• Archives of Plastic Surgery
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• v.51 no.1
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• pp.80-86
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• 2024

Background Among the cleft types, bilateral cleft lip and palate (BCLP) generally requires multiple surgical procedures and extended speech therapy to achieve normal speech development. This study aimed to describe speech outcomes in 5-year-old Korean children with BCLP and examine whether normal speech could be achieved before starting school. Methods The retrospective study analyzed 52 children with complete BCLP who underwent primary palatal surgery at a tertiary medical center. Three speech-language pathologists made perceptual judgments on recordings from a speech follow-up assessment of 5-year-old children. They assessed the children's speech in terms of articulation, speech intelligibility, resonance, and voice using the Cleft Audit Protocol for Speech-Augmented-Korean Modification. Results The results indicated that at the age of five, 65 to 70% of children with BCLP presented articulation and resonance within normal or acceptable ranges. Further, seven children with BCLP (13.5%) needed both additional speech therapy and palatal surgery for persistent velopharyngeal insufficiency and speech problems even at the age of five. Conclusion This study confirmed that routine follow-up speech assessments are essential as a substantial number of children with BCLP require secondary surgical procedures and extended speech therapy to achieve normal speech development.

• Phonetics and Speech Sciences
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• v.5 no.3
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• pp.73-81
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• 2013

Coda in the word-medial position plays an important role in acquisition of our speech. Accuracy of the coda in the word-medial position is important as a diagnostic indicator since it has a close relationship with degrees of disorder. Coda in the word-medial position only appears in condition of connecting two vowels and the sequence causes diverse phonological processes to happen. The coda in the word-medial position differs in production difficulty by the initial sound in the sequence. Accordingly, this study aims to examine the tendency of producing a coda in the word-medial position with consideration of an optional phonological process in spontaneous speech of three and four year old children. Data was collected from 24 children (four groups by age) without speech and language delay. The results of the study are as follows: 1) Sonorant coda in the word-medial position showed a high production frequency in manner of articulation, and alveolar in place of articulation. When the coda in the word-medial position is connected to an initial sound in the same place of articulation, it revealed a high frequency of production. 2) The coda in word-medial position followed by an initial alveolar stop revealed a high error rate. Error patterns showed regressive assimilation predominantly. 3) The order of difficulty that Children had producing codas in the word-medial position was $/k^{\neg}/$, $/p^{\neg}/$, /m/, /n/, /ŋ/ and /l/. Those results suggest that in targeting coda in the word-medial position for evaluation, we should consider optional phonological process as well as the following initial sound. Further studies would be necessary which codas in the word-medial position will be used for therapeutic purpose.

• MALSORI
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• no.45
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• pp.23-33
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• 2003

This is a study on perception errors of Korean stops in word initial position. This study will show how listeners perceive manipulated Korean stops through two experiments and I will analyze why they are confused. In addition, 1 will show those perception errors not only reflect the relationship between the place and manner of articulation but also ate deeply related to the length of aspiration.

• Phonetics and Speech Sciences
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• v.8 no.4
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• pp.49-61
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• 2016

The present study investigates the perception of Korean phonation types by native speakers of Aymara. Perception tests were conducted on two sets of Korean speech materials to determine correspondence between Korean and Aymara 3-way contrasts and to find out which of the consonantal and vocalic part of the syllable is more influential in the perception of Korean phonation types. A set of manipulated stimuli, as well as a set of 12 spontaneous words, were prepared for the tests. The first syllable of the 12 Korean bisyllabic words of 3 series of phonation types(Lenis, Aspirated, and Fortis) in 4 places of articulation were split into consonantal and vocalic parts. And then the two parts were combined to form 9 tokens of CV sequences respectively for each place of articulation. Native speakers of Aymara were forced to match Korean stimuli with one of the 15 Aymara words which represent 3 series of consonant types(plain, aspirated, and ejective) in 5 places of articulation(bilabial, alveolar, palatal, velar, and uvular). Results showed that the consonantal part is more influential than the vocalic part to the Aymara subjects' perception of Korean phonation types when the consonantal part is Aspirated in its phonation type, but the vocalic part is more influential than the consonantal part when the consonantal part is Lenis or Fortis in its phonation type. Response analysis showed that Aymara subjects tend to match Korean stops to Aymara ones in such a way that Lenis corresponds to aspirated, Aspirated to aspirated, and Fortis to plain.

• Speech Sciences
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• v.15 no.2
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• pp.177-189
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• 2008

This study was to investigate diadochokinetic (DDK) rate, regularity and mean flow rate of articulation valves in dysarthria. DDK rate, mean airflow rate (MFR) and regularity of DDK syllable repetitions of vocal function /ihi/, tongue function /ta/, velopharyngeal function /bm/, and labial function /pa/ in 24 normal and dysarthric speakers were measured. Aerophone Ⅱ and Motor Speech Profile were used for data recording and analysis. The results of the findings were as follows: First, there were significant differences between the dysarthria and the normal group in DDK rate. DDK rates in ataxic dysarthria were the lowest and spastic, flaccid, and hypokinetic dysarthria followed in sequence. Second, there was a significant difference between the dysarthria and the normal group in DDK regularity. Third, there was a significant difference between dysarthria groups and normal group in DDK MFR. Finally, there was a significant difference between the 4 groups of dysarthria and the normal group in DDK air flow tracking. The results of this study can be guidelines for normal DDK rate, regularity and flow rate in dysarthria groups. In addition, their differential diagnoses and descriptions are important to make a decision on medical and behavioral management of the individuals with disorders according to DDK characteristics.

