• Title/Summary/Keyword: Vocal Cord

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Type III Thyroplasty for High-Pitched Voice (제3형 갑상연골성형술에 의한 병적인 고음성 치료)

  • 홍기환;정상술;정희수;김미정
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.5 no.1
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    • pp.69-74
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    • 1994
  • Thyroplasty type III provides an effective mean of shortening the vocal fold. It is used primarily fer lowering vocal pitch. The indications for this surgery are the male patients with too high a vocal pitch of long duration which has proven resistant to voice therapy and a type of dysphonia characterized by high pitch and a breathy voice, in which the laryngeal findings include a very narrow glottal chink and a small amplitude of vibration, suggesting a stiff vocal cord. In this study, we have experienced two cases of high pitched voice, one is mutational falsetto and other is high pitched, breathy voice with stiff vocal fold. The results were satisfactorily successful with type III thyroplasty. So we report the cases of type III thyroplasty in patients of dysphonia with high pitched voice.

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Huge Subglottic Polyp Treated with Tracheotomy and Laryngofissure (기관절개술과 후두절개술로 치료한 거대 성문하 용종 1예)

  • Hong, Yong Tae;Yeo, Cha Dong;Hong, Ki Hwan
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.28 no.1
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    • pp.52-54
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    • 2017
  • Vocal polyps are benign laryngeal lesions which arise from the Reinke's space abd hoarseness is the most common symptom. However, airway compromised is rarely presented in the vocal polyp. A rare case of large subglottic polyp causing dyspnea is reported. Tracheostomy was performed under local anesthesia and then the mass was resected under general anesthesia using a laryngofissure approach. The dyspnea and hoarseness disappeared after surgery immediately. The histopathological findings indicated a diagnosis of vocal cord polyp with chronic inflammatiuon. We consider that tracheostomy is the safest and most useful procedure to guarantee the upper airway in cases of large vocal polyp showing dyspnea. We hereby report a case of huge subglottic polyp in which a tracheostomy and laryngofissure was required for removing the subglottic mass successfully.

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Effects of Chronic Electrical Stimulation on Functional Recovery Following Laryngeal Reinnervation in the Rat (흰쥐에서 반회후두신경 손상 후 만성적 전기자극이 후두 기능 회복에 미치는 영향)

  • 김지연;조선희;한후재;박수경;신유리;정성민
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.11 no.2
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    • pp.172-177
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    • 2000
  • Background and Objectives : Until now, various attempts have been made fir reinnervating paralyzed vocal cord. Nevertheless, the most cases did not produce satisfactory outcome due to occurrence of synkinesis of larynx secondary to misdirected axonal regeneration. Accordingly, the purpose of this investigation is to learn the effect of chronic electrical stimulation on regeneration of the recurrent laryngeal nerve. Material and Methods : Using 20 healthy male Sprague-Dawley rats(250-300g) with normal vocal functions, transections were made on their left recurrent laryngeal nerves and then primary anastomosis were performed under the operating microscope and they were divided into an experimental group and a control group each having 10 rats. After the procedure, for the experimental group, chronic electrical stimulation was carried out until vocal cord movement was functionally recovered. for the control group, only chronic electrical stimulation was not given. Result : In experimental group, the number of functionally recovered rats was two and in control group, that of functionally recovered rate was same. The reorganization of posterior cricoarytenoid muscle motoneuron in nucleus ambiguus appeared in the case of directed reinnervation of recurrent laryngeal nerve. Conclusion : The chronic electrical stimulation does not a direct beneficial effect on the early functional recovery in rats with injured recurrent laryngeal nerve.

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Analysis for the Effect of Blood Pressure Increase on Vocal Cord Vibration and Voice Intensity (혈압 상승이 성대 진동 및 음성 에너지 크기에 미치는 영향 분석)

  • Kim, Bong-Hyun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.17 no.2
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    • pp.431-437
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    • 2013
  • These days, many people live a healthy life, but suffering caused by chronic diseases. The main factors of chronic diseases are stress, blood pressure and obesity. Chronic diseases which are caused by high blood pressure are very high incidence. Therefore, this paper suggests the ways to prevent as diagnosis a phenomenon that occur rising in blood pressure consistently by analyzing the voice according th rising in blood pressure. For this, I studied some influence on voicing through rising in blood pressure by applying pitch that measure vocal fold vibration and intensity that measure voice energy size that is one of technique. That collect and analyse the voice after rising blood pressure by aerobic exercise.

