• 대한기관식도과학회지
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• 제5권2호
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• pp.191-197
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• 1999

Background and Objective : Soft palate plays a great role in function of speech and swallowing. Ablation of tonsil cancer results in multi-demensional defect including soft palate in most cases and restoration of the postoperative oral cavity function is a continuing surgical challenge. Although a variety of techniques are available, radial forearm free flap has been known as an effective method for these defect, which offers a thin, pliable, and relatively hairless skin, and a long vascular pedicle. The aim of the present study is to report the speech and swallowing function test results of our 5 consecutive radial forearm free flaps used for tonsil cancers. Materials and Methods : We reviewed the medical records of 5 patients who were offered intraoral reconstruction with a radial forearm free flap after ablative surgery for tonsil cancers, from Dec. 1997 to Oct. 1998, and analyzed the surgical methods, complications, and speech and swallowing function test results. We have examined with modified barium swallow to evaluate postoperative wallowing function and articulation and resonance test for speech. Results : The tumor sizes by TNM stage(AJCC, 1997) were T1(1), T2(2), and T4(3). The paddles of flaps were tailored in multilobed designs from oval shape to pentalobed design and in variable size from 24$cm^2$ to 108$cm^2$(average size = 78.4$cm^2$), according to the defect after ablation. This procedures resulted in satisfactory flap success and functional results all but 1 case of flap contracture in 2 postoperative week, achieved early oral diet until 16-57 postoperative day(average, 28 days) and social speech. The oropharyngeal defect including soft palate reconstruction with radial forearm free flap might be an excellent method for the maximal functional results, after ablative surgery of tonsil cancer that results in multidimensional defect.

• 말소리와 음성과학
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• 제5권2호
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• pp.3-10
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• 2013

The purpose of this study is to analyze the acoustic characteristics of Korean alveolar sibilant sounds of children with cerebral palsy by acoustic analysis. Thirteen children with spastic cerebral palsy aging from 6 to 10 years old, were selected by an articulation test, and compared with a control group of thirty children. The meaningless monosyllable CV, disyllable VCV(/asa/) and frame sentence including target syllables CV were measured. C was from the /s, s'/, and V was from the set /a, i, u, ${\varepsilon}$, o, ɯ, ʌ/. Multi-Speech was used for data recording and analysis. As a result, the frication duration of lenis-glottalized alveolar sibilant of children with cerebral palsy was significantly shorter than that of the control group in CV, VCV and frame sentence. The vowel duration in the following lenis-glottalized alveolar sibilant of children with cerebral palsy was significantly longer than that of the control group in CV, VCV and frame sentence. The children with cerebral palsy showed frequency and intensity of friction intervals which were significantly lower than in the control group in CV, VCV and frame sentence. In the comparison of the lenis-glottalized alveolar sibilant by the children with cerebral palsy group's phonation types, the frication duration showed a significant difference between the phonation types in CV, VCV and between the phonetic contexts. The glottalized-sibilant was longer than the lenis-sibilant in all the phonetic contexts. The subsequent vowel duration showed a significant difference between the phonation types in VCV and between the phonetic contexts(p<.05). The vowel duration in the following glottalized-sibilant was longer than the vowel duration in the following lenis-sibilant in all the phonetic contexts. In the frequency there was a significant difference between the phonation types in CV, and in the intensity there was a significant difference between the phonation type in CV and VCV. The children with spastic cerebral palsy had difficulty in articulating the alveolar sibilant due to poor control ability in laryngeal, respiration and articulatory movements which require fine motor coordination. This study quantitatively analyzes the acoustic parameters of the alveolar sibilant in various phonetic contexts. Therefore, the results are expected to help provide fundamental data for an intervention of articulation treatment for children with cerebral palsy.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권6호
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• pp.526-534
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• 2001