• Phonetics and Speech Sciences
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• v.12 no.3
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• pp.95-103
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• 2020

The current study aimed to identify the characteristics of speech rate and pause in children with spastic cerebral palsy (CP) and their relationships with speech intelligibility. In all, 26 children with CP, 4 with no speech motor involvement and age-appropriate language ability (NSMI-LCT), 6 with no speech motor involvement and impaired language ability (NSMI-LCI), 6 with speech motor involvement and age-appropriate language ability (SMI- LCT), and 10 with speech motor involvement and impaired language ability (SMI-LCI) participated in the study. Speech samples for the speech rate and pause analysis were extracted using a sentence repetition task. Acoustic analysis were made in Praat. First, it was found that regardless of the presence of language impairment, significant group differences between the NSMI and SMI groups were found in speech rate and articulation rate. Second, the SMI groups showed a higher ratio of pause time to sentence production time, more frequent pauses, and longer durations of pauses than the NSMI groups. Lastly, there were significant correlations among speech rate, articulation rate, and intelligibility. These findings suggest that slow speech rate is the main feature in SMI groups, and that both speech rate and articulation rate play important roles in the intelligibility of children with spastic CP.

• 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.

• Phonetics and Speech Sciences
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• v.10 no.1
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• pp.57-64
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• 2018

The purpose of the present study was to explore the radiological and acoustic characteristics of "Arae-a" (/${\cdot}$/) articulation in two male Jeju language speakers, focusing on selected measures in radiological images derived from computed tomography scans, as well as the first and the second formant measures in selected vowels. An elderly male speaker (a 78-year-old) and a young male speaker (a 34-year-old) participated in the study. During the production of four selected vowels, the shape of the vocal tract was identified, and selected measures were obtained from the elderly participant's computed tomography (CT) scans. For acoustic analysis, the participants were given a list of near-minimal pairs consisting of 112 words and asked to read them aloud. The results indicated that the "Arae-a" (/${\cdot}$/) articulation of the elderly speaker showed unique acoustic and radiological characteristics compared to other similar vowels, thus presenting substantial consistency with the descriptions of the "Hunminjeongeum Haeryebon." In contrast, the F1 and F2 measures of the young male's /${\cdot}$/ articulation were not distinguished from those of /ㅗ/. Current results, in part, support the scientific principles underlying the invention of "Arae-a," which reflects the shape of the vocal tract during production, and the necessity for further research.

• The Journal of the Acoustical Society of Korea
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• v.10 no.1
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• pp.5-11
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• 1991

Articulation test is a good predictor of spatial speech transmission quality. Like many other languages, articulation testing method using Korean language was proposed in 1989, and which was proved as a valid indicator in rooms with static background noise. In this paper, the testing method is examined in variable noise conditions. According to the experiment performed in 26 classrooms with variable background noise, the proposed articulation testing method using Korean Language is still in variable conditions.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.21 no.1
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• pp.42-47
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• 2010

Backgrounds and Objects: Carcinoma of the tongue is the most common cancer of the oral cavity. A primary treatment strategy includes surgery and/or radiotherapy. Resection of the tongue often results in speech dysfunction, which depends on the site and extent of resection, type of reconstruction, and the mobility of remaining tongue. This study aimed to evaluate the characteristics of articulation errors that were resulted from the partial glossectomy without free flap reconstruction. Materials & Method : Articulation evaluations including speech intelligibility and percent of correct consonants (PCC) were performed for 24 patients who underwent partial glossectomy for their T1 or T2 tongue cancer. Mobility of the tongue, size of the resected tongue, and the history of adjuvant radiotherapy were analyzed for their relationship with the results of articulation evaluation. Results: Speech intelligibility score was $6.4{\pm}0.9$ (on 7-point scale) and overall PCC was 96.9%. There were close relationships between the size of resection and limitations in the tongue mobility, especially in "protrusion and elevation (r=-0.687)" and "retroflexion (r=-0.775)". Errors in "alveolar fricatives" and "palatal affricates" were also closely related with the size of resection (r=-0.537 and -0.538, respectively). PCC for "liquid sound" /r/ was 83.2%, which was closely related with the history of radiation therapy. Conclusion : Overall articulatory function was satisfactory in cases of early tongue cancer after partial glossectomy of a limited volume without flap reconstruction. However, the size of resection and the history of radiation therapy were closely related to the limitations in some types of tongue mobility and the resultant articulation errors.