• 대한두경부종양학회지
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• 제36권2호
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• pp.27-31
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• 2020

Neck mass has various etiologies, including inflammatory, congenital, neoplastic causes. The IgG4-related disease can cause symptoms in the head and neck areas with an inflammatory neck mass. It also shows clinical and pathological findings from inflammation caused by immune reactions, such as lymphocyte and plasma cell infiltration, storiform fibrosis, obliteration phlebitis, and invigorated serum IgG4 levels. The treatment guideline has not been established and still under debate, but systemic glucocorticoid seems to be effective in the most cases. In this brief report, a 48-year-old male patient presented with voice change for 3 weeks. Left side paramedian vocal fold palsy was observed in the flexible laryngoscopy. About 2.5×2.0×1.2cm size, heterogeneously enhanced neck mass with irregular margin encasing left carotid artery was noted on preoperative contrast enhanced neck CT scan, and it was suspicious of left carotid body tumor. The pathology shows IgG4-related disease rather than carotid body tumors. We report this case of IgG4-related disease, which can be misdiagnosed to carotid body tumors.

• 한국산학기술학회논문지
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• 제10권10호
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• pp.2708-2714
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• 2009

언어를 통한 의사 전달 능력이 부족한 영아나 소아들은 울음으로서 자신의 몸의 상태나 요구하는 것에 대한 의사 표시를 행한다. 이 중 중요한 것이 소아 상태를 나타내는 것인데 언어 전달 능력이 없는 소아들의 질병은 진단 시기를 놓치거나 정확한 진단 결과를 내리기 어려운 문제가 존재한다. 이를 위해 본 연구에서는 소아의 울음소리를 분석하여 몸의 어느 부위가 문제가 있는지를 판단해 내는 소아 청진 시스템을 개발하였다. 특히 본 논문에서는 울음소리의 피치, 강도 및 스펙트럼 분석을 통해 소아 선천성 심질환자에 대한 질병 진단을 수행하였다. 이를 위해 각각의 분석 요소를 통해 정상적인 아이와 소아 선천성 심질환을 앓고 있는 아이에 대한 울음소리의 비교, 분석을 수행하였다. 이와 같은 방법을 통해 의사표현 능력이 부족한 소아를 대상으로 편리하게 소아 선천성 심질환을 진단할 수 있으며 임상 자료의 추가 실험을 통해 울음소리 기반의 재택형 진단 시스템을 구축할 수 있다.

• 대한후두음성언어의학회지
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• 제9권2호
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• pp.160-163
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• 1998

The glottis consists of two parts : The intermembranous portion or the anterior glottis, and the posterior glottis. The posterior glottis has been described by various inappropriate terms such as posterior commissure and interarytenoid region. The structure surrounding the posterior glottis consists of three portions ; The cartilaginous portion of the vocal fold, the lateral wall of the posterior glottis, and the posterior wall of the glottis. The posterior glottis may be a very rare site for primary squamous cell carcinoma of the larynx because of its embriologic and histologic differences from the anterior glottis. Recently we have experienced a case of a 81-year-old woman who had been presented with throat discomfort and voice change for 10months. She had the smoking history of 40 pack-year. The physical examination revealed poorly demarcated, papillary, whitish-pink colored mass on the posterior glottis. The vocal cord mobility was not affected. Biopsy under the suspension larygoscope showed moderately differentiated squamous cell carcinoma. No regional and distant metastasis was found. She was irradiated with 7000cGy over 7 weeks at a daily dose of 200cGy. No evidence of recurrence was found by the fifteenth month following radiation therapy. We report this case with a review of literature.

• 음성과학
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• 제15권4호
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• pp.147-157
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• 2008

Habitual speaking fundamental frequency (sF0) plays an important role in determining the voice classification, which can be presented differently depending on the vocal fold length and language habits. The purpose of this study, therefore, was to compare the differences in sF0 for voice classification and closed quotient between speaking and singing. Seventeen singers (7 sopranos, 5 tenors, 5 baritones, mean age 25.1 years) with no evidence of vocal folds pathology were participated. sF0 and closed quotient (CQ) both in speaking and in singing (A3-A5 with soprano, A2-A4 with tenor and baritone) were measured using SPEAD program and electroglottography. No significant differences were observed for sF0 between tenor and baritone groups (p> 0.05). However, CQ in singing was significantly different among three groups (p< 0.05), but CQ in speaking was not (p> 0.05). Furthermore, CQ was significantly different with both soprano (p< 0.01) and tenor groups ((P= 0.02) whereas baritone group revealed there is no difference when compared between speaking and singing. No significant differences in sF0 between tenor and baritone participants may result from decision-making for voice classification by experience and should measure sF0 before determining the voice classification.

• 대한두경부종양학회지
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• 제35권2호
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• pp.71-75
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• 2019

Inflammatory myofibrolastic tumor (IMT) is a rare borderline neoplasm. It frequently occurs in the lung but occasionally occurs in extrapulmonary sites such as the genitourinary tract, gastrointestinal tract, breast, salivary glands, sinonasal tract, orbit, and the central nervous system. Laryngeal involvement of IMT is very rare. A 61-year-old woman who complained of hoarseness persisting for 3 months visited our hospital. Laryngoscopy showed an elevated lesion in the right true vocal cord. Incisional biopsy was confirmed as larygeal inflammatory myofibrolastic tumor. We performed a transoral excision with CO₂ LASER under suspension examination. Regional recurrence or distant metastasis was not observed after 9 months of follow-up. Herein we report a case of larygeal inflammatory myofibrolastic tumor that was treated with surgery alone, with a literature review.

