• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.8 no.1
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• pp.59-64
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• 1997

In this Paper, we developed an electrolarynx controlled by the EMG(electromyography) of the sternohyoid muscle, and rested the property of the new electrolarynx while normal persons with his own larynx use it. for the examination of property of the developed electrolarynx, our researchers performed three different experiments. The first experiment was tested whether that on/off control of the vibrator of the electrolarynx is synchronized with the activity of the sternohyoid EMG. In the second experiment, it was tested when the lower amplitude of the sternohyoid EMG is produced, whether the higher pitch of the electrolarynx is produced, and vice versa. The third experiment was tested the probability that the electrolarynx can produce the voiceless sound. As the results, we found that the developed electrolarynx had the good produce of the on/off vibrator control and the pitch control of the electrolarynx. Also, we ascertained the possibility that it can produce the voiceless sound.

• Journal of Biomedical Engineering Research
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• v.17 no.2
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• pp.201-208
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• 1996

We have been studying an implant type EMG-controlled electrolarynx. First of all, we propose the sternohyoid muscle(SH) as a control source of the electrolarynx. The purpose of this study is to investigate the possibility that subjects control voluntarily the constriction of their SH, and produce the control signals of electrolarynx. For this pwnan, we carried out four experiments regarding the control of the electrolarynx. At the results, we found that subjects can control the start/stop of constriction and the amplitude of EMG of their SH. Also, we ascertained the possibility that the start/stop of contraction of SH controls OW/OFF of sound source of the electrolarynx and the amplitude of UG of SH controls the pitch frequency of the electrolarynx.

• Korean Journal of Head & Neck Oncology
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• v.30 no.2
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• pp.115-118
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• 2014

Papillary thyroid carcinoma is known as its relatively high cure rate after surgical treatment. But invasion of the trachea by thyroid carcinoma is poor prognostic factor and the best management is en bloc surgical resection of the tumor invading the trachea. A 55-year-old man was diagnosed as papillary thyroid cancer with tracheal invasion. We treated the patient by total thyroidectomy with window resection of invading trachea followed by immediate reconstruction with sternohyoid muscle flap and tracheostomy. At 48 days after surgery, tracheostoma was closed and the patient had no functional complication by the surgical process. Until 10 months after surgery, there was no sign of recurrence and the patient led social life without any discomfort. We present this case with a review of the related literatures.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.5 no.1
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• pp.11-21
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• 1994

The vocal pitch is controlled by the tension, mass, and length of the vocal fold. It is well known that cricothyroid approximation raises the vocal pitch by simulating the contraction of the cricothyroid muscle, and there were so many reports that have noted a relationship between cricothyroid distance and pitch control, but there does not seem to be any single generally accepted theory to account for this connection. It is generally known that the strap muscles are active during low and falling Fo, and the suprahyoid muscles are active during high and raising Fo. These findings can be related to a general picture of the motion of the larynx during changes in Fo, the cricothyroid joint would tend to lengthen the vocal folds, as the larynx moves up and forward, and relax them as it moves back and down. In this study, we suggest that the relationship between anterior cricothyroid distance and fundamental frequency of the larynx was so complex according to the level of larynx and vertebral curvature. The higher the level of larynx, the wider the cricothyoid distance, but there is more greater fundamental frequency even though more wide cricothyroid distance. This phono-menon seems to be due to the multifactors, especially the vertical tension of the conus elasticus or the change of cricothyroid articulation. It is generally known that the crocothyoid and vocal is muscles are very closely related to pitch elevation, but sternohyoid muscle seems to be more closely related to pitch lowering. By this electromyographic studies, the sternohyoid muscle have dual activity to pitch control, increased activity during the low fundamental frequency and falling pitch, but also increased activity during the higher fundamental frequency and raising pitch at least in this study.

• Proceedings of the KOSOMBE Conference
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• v.1997 no.05
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• pp.257-260
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• 1997

In this paper, we studied about the EMG of sternohyoid muscle(SH) during articulation. we selected /ki/ as the word that use subaxial a little, and /pa/, /pan/ as the word that use subaxial very much. The subjects were 4 persons with normal larynx. We indicated them to unify the amplitude of SH EMG during /ki/, /pa/, /pan/ phonation, and measured the amplitude of SH EMG between a phoneme and a phoneme.3 At the results, we found that the subjects can not control to unify the amplitude of EMG during articulation.

• Proceedings of the KOSOMBE Conference
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• v.1996 no.05
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• pp.184-187
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• 1996

We have been studying an implantable electrolarynx controlled by the EMG of the sternohyoid muscle(SH). Generally, the pitch control methods of the electrolarynx by SH EMG have two types. In the first pitch control method, the pitch of the electrolarynx increases according to the decrease in amplitude of the SH EMG, and vice versa. In the second pitch control method, the pitch of the electrolarynx decreases according to the decrease in amplitude of the SH EMG, and vice versa. We carried out four physiological experiments about two pitch control method. Also, we made two electrolarynges with two type pitch control, and tested those electrolarynges. From the result of the experiments, we found that the developed electrolarynx have a good property by the first pitch control method more than the second pitch control method.