Comparison of Initial Therapeutic Effects of Voice Therapy and Injection Laryngoplasty for Unilateral Vocal Cord Paralysis Patients (일측 성대마비 환자에 대해 음성치료와 성대주입술의 초기 치료 효과 비교 연구)

  • Lee, Chang-Yoon;An, Soo-Youn;Chang, Hyun;Son, Hee Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.28 no.2
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    • pp.112-117
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    • 2017
  • Background and Objectives : The purpose of this study was to classify patients with unilateral vocal fold paralysis according to their fixed location and to analysis the effects of two treatment methods by early voice therapy and injection laryngoplasty. Materials and Methods : Twenty patients who were classified as full abduction and slight abduction according to the position of paralysis were treated injection laryngoplasy, and 23 patients were treated by voice therapy. Twenty patients were treated injection laryngoplasy and 23 patients were treated voice therapy. Results were evaluated by acoustic analysis, electroglottography, cepstrum analysis before and after therapy. The voice therapy was conducted by improving the larynx movement and glottal contact, whilst removing hypertension of the supraglottic and use the breathing. Results : Significant improvement was found in the acoustic parameter, cepstrum parameter, and EGG before and after treatment in both groups. There was no significant difference between the two groups when compared before and after treatment to compare the effects of injection laryngoplasty and voice therapy. Conclusion : The initial treatments for unilateral vocal cord paralysis are injection laryngoplasty and voice therapy. however, there is no precise standard about which method should be applied first. Therefore, in this study, we tried to classify patients according to their paralysis position and then apply two methods. The results of this study suggest that voice therapy and Injection laryngoplasty at the initial stage is a very useful method to improve voice quality of vocal fold paralysis and improve laryngeal function.

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Vocal-cord Signal Study based on Phonological Feature for Vocal-cord Signal Isolated-Word recognizer (성대신호 명령어 인식기를 위한 음운자질에 기반한 성대신호 연구)

  • Jung, Young-Giu;Han, Mun-Sung;Cho, Kwan-Hyun
    • 한국HCI학회:학술대회논문집
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    • 2006.02a
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    • pp.565-570
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    • 2006
  • 웨어러블 환경에서 가장 유용한 사용자 인터페이스는 음성이다. 그러나 현재 노이즈 제거 기술로는 웨어러블 환경과 같은 고소음 환경에서 음성 인식기의 실제적인 응용은 거의 불가능하다. 본 논문은 환경노이즈를 원천적으로 차단하는 성대 마이크를 이용한 명령어 인식기를 개발한다. 이를 위해 성대신호를 한국어 음운자질 이론을 기반으로 설명하고, 입력신호를 분석하여 이러한 접근방법의 타당성을 검증한다. 이러한 성대신호의 분석을 위해 스펙트럼과, FFT 결과를 사용하고, MFCC 알고리즘을 이용하여 주파수 영역내의 정보량이 인식에 미치는 영향을 분석한다. 그리고 분석결과를 바탕으로 성대신호 명령어 인식기를 위한 특징벡터로 유/무성음 분리에 사용되는 특징벡터가 유용함을 ZCPA 알고리즘을 이용한 성대신호 명령어 인식기를 개발하여 검증한다. 실험결과 ZCPA 를 사용한 것이 MFCC 에 비해 16%높은 인식률을 보인다.