Purpose : The objective of this study is to ascertain whether the positive exists among the frenum length, the tongue movement and the speech and to present the normal range of tongue movement and guidelines for the choice of surgery, observation if necessary. Materials and Methods : 180 patients were evaluated. We divided 180 patients into 6 group by age. Each group was separated as follows; the age of 2.5-4, 5-6, 7-9, 10-12, 16-18. We measured the frenal length, the range of tongue motion and evaluated the speech so that we really questioned about the positive relationship between the tongue-tie and speech. We let the patient exercise the protrusive both(right, left) laterotrusive superior movement of the tongue. During these movements, we measured the distance between the vermilion border and the tongue tip. We also measured the distance from the tongue tip to the point contacting the upper lip with dorsum of the tongue during the maximal protrusive movement of the tongue. Three linear measurement of the anterior, inferior segment of the tongue including the lingual frenum, are made. These measurements are as follows: 1. Distance A. Free anterior portion of the tongue from the point of frenular insertion to the tongue tip. 2. Distance B. The distance from the initiating point of the lingual frenum to the point connecting the two sublingual carundcles to the lingual frenum perpendicularly. 3. Distance C. The distance from the point contacting the line crossing the sublingual caruncles with the lingual frenum to the terminating point of the lingual frenum. We transform three linear measures into a statistical ratio, A/(A-B+C), representing the length of the free portion of the tongue compared with the total sublingual dimensions. In addition, we assessed the speech through Picture Consonant Articulation Test(PCAT) and tried to find out the relationship between the length of the lingual frenum and speech. Conclusion : As people are born, they have small and restricted tongue. As people grow old, tongue motions are more liberate, and unrestricted and they can speak so freely. Therefore we suggest that until age 5, oral and maxillofacial surgeons postpone the surgery if not urgent, evaluate the maximal lingual motions and PCAT according to this article and observe their changes.

• 정보처리학회논문지B
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• 제10B권2호
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• pp.169-178
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• 2003

This study outlines two viewpoints the classification of phone likely unit (PLU) which is the foundation of korean large vocabulary speech recognition, and the effectiveness of Chiljongseong (7 Final Consonants) and Paljogseong (8 Final Consonants) of the korean language. The phone likely classifies the phoneme phonetically according to the location of and method of articulation, and about 50 phone-likely units are utilized in korean speech recognition. In this study auditory phonetical knowledge was applied to the classification of phone likely unit to present 45 phone likely unit. The vowels 'ㅔ, ㅐ'were classified as phone-likely of (ee) ; 'ㅒ, ㅖ' as [ye] ; and 'ㅚ, ㅙ, ㅞ' as [we]. Secondly, the Chiljongseong System of the draft for unified spelling system which is currently in use and the Paljongseonggajokyong of Korean script haerye were illustrated. The question on whether the phonetic value on 'ㄷ' and 'ㅅ' among the phonemes used in the final consonant of the korean fan guage is the same has been argued in the academic world for a long time. In this study, the transition stages of Korean consonants were investigated, and Ciljonseeng and Paljongseonggajokyong were utilized in speech recognition, and its effectiveness was verified. The experiment was divided into isolated word recognition and speech recognition, and in order to conduct the experiment PBW452 was used to test the isolated word recognition. The experiment was conducted on about 50 men and women - divided into 5 groups - and they vocalized 50 words each. As for the continuous speech recognition experiment to be utilized in the materialized stock exchange system, the sentence corpus of 71 stock exchange sentences and speech corpus vocalizing the sentences were collected and used 5 men and women each vocalized a sentence twice. As the result of the experiment, when the Paljongseonggajokyong was used as the consonant, the recognition performance elevated by an average of about 1.45% : and when phone likely unit with Paljongseonggajokyong and auditory phonetic applied simultaneously, was applied, the rate of recognition increased by an average of 1.5% to 2.02%. In the continuous speech recognition experiment, the recognition performance elevated by an average of about 1% to 2% than when the existing 49 or 56 phone likely units were utilized.

