. Velopharyngeal closure pattern with velum was improved dramatically, Double opposing Z-plasty seem to be a good procedure for the treatment of submucous cleft palate with hypernasality.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.2
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• pp.721-727
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• 2013

This study sought to compare the difference of Phonation Threshold Pressure and Nasalance according to vowels. We tested 28 normal females(20~30age) who be in attendance at a school from May to August 2012. We measured Phonation Threshold Pressure through PAS(Phonatory aerodynamic system, model 6600, KAY electronics, Inc) that aero-mechanical instrument called. Phonation Threshold Pressure was measured by using the consonant /p/ and the three vowels /a, i, u/ and was analyzed the three times of Phonation the five times. Also We measured Nasalance through the Nasometer${\Pi}$(model 6450, KAY electronics, Inc). The vowel's phonation was recored by using the three vowels /a, i, u/. the nasalance score was measured via Nasometer. As a Result, Phonation Threshold Pressure according to three vowels show significantly difference. Also, Nasalance according to three vowels show significantly difference. Finally, Correlation coefficient of Phonation Threshold Pressure and Nasalance according to three vowels show positive relation ship. Therefore Phonation Threshold Pressure and Nasalance according to three vowels have closely relationship.

• Journal of Dental Rehabilitation and Applied Science
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• v.24 no.1
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• pp.19-27
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• 2008

The purpose of this study was to obtain normative nasalance scores for adult subjects speaking the Korean language and to determine whether significantly different scores exist for female and male speakers. Mean nasalance scores were obtained for normal speaking Korean adults while they are reading vowels, consonants, no nasal sentence, mild nasal sentence, and high nasal sentence. Thirty adults who had lived in Seoul area with normal articulation, resonance, and voice were included. Among the subjects 15 were male aged 24-38 years and 15 were female aged 19-33. Nasometer data were collected and analyzed using the Kay Nasometer 6400. Nasalance scores were evaluated to investigate the effect of gender by using statistical tests. Nasalance data showed that nasalance values varied accroding to speech stimuli, and there was no significant difference in nasalance scores between male and female speakers in most of the language samples.

• Phonetics and Speech Sciences
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• v.8 no.3
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• pp.111-116
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• 2016

The Nasometer is most commonly used to assess the presence and degree of resonance problems in clinical settings and it provides nasalance scores to identify the acoustic correlates of nasality. Nasalance scores are influenced by factors related to speakers and speech stimuli. This study aims to examine the effect of vowel context and length of stimuli and age on nasalance scores. The participants were 20 adults and 45 children ranging in age from 3 to 5 years. The stimuli consisted of 12 sentences containing no nasal consonants. The stimuli in the three vowel contexts (low, high, and mixed) consisted of 4, 8, 16, and 31-syllable long sentences. Speakers were asked to repeat each stimulus after examiner. The results indicated significant effects of vowel contexts and stimulus length on nasalance scores. The nasalance scores for the high vowel contexts were significantly higher than those for the mixed and low vowel contexts. The nasalance scores for the mixed vowel contexts were significantly higher than those for the low vowel contexts. Speakers had higher nasalance scores for 4-syllable long sentences and 31-syllable long sentences than for 16-syllable long sentences. The effect of age on nasalance scores was not significant. The results of the study suggest that the vowel context and length of speech stimuli should be carefully considered when interpreting the nasalance scores.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.9 no.1
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• pp.32-37
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• 1998

Tonsillectomy is the one of operation that is performed the most commonly in otolaryngology field. Many changes that include range of voice, tone, voice quality and resonance were made by tonsillectomy. Sometimes, any patients taken tonsillectomy has suffer from these voice problem after tonsillectomy. However there are less study for these problems until now. Then, we studied to find the anatomical findings that affected the voice quality when tonsillectomy was performed. We evaluated the voice in 2 groups, one is the group showed the normal pharyngeal space by using the transnasal fiberscopy, the other is group showed medially bulging tonsil at pharyngeal cavity by using same method, with perceptual evaluation, nasalance score, nasality, oral formant and nasal formant. We used the computerized speech analysis system, the nasometer and the spectrogram in the CSL program. We could not find any differences in perceptual evaluation between two groups. But objective measures were provided. Nasalance score and nasality on the nasometric analysis were increased significantly and oral formant on the spectrogram was changed singnificantly after tonsillectomy in Group 2. Authors thought medially bulging tonsil in the pharynx is able to affect the voice quality after tonsillectomy when we evaluted through the nasal cavity by the using of fiberscopy and this evaluation would be important especially in singers.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.8 no.2
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• pp.210-216
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• 1997

