• 대한후두음성언어의학회지
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• 제9권2호
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• pp.134-141
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• 1998

Mutational falsetto is a kind of voice disorders due to the failure to acquire proper low-pitched voice during the puberty. The patients with mutational falsetto can produce the normal low-pitched voice by the surgical treatment, like the type III-thyroplasty, or the voice therapy. The present study is, focusing on the latter treatment, to consider the efficiency of voice therapy for the mutational falsetto. The 7 patients who were diagnosed as mutational falsetto by the laryngologists, and treated by the voice therapist were selected as subjects. Their voices of pretherapy and posttherapy were analyzed on the aspects of acoustics and aerodynamics. Acoustic analysis was done by the MDVP(Multidimensional Voice Program) of CSL(Computerized Speech Lab, Kay Elemetrics, Co.), and aerodynamic analysis, by the Maximum Sustained Phonation of Aerophone II(Kay Elemetrics, Co.). By these measurements, we could find that fundamental frequency(F0) was significantly lowered, on the average, 65Hz. Maximum phonation time(MPT) was increased 4.57 second, and shimmer was decreased 1.644%, respectively, and each changes was statistically significant, too. On the average, jitter was decreased 0.499%, mean flow rate(MFR) was decreased 27.71ml/sec, and NHR was increased 0.023 which was the only parameter not showing improvement. But the changes of jitter, MFR and NHR were not statistically significant.

• 대한후두음성언어의학회지
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• 제8권1호
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• pp.33-37
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• 1997

Incomplete glottic closure of vocal cord atrophy is the common cause of dysphonia. Patients with vocal cord atrophy have complaints such as dysphonia, vocal fatigue, abnormal sensation in the throat, laryngeal pain, cough or sputum like functional voice disorders. Many investigators could not confirm the pathologic laryngeal structure because of their minute pathology. But recent advancements of laryngeal examinations made the many clinicians to detect minimal laryngeal pathology and to have mind the treatment for the vocal cord atrophy. But the results were less effective than their thoughts, the reasons of ineffectiveness were not known well. Authors have found the Hyperfunctional movement of the supraglottis during phonation before and after thyroplasty type I for vocal cord atrophy. Then we have applied the combined modality treatment with thyroplaty type I and voice therapy for relieve of hypefunctional movement of the supraglottis. These options have had more imporved results.

• 한국음향학회:학술대회논문집
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• 한국음향학회 1998년도 학술발표대회 논문집 제17권 1호
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• pp.379-382
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• 1998

이 연구는 서울말과 경상도 말의 고저형(tonal patterns)을 외래어 읽기를 통해 비교해 본 것으로, 두 방언의 고저형에 변수로 작용하는 것이 음절수, 음절 구조(폐음절/개음절), 어두 자음의 성격(phonation type) 등임을 밝혔다. 두 방언은 이런 변수의 작용을 선택적으로 받는데 유형론적으로 비성조 언어인 서울말은 음절수, 어두 자음의 성격이 고저형에 영향을 주며, 성조 언어인 경상도말은 음절수와 음절의 구조가 외래어에 있어서는 고저형 결정에 중요한 역할을 하는 것으로 드러났다.

• 대한후두음성언어의학회지
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• 제23권2호
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• pp.119-123
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• 2012

Background and Objectives : Sulcus vocalis could be classified into type I, type IIa, and type IIb. There have been a little reports about voice quality and treatment results related with types of sulcus vocalis. The authors conducted an analysis of voice and treatment according to different types of sulcus vocalis. Materials and Methods : This study was based on a retrospective chart review. The sulcus types were classified into type I and type II. Objective and subjective voice assessments were analyzed. Patients were treated individually with voice therapy, percutaneous steroid injection, and injection laryngoplasty. Comparison was performed on the voice difference between type I group and type II group, and between pre-treatment and post-treatment of each types. Results : One hundred and one patients were enrolled into this study, and 49 patients were type I and 52 patients were type II. Type I group showed longer mean maximal phonation time (MPT) than type II group, although other voice parameters didn't show any difference between two groups. Even after the management, almost all of the voice parameters didn't show improvement except MPT of type II group. Conclusion：Although the type I sulcus has been known as a non-pathologic lesion, it can result in some degree of voice change and discomfort, and thus need an active management. In this study, voice therapy, percutaneous steroid injection, and injection laryngoplasty showed limited effect to the both types of sulcus vocalis. Further studies for management of sulcus vocalis were needed.

• 말소리와 음성과학
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• 제7권2호
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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.

• 말소리와 음성과학
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• 제10권4호
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• pp.67-76
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• 2018

This study was performed to investigate acoustic characteristics of sustained vowels produced by Seoul Korean speakers. For this study, three hundred nine healthy adults were chosen as participants from Korean Standard Speech Database. These subjects were divided into five chronological age groups (20s, 30s, 40s, 50s, 60-70s) and two gender groups (male and female). Fundamental frequency (f0), jitter, shimmer, and NHR (noise-to-harmonics ratio) was measured with 8 Korean vowels (/ɑ/, /æ/, /ʌ/, /e/, /o/, /u/, /ɯ/, /i/) by using Praat. The results showed that the vowel type significantly affected all acoustic parameters. Gender affected f0, jitter, and NHR significantly. The mean female speakers' f0 was greater than the males', and the mean jitter and NHR of male speakers was greater than the females'. Moreover, age affected shimmer and NHR significantly; in particular, the shimmer and NHR of elderly speakers was greater than the young speakers.