• 대한구순구개열학회지
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• 제12권1호
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• pp.1-6
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• 2009

Oronasal fistula are a well-known complication of surgical treatment of cleft palate, occurring most frequently in the alveolus and hard palate. Previous reports have demonstrated that oronasal fistulas, particularly if greater than l cm in diameter, had an adverse effect on speech. The aim of this study was to demonstrate the relationship between the size of the fistula and the influence on velopharyngeal function. The site and size of the fistula were indicated on graph paper with calipers and measured in $mm^2$. Speech assessment was carried out using a Nasometer, VPI articulation differential test, spectrography. Patient whose fistulas affected their speech had significantly larger fistulas than those whose fistulas did not. The study shows that the larger the fistula, the greater the risk of hypernasality and nasal emission, but even small fistulas can cause speech problems. If obstruction of the nasal passage is eliminated in a patient with a previously asymptomatic fistula, it may result in a fistula becoming symptomatic, resulting in hypernasality and nasal emission. In conclusion, even small fistulas can influence speech production and should be considered before any treatment is planned. The study lends support to early closure of oronasal fistulas, particularly before pharyngeal flap surgery is contemplated.

• 음성과학
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• 제9권2호
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• pp.193-202
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• 2002

The purpose of this study is to examine the phonological awareness of hearing impaired children. A number of researches indicate that hearing impaired children have articulation disorders due to their impaired auditory feedback. However, in children who have the ability to distinguish certain phonemes, they sometimes show misarticulation of the phonemes. Phonological awareness refers to recognizing the speech-sound units and their forms in spoken language (Hong, 2001). The subjects who participated in the experiment are composed of four hearing impaired children (3 cochlear implanted children and 1 hearing aided child). Phonological Awareness was evaluated by the test battery developed by Paik et al. (2001). The subtests consisted of rhyme matching, onset matching I II, word initial segmentation and matching I II. If the children asked for retelling, it was retold to a maximum of 4 times. Each item score was 1 point. The results were compared to those of Paik et al. (2001). The results of study were that subject 1 showed superior rhyme matching ability, subjects 2 and 3 fair ability, and subject 4 inferior ability. In onset matching I, all subjects showed inferior ability except for subject 3. Interestingly, subjects 1 showed the lowest onset matching I score. In word initial segmentation and matching I, subjects 1 and 4 showed inferior ability and subjects 2 and 3 showed fair ability. In onset matching II, subject 2 showed the perfect score 10 even though she showed very low score. In word initial segmentation and matching II, only subjects 2 and 3 showed appropriate levels of the skill. The results show that the phonological awareness of hearing impaired children is different from that of normal children.

• 말소리와 음성과학
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• 제6권2호
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• pp.73-79
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• 2014

Alveolar fricative sounds /s/ and /s'/ are learned last for normal children in the speech development process for Koreans. These are especially difficult to articulate for hearing-impaired children often causing articulation errors. The acoustic phonetic evaluation uses testing tools to provide indirect and object information. These objective resources can be compared with standardized resources on speech when interpreting the results of a test. However, most previous studies in Korea did not consider acoustic studies that used the spectrum moment values of hearing-impaired children. Therefore, this study was conducted to compare the characteristics of hearing-impaired children's pronunciation of fricative sounds using spectrum moment values. For this purpose, the study selected a total of 10 hearing-impaired children (5 boys and 5 girls) currently in 3rd or 5th grade and attending one of the elementary schools in Seoul or Gyeonggi-do. For the selection process, their age, type of hearing aid, implantation of hearing aid (CI) before two years of age, hearing capacity (dB) before and after wearing the hearing aid, duration of speech rehabilitation, and time of learning alveolar fricative sounds were all considered. Also, 10 normal children (5 boys and 5 girls) were selected among 3rd or 5th grade students attending one of the elementary schools in Seoul or Gyeonggi-do. The subjects were asked to read the carrier sentence, "I say _______," including a list of 12 meaningless syllables composed of CV and VCV syllables, including alveolar fricative sounds /s/ and /s'/ and vowels /a/, /i/, and /u/. The recorded resources were processed through the Time-frequency Analysis Software Program to measure M1 (mean), M2 (variance), M3 (skewness), and M4 (kurtosis) of the fricative noise. No significant differences were found when comparing spectrum threshold values in the acoustic phonetic characteristics of hearing-impaired children and normal children in alveolar fricative sound pronunciation according to vowels /a/, /i/, and /u/, alveolar fricative sounds /s/ and /s'/, and syllable structure (CV, VCV) other than, for M3 in the comparison of groups according to disability. In the comparison of syllable structures, there were statistically significant differences in M1, M2, M3, and M4 with clinical significance. However, there was no significant difference in results when comparing the alveolar fricative sounds according to the vowels.

