• Proceedings of the KOR-BRONCHOESO Conference
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• 1981.05a
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• pp.41.1-41
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• 1981

The combination of congenital stapes fixation and proximal symphalangism has been described in several kindreds. It exhibits autosomal dominant inheritance. A patient, 11-year-old female, visited department of otolaryngology of SNUH in December, 1980. Her complaint was bilateral hearing loss since birth. Physical examination revealed fusion of proximal interphalangeal joints of both 4th and 5th fingers. Tympanic membrane was normal. Temporal bone X-ray was normal. Pure tone audiogram revealed about 60 dB conductive loss with horizontal curve. On exploratory tympanotomy of right side, bony fixation of stapedial footplate was found. So, stapedectomy with connective tissue wire prosthesis was performed. As a result, marked improvement of hearing was obtained with 5 dB A-B gap on operated side.

• Journal of the Korean Institute of Electrical and Electronic Material Engineers
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• v.25 no.10
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• pp.837-843
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• 2012

Compared to conventional pure-tone audiometer(PTA), the computerized one has several advantages such as relatively lower price, better flexibility, and easy operation. In addition, the computerized PTA can be easily extended to support automatic calibration. In this study, the support of automatic calibration in the computerized PTA has been addressed using the Linux realtime spectrum analyzer and network. In terms of accuracy, the new automatic calibration machine was compared to the existing manually operated one. According to the comparison, normal operation and high accuracy were observed within the scope of the international standard.

• Proceedings of the Korean Society for Noise and Vibration Engineering Conference
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• 2005.11a
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• pp.620-628
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• 2005

Spatial control of sound is essential to deliver better sound to the listener's position in space. As it can be experienced in many listening environments, the quality of sound can not be manifested over every position in a hall. This motivates us to control sound in a region we select. The primary focus of the developed method has to do with the brightness and contrast of acoustic image in space. In particular, the acoustic brightness control seeks a way to increase loudness of sound over a chosen area, and the contrast control aims to enhance loudness difference between two neighboring regions. This enables us to make two different kinds of zone - the zone of quiet and the zone of loud sound - at the same time. The other perspective of this study is on the direction of sound. It is shown that we can control the direction of perceived sound source by focusing acoustic energy in wavenumber domain. To begin with, the proposed approaches are formulated for pure-tone case. Then the control methods are extended to a more general case, where the excitation signal has broadband spectrum. In order to control the broadband signal in time domain, an inverse filter design problem is defined and solved in frequency domain. Numerical and experimental results obtained in various conditions certainly validate that the acoustic brightness, acoustic contrast, direction of wave front can be manipulated for some finite region in space and time.

• The Journal of the Acoustical Society of Korea
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• v.37 no.6
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• pp.457-467
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• 2018

This paper presents performance comparison of several high-resolution frequency estimation algorithms for pure real tone signal. Algorithms are DFT (Discrete Fourier Transform - for reference purpose), Jacobsen, Candan, reassignment and Cedron. Each algorithm is evaluated under various experimental conditions, e.g., different SNR (Signal to Noise Ratio), window function and window length and performance is compared in the perspective of bias, MSE (Mean Square-Error) and variance. Experimental results indicate that Cedron algorithms works well in the most cases. For actual usage in the engineering problem, each algorithm needs additional analysis and modification.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.34 no.3
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• pp.102-111
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• 2021

Objectives : The purpose of this study is to report the case of a presbycusis patient whose hearing had improved. Methods : A 81-year-old male diagnosed with presbycusis were treated with Korean medical interventions (acupuncture combined with electromagnetic stimulation and pharmacoacupuncture) and Threshold sound conditioning(TSC) for 3 months. Pure tone audiometry(PTA) was performed for the evaluation. Results : The patient's hearing was improved from moderate to mild level according to the Classification of Hearing Loss(International Organization for Standardization, 1969). The average hearing were improved from 40.5 dB to 32.7dB on the left side, 46.9dB to 34.1dB on the right side. Conclusions : We observed an improvement in a presbycusis patient's hearing and hereby suggest the possibility of Korean medical treatment and TSC's ameliorating effect on sensorineural hearing loss as well as prebyscusis.

• Journal of Audiology & Otology
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• v.25 no.4
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• pp.217-223
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• 2021

Background and Objectives: In cochlear implant (CI) surgery, the results and causes of revision and reimplantation may guide surgeons in establishing surgical protocols for revision surgery with safe audiological outcomes. The aim of this study was to review our experience in terms of etiology, surgical strategy, and hearing outcomes in pediatric patients who underwent CI removal and reimplantation. Subjects and Methods: All patients received implants of the same brand. Pre and postoperative Categories of Auditory Performance score and aided free-field pure tone audiometry thresholds were noted. In vivo integrity tests were performed for each patient and the results of ex vivo tests of each implant were obtained from manufacturer. Results: A total of 149 CIs were placed in 121 patients aged <18 years. The revision rate in children was 6.7% (10/121 children). Six patients had a history of head injury leading to a hard failure. The causes of reimplantation in others were soft failure (n=1), electrode migration (n=1), infection (n=1), and other (n=1). All patients showed better or similar postreimplantation audiological performance compared with pre-reimplantation results. Conclusions: It is very important to provide a safe school and home environment and educate the family for reducing reimplantation due to trauma. Especially for active children, psychiatric consultation should be continued postoperatively.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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• v.35 no.2
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• pp.72-81
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• 2022

