• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.20 no.1
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• pp.57-62
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• 2009

Background and Objectives : There are few studies reported that specifically examine the laryngeal function in patients with profound hearing loss or deafness, This study was designed to examine videostroboscopic findings and phonetic characteristics in adult patients with prelingually deaf. Materials and Method: Sixteen patients (seven males, nine females) diagnosed as prelingually deaf aged from 19 to 54 years, and were compared with a 20 normal control group with no laryngeal pathology and normal hearing group, Videostroboscopic evaluations were rated by experienced judges on various parameters describing the structure and function of the laryngeal mechanism during comfortable pitch and loudness phonations. Acoustic analysis test were done, and a nasalance test performed to measure rabbit, baby, and mother passage. CSL were measured to determine the first and two formant frequencies of vowels /a/, /i/, /u/, Statistical analysis was done using Mann-Whitney U or Wilcoxon signed ranks test. Results: Videostroboscopic findings showed phase symmetry but significantly more occurrences decrement in the amplitude of vibration, mucosal wave, irregularity of the vibration and increased glottal gap size during the closed phase of phonation, In addition, group of prelingually deaf patients were observed to have significantly more occurrences of abnormal supraglottic activities during phonation. The percentage of shimmer in the group of prelingually deaf patients were higher than in the control group. Characteristics of vowels were lower of the second formant of the vowel /i/. Nasalance in prelingually deaf patients showed normal nasality for all passages, Conclusion: Prelingually deaf patients show stroboscopic abnormal findings without any mucosal lesion, suggesting that they have considerable functional voice disorder. We suggest that prelingually deaf adults should perform vocal training for normalized laryngeal function after cochlear implantation.

• Speech Sciences
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• v.8 no.4
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• pp.109-118
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• 2001

This study was designed to evaluate the phonological characteristics in profound hearing-impaired children. 10 males and 10 females participated in this study and all were prelingually hearing impaired. 7 children were educated at deaf school and 13 children at general elementary school with private clinic. Their hearing levels were more than 95dB HL and did not appear any wave by ABR. The results can be summarized as following: The articulation accuracy of hearing impaired children was 54.19% and most distinguished phonological patterns of the hearing impaired children were alveolarization and stop assimilation. The accurate articulation phonation was significantly different from education system between deaf school and general school. The error articulation degrees in profound hearing impaired children at general school seemed meaningfully smaller than those in hearing impaired children at deaf school.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.7 no.1
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• pp.39-42
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• 1996

The present study analyed jitter and shimmer of the deaf in 4 different voicing conditions. Thirty-two male subjects and 27 female subjects participated in the study on a voluntary basis. The age ranged from 6 to 18 for male and 8 to 21 for female subjects. The subjects were either congenitally or prelingually deaf The four different voicing conditions included /a/ prolongation, counting, reading, and conversation. The experiment utilized CSL Visi-Pitch Model 6095(Kay Elemetrics Corp.) to sample and analyze the data. Both jitter and shimmer means were higher than the threshold values(normative data) reported. In addition, this investigation performed two separate 2-factor ANOVAs in order to determine if jitter and shimmer change as a function of gender and voicing condition. The results showed the following. First of all there was the gender effect on shimmer but not on jitter, in that male subjects 'shimmer was higher than females'. secondly, there was the voicing condition effect both on jitter and shimmer. /a/ prolongation and reading produced lower jitter than counting and conversation. /a/ prolongation produced lower shimmer than the remaining conditions. Finally, no interaction between gender and voicing condition existed.