• 음성과학
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• 제10권1호
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• pp.41-58
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• 2003

Coronal/non-coronal asymmetry refers to the typological trend wherein coronals rather than non-coronals are more likely targets in place assimilation. Although the phenomenon has been accounted for by resorting to the notion of unmarkedness in formalistic approaches to sound patterns, the examination of rules and representations cannot answer why there should be such a process in the first place. Furthermore, the motivation of coronal/non-coronal asymmetry has remained controversial to date even in the field of phonetics. The present study investigated the listeners' perception of coronal and non-coronal stops in the context of $VC_{1}C_{2}V$ after critically reviewing the three types of phonetic accounts for coronal/non-coronal asymmetry, i.e., articulatory, perceptual, and gestural overlap accounts. An experiment was conducted to test whether the phenomenon in question may occur, given the listeners' lack of perceptual ability to identify weaker place cues in VC transitions as argued by Ohala (1990), i.e., coronals have weak place cues that cause listeners' misperception. 5pliced nonsense $VC_{1}C_{2}V$ utterances were given to 20 native speakers of English and Korean. Data analysis showed that majority of the subjects reported $C_{2}\;as\;C_{1}$. More importantly, the place of articulation of C1 did not affect the listeners' identification. Compared to non-coronals, coronals did not show a significantly lower rate of correct identifications. This study challenges the view that coronal/non-coronal asymmetry is attributable to the weak place cues of coronals, providing evidence that CV cues are more perceptually salient than VC cues. While perceptual saliency account may explain the frequent occurrence of regressive assimilation across languages, it cannot be extended to coronal/non-coronal asymmetry.

• 한국음향학회지
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• 제30권5호
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• pp.295-302
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• 2011

본 연구의 목적은 말지각평가의 기초 자료가 되고 청각장애 자음지각능력의 정량적 정성적 평가가 가능한 음소단위의 한국어자음지각검사 (Korean Consonant Perception Test, 이하 KCPT)도구를 개발하는 것이다. KCPT는 조합 가능한 모든 한국어 단음절어 중 유의미 단음절어만 분류하여, 7종성발음규칙을 적용하고 목표단어의 친숙도를 조절한 사지선다형 초 종성검사문항 시안을 작성한 후, 각 단어들의 조음 특성, 난이도, 음소 출현빈도수를 고려하여 완성되었다. 이를 정상인 20명을 대상으로 평가하여 난이도가 높은 문항을 제거하고 화자 간 변수가 없는 것을 통계적으로 확인한 후 회화체 빈도수에 맞도록 최종문항을 작성하였다. 세부적 수정을 거쳐 초 종성검사문항 각 200개와 100개로 구성된 총 300개 문항을 개발하였다. 30명의 청각장애인을 대상으로 검증하여 A와 B로 구분한 절반목록간 차이도 없음을 확인하고 초성검사문항은 초성자음지각평가에 종성 검사문항은 종성자음 지각평가에 적절한 도구임을 검증하였다.

• 한국음향학회지
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• 제14권2호
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• pp.113-122
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• 1995

본 논문에서는 전음성 난청 등의 청각장애인이 외부의 보조기기를 사용하지 않고도 전화통화를 할 수 있도록 개발한 골도 전화기의 특징과 성능 평가결과에 대해 기술한다. 골도청각 뿐만 아니라 기도청각을 이용하여 음성선호를 청취할 수 있도록 설계된 골도 진동자를 개발하여, 청각장애인과 정상인이 골도 전화기를 함께 사용할 수 있다. 또, 청각장애인의 청력특성에 따른 손실을 보상해 줄 수 있는 음색조절 기능이 있으며, 이 기능과 수화음량조절기능을 이용하여 20dB범위의 수화음량정격을 가변할 수 있어 수화음량 증폭기능을 가진 고출력 전화기의 효과도 겸비하고 있다. 19명의 청각장애인을 대상으로 한 명료도 평가 및 요해도 실험 결과에 의하면, 약61dB이내의 골도 청력손실의 청각장애인은 단어나 문장을 이해하여 골도 전화기를 유용하게 사용할 수 있음을 알 수 있었다.