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Traumatic Aneurysm of Descending Thoracic Aorta -A Case Report- (외상성 하행 흉부 대동맥류 -치험 1 례 보고-)

  • 임승현
    • Journal of Chest Surgery
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    • v.27 no.12
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    • pp.1042-1046
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    • 1994
  • We experienced a case of traumatic aneurysm of descending thoracic aorta by an automobile accident. The patient was 23-year-old-male with a traumatic aortic aneurysm [6x12cm] on the descending thoracic aorta just distal to the origin of the left subclavian artery. Exposure was obtained through a left posterolateral thoracotomy incision in the fourth intercostal space and then partial femoro-femoral cardiopulmonary bypass was established.After aortic cross- clamping, the aneurysmal sac was opened and repaired with interposition of Dacron vascular graft and aortic cross-clamping period lasted for 100 minutes. Postoperative bleeding and vocal cord paralysis were complicated, but bleeding was controlled by reoperation and vocal cord paralysis was improved. Follow up was continued for 14months and postoperative course was uneventful.

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A Case of Lobular Capillary Hemangioma at the False Vocal Cord With Intermittent Stridor

  • Park, Sang-Wook;Cho, Ki Ju;Won, Seongjun;Park, Jung Je
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.32 no.3
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    • pp.150-152
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    • 2021
  • Lobular capillary hemangioma (LCH) is a type of benign vascular tumor. It arises from vascular endothelial cells and contains capillaries arranged in a lobular pattern. In the head and neck, the most common presenting location of LCH is the lips, and presentation in the larynx is very rare. LCH might not be distinct from granuloma in macroscopic views. We report a 71-year-old female with LCH of the larynx that was totally resected via laryngeal microsurgery with a CO2 laser and briefly review the literature.

Recurrent Glottic Cancer Treated with Carbon Dioxide Laser: A Case Report

  • Park, Hyoung Sik;Woo, Seung Hoon;Lee, Sang Joon;Chung, Phil-Sang
    • Medical Lasers
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    • v.10 no.2
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    • pp.111-114
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    • 2021
  • A 38-year-old man visited the hospital for a voice change that began two months previously. There were no other accompanying symptoms; the patient had a history of 20 years of smoking. Carbon dioxide (CO2) laser cordectomy was performed on the left side of the vocal cord, and the biopsy results showed squamous cell carcinoma. Radiation therapy was not performed, and CO2 laser cordectomy was performed again because of a recurrence of left vocal cord mass three years after a progress observation.

The Clinical and Pathological Study of Laryngeal Mass (후두종양의 임상적 및 병리학적 고찰)

  • 이원용;배정수;김혜숙;여재동;조세인
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1983.05a
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    • pp.6.2-6
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    • 1983
  • The clinical study of 108 laryngeal mass was observed in our E.N.T. department, and classified clinically and pathologically as below. 1) Among total case of 108 Vocal nodule is 28 (26 %) Vocal polyp is 46 (42.5 %) Laryngeal papilloma is 6 (5.5 %) Laryngeal tuberculosis is 4 (4%) Laryngeal cancer is 24 (22%) 2) The sex ratio of male to female is 5 : 7 in vocal nodule 11 : 12 in vocal polyp 1 : 1 in laryngeal papilloma 3 : 1 in laryngeal tuberculosis 5 : 1 in laryngeal cancer 3) The age distribution is fourth, fifth decade in vocal nodule is fifth, fourth decade in vocal polyp is first decade in laryngeal papilloma is third and seventh decade in laryngeal tuberculosis is sixth and seventh decade in laryngeal cancer 4) The location of mass is between the anterior 1/3 and middle 1/3 of vocal cord in vocal nodule, polyp and papilloma middle 1/3 and posterior 1/3 in laryngeal tuberculosis and glottic (50%), supraglottic (42%), infraglottic (8%) in laryngeal cancer 5) The side of lesion is bilateral in vocal nodule and papilloma, the ratio of right to left is 2 : 3 in vocal polyp 6) The size is 1-2mm in vocal nodule and papilloma, 3-5mm in vocal polyp more than 10mm in laryngeal tuberculosis and laryngeal cancer 7) The duration of symptom is within 1 years in vocal nodule and vocal polyp and laryngeal papilloma, 1-several years in laryngeal tuberculosis and laryngeal cancer 8) The most frequent symptom was hoarseness 9) All laryngeal cancer was sguamous cell carcinoma

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