• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.27 no.2
• /
• pp.91-94
• /
• 2016

Voice is a physical phenomenon, generated by vocal fold and expiratory airflow. Dysphonia should come from abnormal vocal fold and airflow. Occassionally larynx looks normal in show, but it is actually not. There should be undetected structural or functional abnormalities. So when ENT doctors face dysphonia patients who looks normal larynx, should make a diagnosis through close observation. In this review article we present some dysphonia diseases which looks normal larynx. For example vocal fatigue, vocal fold paresis, posterior glottic diastasis, muscle tension dysphonia and psychogenic dysphonia.

• Journal of Veterinary Clinics
• /
• v.14 no.1
• /
• pp.48-55
• /
• 1997

This study eas conducted to assess the spectrographic analysis agter vocal cordectomy in which procedures included biopsy punch per os, laryngofissure and lactic acid injection to the vocal cord. There were significant difference in dominant frequency(DF) of spectrograms between normal and all surgical procedures for vocal cordectomy at 1 day (p<0.01). Vocal cordectomy(laryngofissure) revealed significant differences in minimum frequency of call (MIFC) and DF during the period of observation after surgery (p<0.01). In lactic acid injextion group, there were also significant differences in DF and maximum frequency of call (MAFC) variables (p<0.01).

• Speech Sciences
• /
• v.9 no.4
• /
• pp.27-38
• /
• 2002

The purpose of this article is to present the acoustic parameters (VOT, jitter, shimmer, vF0, vAm, NHR, SPI, VTI, DVB, DSH) for consonants (/pipi/, /$p^{h}ip^{h}i$/, /p'ip'i/) and sustained vowels (/a/, /e/, /i/) produced by normal subjects and dysphonia patients at two vocal effort(normal, high) by Lombard effect using 60dB white noise. Lombard effect indicates the vocal effort increase in noisy situation. At normal vocal effort, in general the acoustic parameter values of patients are greater than normal. And in noisy situation, significant decrease of acoustic values is seen in normal compared with in dysphonia patients. The clinical implication of this finding, the vocal quality in dysphonia is not compensated by vocal effort as well as normal subjects because of the inefficiency caused by abnormal vocal fold appearance and function. And with this result, we can counsel that the voice quality can not be improved as well as the patient expect.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.26 no.2
• /
• pp.94-96
• /
• 2015

Several distinct pathologic entities are encompassed in benign vocal fold lesions, including intracordal cysts, vascular ectasia, as well as vocal fold nodules and vocal fold polyps. Treatment options for theses lesions include both medical/conservative and surgical techniques. First approaches should be focus on correcting the underlying causative factors, largely through voice therapy and education. There are several laryngomicrosurgery techniques for removal of benign lesions. Much debate continues regarding the relative merits of cold instruments versus carbon dioxide laser removal of benign vocal fold lesions. Both techniques have the merits and the demerits each other. Therefore the surgeon should well comprehend the merits of each techniques and choose the proper procedure for patient's lesions.

• Journal of Information Processing Systems
• /
• v.14 no.1
• /
• pp.218-227
• /
• 2018

Vocal effort detection is important for both robust speech recognition and speaker recognition. In this paper, the spectral information entropy feature which contains more salient information regarding the vocal effort level is firstly proposed. Then, the model fusion method based on complementary model is presented to recognize vocal effort level. Experiments are conducted on isolated words test set, and the results show the spectral information entropy has the best performance among the three kinds of features. Meanwhile, the recognition accuracy of all vocal effort levels reaches 81.6%. Thus, potential of the proposed method is demonstrated.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.17 no.1
• /
• pp.14-16
• /
• 2006

Background and Objectives: The purpose of this study is to investigate the change of vocal tract length according to the level of the pitch by the singers. Materials and Methods: Fifteen tenors were asked to produce successive /a/ sound in G4(382Hz) for the head register, C3(131Hz) for the chest register and usual speaking sound. The control group consisted of 15 males of an similar age who are not professional singers. The length of vocal tract was calculated by applying the formula of Fn=(2n-1) c/4L(F : formant frequency, c : the speed of sound in the vocal tract(350m/sec), L : length of vocal tract, $n=1,2,3,4,{\ldots}{\infty}$). Results: In singer's group, there showed no significant statistical difference of length among head and chest register and usual speaking sound. However in the control group, there showed statistically significant difference of length. Comparison of the absolute difference in the length of vocal tract by changing level of pitch in phonation, between the control group and the singers group. Changing from G4 phonation to C3 phonation and C3 phonation to usual speaking sound showed statistically difference of vocal tract length was less in the singers group than the control group. Conclusion: The change of vocal tract length, in either speaking or singing, was less in singers than the control group. We could assume that the singers maintain their larynx position constantly throughout the pitch range when phonation.