• 말소리와 음성과학
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• 제10권2호
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• pp.69-76
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• 2018

The elderly are at increased risk of developing dysphagia due to aging and illnesses. The aim of the current study was to analyze, via an acoustic study, the change in the voice quality of normal elderly people after a 3oz water-swallow test. Subjects included a group of 60 normal elderly people (age: $mean{\pm}SD=76.9{\pm}6.66$) and 60 healthy young adults (age: $mean{\pm}SD=25.1{\pm}2.36$). Every participant produced a five-second /a/ phonation pre- and post-swallowing, and the fractioned two-second sections were analyzed using the MDVP (multi dimensional voice program) analysis. The elderly group demonstrated a post-swallowing increase in the following related acoustic parameters: fundamental frequency, fundamental frequency variation, amplitude-variation, and noise in both two-second sections. However, the younger group showed an increase only in frequency related acoustic parameters (i.e., STD ) in the first two-second section. The significant changes in values in the post-swallowing parameters might indicate temporary irregularities in pitch and amplitude along with higher amounts of noise in the voice. The results could be attributed to water residues in the vocal fold and vocal tract, as well as a deterioration of the motor and sensory functions caused by anatomical and physiological changes that result from aging.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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• pp.70-70
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• 1993

발성시 기본주파수의 조절은 윤상갑상근과 갑상피열근의 적절한 수축 작용에 의한다는 사실은 잘 알려져 있다. 윤상갑상근의 기능은 자세히 알려져 있는데 반하여, 갑상피열근의 기능은 현재까지 생체 발성 모형이 개발되지 않아 자세한 내용을 알 수 없었기에, 저자들은 갑상피열근 기능 검사를 위한 생체 발성 모형을 고안하였다. 개의 갑상연골에 창문을 만들어서, 반회신경의 마지막 분지인 갑상피열 분지를 확인, 절단하고 전극으로 자극하도록 하였다. 유발된 음성에 대한 갑상피열근 수축의 효과는 성역의 결정에 중요한 결정 요소로 작용되며, 가성 (falsetto) 영역에서 갑상피열근의 수축은 기본주파수 하강을 초래하고, 지성 (modal) 영역에서는 반대로 기본주파수가 상승되었다. 한편, 갑상피열근의 자극에 따라 성문하압은 증가되고 성문개대율 (OQ) 은 감소되었다.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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• pp.72-72
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• 1993

음성질환의 진단을 위하여 사용하는 검사법은 여러가지가 있으며 음성발생의 기전에 근거하여 공기역학적 검사로부터 어음청취검사에 이르기까지 다양하게 시도되고 있다. 이중 성대점막의 진동양상은 간접후두경 만으로는 정확히 관찰하기 어려우므로 후두스트로보스코피, 초고속촬영법, 광전, 전기, 초음파등을 이용한 글로토그라피 및 카이모그라피 등이 사용되고 있는데 임상적으로는 후두스트로보스코피가 가장 널리 사용되어지고 있다. 저자들은 1992년 4월 부터 1993년 3월까지 연세대학교 의과대학 음성언어의학연구소에서 음성검사를 시행하였던 환자들을 대상으로 질환별 스트로보스코피소견의 특징을 파악함으로써 후두질환의 진단 및 치료에 도움을 얻고자 하였다.

• 대한후두음성언어의학회지
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• 제17권1호
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• pp.53-55
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• 2006

Background and Objectives: The purposes of this study are to find out clinical causes, clinical characteristics and treatment outcomes in relation to anatomical location of laryngeal cyst. Subjects and Method: A retrospective study of medical records was carried out for 170 patients with cysts on vocal cord, epiglottis, vallecula, arytenoid and aryepiglottic fold. Results: There were 83 cases of epiglottic cysts, 41 cases of vallecular cysts, 35 cases of intracordal cysts, 3 cases of arytenoid cysts and 2 cases of aryepiglottic cysts. Laryngeal cysts were more common in men than in women, and the ratio between men and women was 2:1. The age of patients ranged from 7 to 90 years, with their average age being 52 years. The most common symptom was voice change at intracordal cysts and globus sensation at vallecular and epiglottic cysts. The most common cause of intracordal cysts were voice abuse. But other location of laryngeal cysts doesn't have common causes. The average size of cysts was 0.3cm at vocal cord, 1.43cm at epiglottis, 1.4cm at vallecula, 0.9cm at arytenoid and 1cm at aryepiglottis. Recurrence was observed in 7 cases from 1 months to 18 months following the operation. Size of all recurred cysts was over the average. Conclusion: Physicians should be aware of changes in clinical patterns of laryngeal cysts according to location and have long follow-up period at large cysts after operation.

• International journal of thyroidology
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• 제11권2호
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• pp.109-116
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• 2018

갑상선 수술 후 발생한 성대마비는 삶의 질을 중요시하는 요즘 시대에 제일 치명적 합병증 중 하나이다. 그 결과 수술 중 신경감시시스템의 사용은 보편화되고 있으나 아직 기존의 시스템은 외과 의사가 사용하기에 불편하거나 문제점들이 있다. 그래서 새로운 방식의 신경 탐침과 신경 감시 장치의 개발이 필요한 시점이다. 이에 최근 모든 수술 기구(금속형 기구, 내시경 및 로봇 기구, 에너지 기반 디바이스)에 탈부착이 가능한 신경을 자극하는 신경 탐침 및 후두 떨림을 측정하기 위한 표면압력센서를 이용한 새로운 형태의 수술 중 신경감시시스템의 개발에 대한 연구가 기대된다.