Many tools have been used to evaluate the voice abnormalities of velopharyngeal insufficiency(VPI). The aim of study was to obtain the objective evaluation method of VPI by comparing the acoustic and nasalance data of experimentally induced VPI group and those of normal control group. Ten healthy young men were included in this study Mild and severe VPI were experimentally induced by retracting velopharyngeal movement. Using the nasometer, we obtained the nasalance score of the sustained oral vowels and those of three types of nasometer passages and the slope scores of nasogram of nasal words. And we analysed the change of formant frequencies for the sustained oral vowels and the changes of various parameters of hyper-tnasality by the computerized speech analysis system. The nasalance score of sustained /a/ was increased significantly in VPI conditions. There was no changes in the slope score of nasogram. On the acoustic speech analysis, the second formant frequencies of vowel /e/ and /i/ were decreased significantly in VPI conditions. This results suggested that the measurement of nasalance score and formant frequency might be useful in the evaluation of VPI.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.10 no.2
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• pp.97-101
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• 1999

The nasalance score measured by Nasometer is a supplementary data for the perceptually rated nasality by a trained speech pathologist. Because the nasalance score varies with speech material, a valid and reliable material should be developed for evaluating it. The objectives of the present study were (1) to examine whether phonetic contexts affect the nasalace score and (2) to examine the reliability of both meaningless one-syllable words and meaningful sentences. This study analyzed nasalance score in 20 different phonetic contexts from 24 normal adults. The results showed (1) nasalance score increased as the percentage of nasal consonants and vowel /i/ increased, (2) the manner and the place of articulation in oral consonants did not influence the nasalance score, and (3) in nasalance score, correlation between sentences was found to be high, but correlation between syllables was not. These results may indicate that, when preparing the speech material for measuring the nasalance score, it is important to consider not only the percentage of nasal consonants but also that of vowel /i/ in the speech material. In addition, the sentence is more reliable material than meaningless one-syllable words.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.40
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• pp.23.1-23.6
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• 2018

Background: Velopharyngeal insufficiency that accompanies speech resonance and articulation disorders can be managed through several intervention methods such as speech-language therapy, prosthetic aids, and surgery. However, for patients with severe hypernasality, surgical interventions are highly recommended. Among available surgical techniques, the posterior pharyngeal flap is most common. Case presentation: Two adult males with high nasalance scores underwent superiorly based posterior pharyngeal flap surgery, followed by speech testing by an expert speech-language therapist. Nasalance scores and articulation accuracy were assessed up until 1 year after the surgery. Nasalance scores were measured five times using a nasometer, after which the average value was calculated. Conclusions: Consistent declines in hypernasality over time are not easy to explain since the pedicled pharyngeal flap narrowed over time, secondary to cicatrization. However, scar tethering of the soft palate in a posterior direction could reduce the velopharyngeal port size over time. Therefore, long-term follow-up with intensive speech therapy is suggested for patients with severe hypernasality.

• Journal of the korean academy of Pediatric Dentistry
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• v.31 no.4
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• pp.721-728
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• 2004

Velopharyngeal closure is a sphincter mechanism between the activities of the soft palate, lateral pharyngeal wall and the posterior pharyngeal wall, which divides the oral and nasal cavity. It participates in physiological activities such as swallowing, breathing and speech. It is called a velopharyngeal dysfunction when this mechanism malfunctions. The causes of this dysfunction are defects in (1) length, function, posture of the soft palate, (2) depth and width of the nasopharynx and (3) activity of the posterior and lateral pharyngeal wall. The purposes of this study are to analyze the nasopharynx of cleft palate patients using cephalometry and to evaluate the degree of hypernasality using nasometry to find its relationship with velopharyngeal dysfunction. The following results were obtained : 1. In cephalometry, there were significant differences in soft palate length, soft palate thickness, nasopharyngeal depth, nasopharyngeal area, and adequate ratio between two groups. 2. In nasometry, there were significant differences between two groups in vowel /o/ and sentences including oral consonants. 3. In cleft palate patients, though no general correlation was found between Anatomic VPI and nasalance scores, vowel /i/ and sentences including oral consonants were slightly correlated. In conclusion, cephalometry and nasometer results were significantly different between the two groups. Though in the cleft palate group, Anatomic VPI and nasalance scores, which are indices for velopharyngeal closure, excluding the vowel /i/ and sentences including oral consonants show generally no significance.

• Proceedings of the KSLP Conference
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• 1999.11a
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• pp.182-182
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• 1999

Nasometer를 통해 얻은 비음치(nasalance score)는 객관적일 뿐만 아니라 훈련된 언어임상가가 청지각적으로 판단한 비음도와 상관관계가 높기 때문에, 공명장애 진단의 보조자료로 유용하다. 그러나 비음치는 자극어에 따라 다양한 수치를 보이므로 공명장애의 진단을 위해서는 타당하고 신비로운 자극어의 개발이 요구되고 있다 따라서 본 연구는 비음치에 영향을 미치는 주요한 음운 환경이 무엇인지 살펴보고, 무의미 1음절어와 유의미 문장 자극어 중 어떤 것이 더 신뢰로운지 알아보아, 비음치 측적을 위한 자극어 개발에 기초를 마련하고자 하였다. (중략)