• Phonetics and Speech Sciences
• /
• v.7 no.4
• /
• pp.85-92
• /
• 2015

This study aimed to establish characteristics related to voice and speech through the natural base frequency analysis of esophagus vocalization. In the study, 8 subjects were selected for esophagus vocals, and 10 other subjects were selected for a control group. MDVP(Multi-dimensional Voice Program, Model 4800, USA, 2001), Multi Speech(Model 3700, Kaypantax, USA, 2008) were used as experiment equipment. The speech samples selected for evaluation were vowels and sentences (both declarative and interrogative). For acoustic analysis, the intonation form of fo, jitter, energy, shimmer, HNR, and intonation patterns of the speech sample were measured. The results were as follows: First, the natural intrinsic frequency of extended vowels in the esophagus vocal group was lower than the frequency in the normal vocal group. In particular, the intrinsic frequency difference for high vowel /i/ was much greater than the frequency difference for low vowel /a/. Second, the jitter values of the esophagus vocal group were higher than the control group. In particular, there was a large difference between the jitter values for /a/ and /i/, with the jitter values being highest for /i/. Third, there was no significant difference in vocal strength between the esophagus vocal patient group and the control group. Fourth, the shimmer values of the voices in the esophagus vocal group were higher than shimmer values in the control group. In particular, there was a large difference in shimmer values for low vowel /a/. Fifth, the HNR values of the esophagus vocal group were showed significantly lower than the control group. In particular, the largest difference in HNR values between the two groups was for high vowel /i/. Sixth, the pitch contours of interrogative and declarative sentences of the esophagus vocal patient group showed a different form or only had with small differences compared to the pitch contours of the normal vocal group, thus presenting an inconsistent pattern.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.16 no.1
• /
• pp.68-75
• /
• 2005

The treatment of sulcus vocalis and vocal bowing has been commonly used Thyroplasty Type surgery or injection within vocal folds such as Teflon, silicone, collagen. However, and treatment has not been acquired satisfactory treatment effect. This study was conducted to demonstrate voice therapy effect using singer's vocal technique and respiratory training. 4 patients (1 male, 3 females) with sulcus vocalis or bowing, with or without scar were selected for this study and we compared with acoustic, aerodynamic measures and stroboscopy observation before and after voice therapy. The results showed that 1) case 1 (48yr, male) with sulcus vocalis decreased F0 (Fundamental Frequency), increase CQ(Close Quotient) and high degree of satisfaction but not improved voice quality after voice therapy. 2) case 2(19yrs, femal) with mild sulcus vocalis improved as normal voice quality after voice therapy. 3) case 3(38yrs, female) with functional bowing showed abnormalvocal contact before therapy whereas CQ was increased after voice therapy. 4) case 4(27yrs, female) with vocal atrophy and vocal bowing changed normal range of Fo and increased CQ after voice therapy. Even though contact area of both vocal folds was increased and lowered F0 after voice therapy, current outcomes revealed that normal voice quality was not regained. These results might signify that it was difficult that vocal folds couldn't be recovery of symmetry and viscoelastic property of mucosal wave through voice therapy. However, it was difficult for this study to maintain voice therapy so that evaluate effect of voice therapy for long-term. Further study will be needed to long-term follow-up for voice therapy with these patients.

• Phonetics and Speech Sciences
• /
• v.4 no.4
• /
• pp.95-107
• /
• 2012

As BTX-A, which has been known to be the most effective treatment for ADSD, is not effective in treating vocal tremors, voice assessment must be employed to perform differential diagnosis of SD and vocal tremor in an accurate fashion. In this study, the characteristics of vocal changes after botulinum toxin injection were compared by analyzing the voice characteristics resulting from the presence of vocal tremors using objective analysis devices, with the aim of helping to provide prognoses and to determine remedial effects in clinical cases comprising patients with adductor spasmodic dysphonia accompanied by voice tremors. Respiratory function tests, aerodynamic analysis, electroglottography (EGG), acoustic analysis, auditory perception tests, and K-VHI had been conducted at intervals of four, eight, and twelve weeks before and after injection, targeting a group of 17 ADSD female patients (a ADSD group of four with vocal tremor and a ADSD group of 13 without voice tremor). For average FVC and FEV1, the T group showed statistically significant low averages compared with the NT group, whereas the T group showed statistically significant high average ATRI compared with the NT group. In addition, the T group showed a statistically significant Fatr, lower than that of the NT group. For the ADSD group of patients with voice tremor, their vocal tremor remained unchanged despite noticeable decrease in wringing voices. In other words, as the vocal tremor and wringing voices are two distinctive features, there is a need for the two features to be targeted separately for differential diagnosis.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.14 no.1
• /
• pp.30-39
• /
• 2003

Background and Objectives : Patients with pathologic voice often concern about recovery of voice after surgery. In our investigation, we give controlled values of three parameters of voice synthesis program of Dr. Speech Science. such as jitter, shimmer, and NNE(normalized noise energy) which characterize someone's voice from others and deviced a method to synthesize the predicted voice after performing operation. Subjects and Method : Values of vocal jitter, vocal shimmer, and glottal noise were measured with voices of 10 vocal cord Paralysis and 10 vocal Polyp Patients 1 week Prior to and 1 month after the surgery. With Dr. Speech science voice synthesis program we synthesized 'ae' vowel which is closely identical to preoperative and post-operative voice of the patients by controlling the values of jitter, shimmer, and glottal noise. then we analyzed the synthesized voices and compared with pre and post-operative voice. Results : 1) After inputting the preoperative and corrected values of jitter, shimmer, and glottal noise into the voice synthesis Program, voices identical to vocal Polyp Patients' Pre- and Postoperative voices withiin statistical significance were synthesized 2) After elimination of synergistic effects between three paramenter, we were able to synthesize voice identical to vocal paralysis patients' preoperative voices. 3) After inputting only slightly increased jitter, shimmer into the synthesis program, we were able to synthesize voice identical to vocal cord paralysis patients' postoperative voices. Conclusion : Voices synthesized with Dr. Speech science program were identical to patients' actual pre and postoperative voice, and clinicians will be able to give the patients more information and thus increased patients cooperability can be expected.