• 말소리와 음성과학
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• 제12권4호
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• pp.57-61
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• 2020

Previous research has indicated that the patterns of phonetic modulations induced by prominence are not consistent across languages but are conditioned by sound systems specific to a given language. Most studies examining the prominence effects in Korean have been restricted to segments in word-initial and phrase-initial positions. The present study, thus, set out to explore the prominence effects for Korean stop consonants in word-medial intervocalic positions. A total of 16 speakers of Seoul Korean (8 males, 8 females) produced word-medial intervocalic lenis and aspirated stops with and without prominence. The prominence was induced by contrast focus on the phonation-type contrast, that is, lenis vs. aspirated stops. Our results showed that F0 of vowels following both lenis and aspirated stops became higher when the target stops received focus than when they did not, whereas voice onset time (VOT) and voicing during stop closure for both lenis and aspirated stops did not differ between the focus and no-focus conditions. The findings add to our understanding of diverse patterns of prominence-induced strengthening on the acoustic realizations of segments.

• 대한후두음성언어의학회지
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• 제9권1호
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• pp.66-70
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• 1998

Background and Objectives : The managements of unilateral vocal cord palsy include type Ⅰ thyroplasty and arytenoid adduction. One type operation has been shown no satisfactory effect. We evaluated preoperative and postoperative speech of unilateral vocal cord palsy patients who received combined operation of type Ⅰ thyroplasty and arytenoid adduction to help for the management plan of unilateral vocal cord palsy patients. Materials and Methods : We reviewed the postoperative results and complication of 17 surgically treated patients of unilateral vocal cord palsy at Severance hospital from Nov. 1996 to Dec. 1997 retrospectively. They were received combined operation of type Ⅰ thyroplasty and arytenoid adduction. Their pre and post-operative speech were analyzed with MDVP(Multi-Dimension-Voice analysis Program) of CSL(Computerized Speech Lab). Results : After the operation, MPT(Maximal Phonation Time) was increased and MFR(Mean Flow Rate) was decreased in all patients. NHR(Noise to Harmonic Ratio) and VTI(Voice Turbulence Index) were decreased : liner, RAP(Relative Average Perturbation Quotient), PPQ(Pitch Period Perturbation Quotient), sPPQ(smoothed Pitch Period Perturbation Quotient), vFo(fundamental frequency Variation) were decreased : Shimmer, APQ(Amplitude Perturbation Quotient), sAPQ(Smoothed Amplitude Perturbation Qoutient), vAm(Peak Amplitude Variation) were decreased in all the patients. Conclusions : In unilateral vocal cord pals), combined operation of type Ⅰ thyroplasty and arytenoid adduction could obtain satisfactory postoperative voice. MDVP has many parameters and good method for evaluation of voice surgery.

• 대한후두음성언어의학회지
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• 제16권2호
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• pp.140-145
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• 2005

Background and Objectives : Voice perturbation measures, such as jitter and shimmer has been importantly used for diagnosis and treatment efficacy of laryngeal dysfunction. This study was conducted to investigate validity of newly developed multi-channel voice analyzer program by comparing with MDVP, PRAAT, TF32. In addition, we compared the voice perturbation measures with different voice analyzer program by type of signals. Materials and Methods : Nineteen mild-severe dysphonic patients participated in our study. Fundamental frequency, jitter and shimmer values were obtained from different voice analyzer program using the same sustained/ah/phonation. Results : Fundamental frequency and shimmer were highly correlated whereas jitter was weakly correlated between newly developed multi-channel voice analyzer program and the others though different pitch computation algorithm except MDVP, In addition, Type 2 and 3 signals were weakly correlated than Type 1. Conclusion : In the clinical setting, clinician may have sufficient information of voice analyzer and control conditions properly for severity of pathologic voice before voice perturbation measure to obtain reliable results.

• The Journal of Advanced Prosthodontics
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• 제4권2호
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• pp.109-115
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• 2012

PURPOSE. The purpose of this clinical study was to evaluate the frequency and type of prosthetic complications in relation to type and properties of removable dentures and to investigate the influence of these complications and several data about the existing dentures on patient satisfaction. MATERIALS AND METHODS. Ninety nine patients (44 males and 55 females) wearing removable dentures have been included in the study. The complications of the patients were recorded; patient satisfaction was determined with a Visual Analog Scale (VAS) and the relationship of complications and patient satisfaction with several data about the dentures such as denture age, type of denture, centric relation and vertical dimension was investigated. Kruskal Wallis, Mann Whitney U and Chi square tests were used for statistical analyses. The results were evaluated statistically at a significance level of $P$ <.05. RESULTS. Need for addition of artificial teeth for dentures with correct centric relations was found to be significantly lower than dentures with wrong centric relations ($P$ <.01). Loss of retention, ulcerations and high vertical dimension affected the VAS chewing ability scores negatively and ulcerations affected the VAS phonation scores negatively ($P$ <.05). CONCLUSION. Considering the results of this study, it can be concluded that loss of retention, ulcerations and high vertical dimension caused patient dissatisfaction. Additionally, dentures with wrong centric relations caused need for addition of artificial teeth.