• Journal of Chest Surgery
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• v.30 no.4
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• pp.453-456
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• 1997

Acquired tracheoesophageal fistula is a rare but serious condition which is usually a result of prolonged intubation or tracheostomy statc, and is difficult to treat. A fifty-seven year old woman who was in a state of prolonged intubation and tracheostomy following a traf%c accident, presented with recurrent aspirati n. A tracheoesophageal fistula was demonstrated ) cm above the carina by csophagogram. We confirmed a subglottic web and tracheoesophageal fistula by bronchoscopic examination. Fistulectomy was performed with collor incision and partial sternotomy. The esophagus was repaired by two-layer interrupted suture using 4-0 Vicr)1, and the trachea was repaired by single layer suture using a 4-0 PDS. The sternohyoid muscle was interposed between the trachea and the esophagus. A T-tube was inserted through the previous tracheostomy site for easy tracheal suction and maintenance of the tun:on. The T-tube was removed on the 14th postoperative day, and the patient recovered well without any complications.

• Speech Sciences
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• v.1
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• pp.261-274
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• 1997

In spite of the presumed importance of the strap muscles on laryngeal valving and speech production, there is little research concerning the physiological role and the functional differences among the strap muscles. Generally, the strap muscles have been shown to cause a decrease in the fundamental frequency(Fo) of phonation during contraction. In this study, an in vivo canine laryngeal model was used to show the effects of strap muscles on the laryngeal function by measuring the Fo, subglottal pressure, vocal intensity, vocal fold length, cricothyroid distance, and vertical laryngeal movement. Results demonstrated that the contraction of sternohyoid and sternothyroid muscles corresponded to a rise in subglottal pressure, shortened cricothyroid distance, lengthened vocal fold, and raised Fo and vocal intensity. The thyrohyoid muscle corresponded to lowered subglottal pressure, widened cricothyroid distance, shortened vocal fold, and lowered Fo and vocal intensity. It was postulated that the mechanism of altering Fa and other variables after stimulation of the strap muscles is due to the effects of laryngotracheal pulling, upward or downward, and laryngotracheal forward bending, by the external forces during strap muscle contraction.

• Korean Journal of Acupuncture
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• v.25 no.2
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• pp.1-32
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• 2008

Objectives : This study was performed to understand the interrelation between 'Foot three yang meridian-muscle' and 'muscular system'. Methods : We have researched some of the literatures on Meridian-muscle theory, anatomical muscular system, myofascial pain syndrome and anatomy trains. And especially we have compared myofascial pain syndrome to anatomy trains and researched what kind of relationship is exist between them. Results : It is considered that Foot taeyang meridian-muscle includes Abductor digiti minimi m., Gastrocnemius m., Biceps femoris m., Longissimus m., Omohyoid m., Occipital m., Frontal m., Orbicularis oculi m., Trapezius m., Sternocleidomastoid m., Sternohyoid m., Zygomaticus m. Foot soyang meridian-muscle includes Dorsal interosseus m., Tendon of extensor digitorum longus m., Extensor digitorum longus m., Iliotibial band, Vastus lateralis m., Piriformis m., Tensor fasciae latae m., Internal abdominal oblique m., External abdominal oblique m,, Internal intercostal m., External intercostal m., Pectoralis major m., Sternocleidomastoid m., Posterior auricular m., Temporal m., Masseter m., Orbicularis oculi m. Foot yangmyung meridian-muscle includes Extensor digitorum longus m., Vastus lateralis m., Iliotibial band, Iliopsoas m., Anterior tibial m., Rectus femoris m., Sartorius m., Rectus abdominis m., Pectoralis major m., Internal intercostal m., External intercostal m., Sternocleidomastoid m., Masseter m., Levator labii superioris m., Zygomatic major m., Zygomatic minor m., Orbicularis oculi m., Buccinator m. and the symptoms of Foot three yang meridian-muscle are similar to the myofascial pain syndrome. Superficial back line in anatomy trains is similar to the pathway of Foot taeyang meridian-muscle. Lateral Line in anatomy trains is similar to the pathway of Foot soyang meridian-muscle. Superficial Front Arm Line in anatomy trains is similar to the pathway of Foot yangmyung meridian-muscle. Conclusions : There is some difference between myofascial pain syndrome and meridian-muscle theory in that the former explains each muscle individually, while the latter classifies muscular system in the view of integrated organism. More studies are needed in anatomy and physiology to support the integration of muscular system of Foot three yang meridian-muscle in aspect of anatomy trains.

• Radiation Oncology Journal
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• v.33 no.4
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• pp.344-349
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• 2015

Late complications of head and neck cancer survivors include neck muscle atrophy and soft-tissue fibrosis. We present an autopsy case of neck muscle atrophy and soft-tissue fibrosis (sternocleidomastoid, omohyoid, digastric, sternohyoid, sternothyroid, and platysma muscles) within the radiation field after modified radical neck dissection type I and postoperative radiotherapy for floor of mouth cancer. A 70-year-old man underwent primary tumor resection of the left floor of mouth, left marginal mandibulectomy, left modified radical neck dissection type I, and reconstruction with a radial forearm free flap. The patient received adjuvant radiotherapy. The dose to the primary tumor bed and involved neck nodes was 63 Gy in 35 fractions over 7 weeks. Areas of subclinical disease (left lower neck) received 50 Gy in 25 fractions over 5 weeks. Adjuvant chemotherapy was not administered.