Objectives : The purpose of this study is to report the case of a bilateral sudden sensorineural hearing loss patient whose hearing had improved by Korean medical treatment combined with threshold sound. Methods : A woman diagnosed with bilateral sudden sensorineural hearing loss has treated with Korean medical interventions(acupuncture combined with electromagnetic stimulation and pharmacoacupuncture) and threshold sound conditioning(TSC) for 20 weeks. Pure tone audiometry(PTA) was performed for the evaluation. Results : The average hearing level has improved from mild to normal level. The level of tinnitus has decreased from VAS 10 to VAS 4. Conclusions : We observed an improvement in a bilateral sudden sensorineural hearing loss patient's hearing and hereby suggest the possibility of Korean medical treatment and TSC's ameliorating effect on sensorineural hearing loss.

• Korean Journal of Audiology
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• v.25 no.4
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• pp.217-223
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• 2021

Background and Objectives: In cochlear implant (CI) surgery, the results and causes of revision and reimplantation may guide surgeons in establishing surgical protocols for revision surgery with safe audiological outcomes. The aim of this study was to review our experience in terms of etiology, surgical strategy, and hearing outcomes in pediatric patients who underwent CI removal and reimplantation. Subjects and Methods: All patients received implants of the same brand. Pre and postoperative Categories of Auditory Performance score and aided free-field pure tone audiometry thresholds were noted. In vivo integrity tests were performed for each patient and the results of ex vivo tests of each implant were obtained from manufacturer. Results: A total of 149 CIs were placed in 121 patients aged <18 years. The revision rate in children was 6.7% (10/121 children). Six patients had a history of head injury leading to a hard failure. The causes of reimplantation in others were soft failure (n=1), electrode migration (n=1), infection (n=1), and other (n=1). All patients showed better or similar postreimplantation audiological performance compared with pre-reimplantation results. Conclusions: It is very important to provide a safe school and home environment and educate the family for reducing reimplantation due to trauma. Especially for active children, psychiatric consultation should be continued postoperatively.

• Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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• v.61 no.11
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• pp.573-579
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• 2018

Background and Objectives Cochlear dead region (CDR) is a region in the cochlear where hearing loss has occurred due to damage to the inner hair cells and/or neurons. Recently, a subjective test involving a pure-tone test in the presence of threshold-equalizing noise (TEN) was introduced to identify CDR. However, for uncooperative patients, such a subjective method would be unsuitable and objective methods would be needed instead to detect CDR. The acoustic change complex (ACC) is an evoked potential elicited by changes in the ongoing sound. In this study, we developed an objective method of identifying CDR by combining ACC response with a TEN test, namely the TEN-ACC test, and investigated its feasibility in normal-hearing listeners. Subjects and Method Ten normal-hearing subjects participated in this study. All subjects underwent both behavioral TEN test and electrophysiological TEN-ACC test. The stimuli for the TEN-ACC test consisted of TEN and embedded pure tones with different frequencies/signals to noise ratios (SNRs). To identify the thresholds, the range SNR of stimulation was varied from 0 to 20 dB, in stages of 4 dB. Results The ACC responses of all subjects who participated in this study were well elicited by stimuli developed for the TEN-ACC test. We confirm that the pure-tones embedded in TEN elicited the objective ACC response. Conclusion The results of this study suggest that the novel TEN-ACC test can be applied to evoke ACC in normal-hearing listeners. Future research should incorporate hearing-impaired listeners to determine the feasibility of the TEN-ACC test as an objective method to identify CDR.

• The Journal of the Acoustical Society of Korea
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• v.16 no.4
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• pp.11-20
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• 1997

The passive noise control techniques used until now cancel the noise in terms of the characteristics of materials, which increase the mass and the dimension and have a limit that is effective only to attenuate the high frequency components of the noise. But the active noise control techniques developed in recent years have merits that they decrease the mass and the dimension and are effective to attenuating the low frequency noises. In this paper, the real-time active noise control system attenuating the engine booming noise in a car using the digital signal processing(DSP) techniques in terms of the principle of active noise control. The multiple-error filtered-x LMS(Least-Mean Square) algorithm is used as the adaptive algorithm for active noise control and is implemented using the DSP processor Motorola DSP56001 as a controller. According to the result that the experiments are performed for the engine as the RPM changes in a car, the noise attenuating performances are achieved in an overall car interior and is verified to be 20 dB higher for pure-tone and globally, 15 dB.