• 대한후두음성언어의학회지
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• 제12권2호
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• pp.121-125
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• 2001

Singing requires exquisite coordination between the respiratory and phonatory system to efficiently control glottal airflow. Respiratory function and vocal aerodynamics were investigated in six female professional sopranos and in six female subjects without vocal training. All sopranos had more than 15 years of formal classic vocal training. Pulmonary function test data on simple pulmonary function, flow volume curve, static lung volumes, maximum inspiratory pressure(MIP), and maximum expiratory pressure(MEP) were obtained from all subjects. Vocal aerodynamic studies of maximum phonation time(MPT), phonation quotient, and mean glottal flow rates (MFR) were also measured in all subjects. Simple pulmonary function in professional sopranos was generally the same as that of other female subjects without vocal training. However, MIP and MEP showing respiratory muscle forces were significantly elevated in professional sopranos, compared to those of other female subjects without vocal training. Maximum phonation times and phonation quotient in sopranos are longer than those of other female subjects even though there were no differences in simple pulmonary function. High-pitched tones were made with significantly higher mean glottal flow rates(GFR) in normal subjects than low-pitched tones, whereas no changes in GFR were found in sopranos. The result indicated that sopranos demonstrated significant improvements in aerodynamic measures of GFR, maximum phonation time, suggesting an increase in glottal efficiency.

• 대한후두음성언어의학회지
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• 제12권2호
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• pp.133-139
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• 2001

Background and Objectives : There are so many methods to investigate the causes of voice disorders. However, they were almost invasive or non-physiologic methods. And none of them showed the laryngeal movements. Phonation pharyngogram is non-invasive method to see the laryngeal movement directly. Authors studied to evaluate the availability of phonation pharyngogram in laryngeal nodule. Materials and Methods : 30 laryngeal nodules and 10 control groups were evaluated. Acoustic analysis and maximum phonation time were measured and pharyngogram was taken during sustaining /a/ phonation immediately after swallowing the barium. We measured the width of hypopharyngeal wall, shape of hypopharyngeal wall and pyriform sinus apex, level difference between both true vocal folds, angle of subglottis, location of true vocal folds, elevated distance of vocal folds and shape of c-spine. Results : Jitter, Shimmer of laryngeal nodule were higher than control group and maximum phonation time was shorter in laryngeal nodule. There was a significance in width of hypopharyngeal wall, shape of pyriform sinus apex, level difference between both true vocal folds, elevated distance of vocal folds and shape of c-spine. Conclusions : Authors knew that there were differences when we used the phonation pharyngogram between normal group and laryngeal nodule group.

• 말소리와 음성과학
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• 제8권3호
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• pp.39-49
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• 2016

The present study examined the change of aerodynamic features after laryngomicrosurgery in patients with vocal polyps. Aerodynamic evaluation was performed in thirty-nine patients (15 males and 24 females) one week before surgery and four weeks after surgery. Evaluation protocols of vital capacity, maximum sustained phonation(MXPH), and voicing efficiency(VOFT) were used to collect 29 phonatory aerodynamic measures, requiring voice with a comfortable pitch and loudness. Statistically significant changes were found for phonation time and airflow values in the MXPH protocol, while changes were also found for airflow values, subglottal pressure values and acoustic resistance values in the VOFT protocol. Although phonation time was increased in both male and female patients, gender-dependent changes were found in airflow measurements. Men's phonation time increased with no difference in airflow rate, but women's phonation time increased with decreased airflow rate and lower subglottal pressure. The changes of aerodynamic features may be affected by women's self-perceived change for vocal attitude, which was reducing sense of vocal effort after surgery.

• 대한후두음성언어의학회지
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• 제6권1호
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• pp.9-15
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• 1995

Bowing of the vocal cords may be due to aging. atrophy. bilateral superior laryngeal nerve paralysis. injudicious vocal cord surgery, of an idiopathic cause. The bowing usually produces a dysphonia characterized by breathiness due to air escape : however, it can produce aphonia. This report reviews vocal function after surgical correction of bowing of the vocal cords for diagnosis and management. The vocal function of 13 patients with sulcus vocalis and 12 patients with vocal cord atrophy was evaluated with the use of a test battery of multidimensional evaluation items. The voice was improved postoperatively in most patients. The voice improvement was reflected objectively in maximum phonation time, mean air flow rate during phonation, stroboscopic findings. sound pressure level range and fundamental frequency range of phonation, and results of acoustic analyses of tape-recorded voice. The vocal function after surgical correction of the sulcus vocalis and vocal cord atrophy was improved postoperatively in most patient, but the results were not satisfactory.

• 대한후두음성언어의학회지
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• 제17권1호
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• pp.14-16
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• 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.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1979년도 제13차 학술대회 연제순서 및 초록
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• pp.8.3-8
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• 1979

음의 생성은 성문하의 기류가 성대에서 조절되고 성대상부의 Vocal tract에서 modulation되어 생성되므로 후두에 이상이 생기면 발성시 후두를 통과하는 기류에 변화가 오게된다. 타국에서는 Dohne(1944)과 Arnold(1955, 1958)등 여러학자들이 후두질환에 따른 공기역학적 변화를 측정하여 후두질환의 진단에 기여한 바 크다. 본 저자들은 후두질환에 따른 공기역학적 측정에 앞서 이에 대한 정상역치를 측정하여 그 기준치로 하고자 21∼30세의 정상인 남녀 각각 20명을 대상으로 Collins회사제 Respirometer를 이용하여 평균 기류유출률, 최대 밭성량, 최대발성시간 및 발성속력치 등을 측정하였기에 제 1보로서 보고하는 바이다.

• 한국전산유체공학회:학술대회논문집
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• 한국전산유체공학회 2008년도 춘계학술대회논문집
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• pp.21-24
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• 2008

The present study numerically investigates the glottal airflow characteristics as well as acoustic features of phonation fully coupled with dynamic behavior of vocal folds. The vocal folds are described by a low-dimensional body-covered model characterized by bio-mechanical parameters such as glottal width, vocal folds stiffness, and subglottal pressure. The flow in the vocal tract is modeled as an incompressible, axisymmetric form of the Navier-Stokes equations (INS), while the acoustic field is predicted by the linearized perturbed compressible equations (LPCE). The computed result shows that a two-mass model of vocal folds is sufficient to reproduce temporal variations in oral airflow and glottis motion produced by female speakers. It is also found that i) the glottal width has a significant effect on the amplitude of glottal flow, and thus on the amplitude of acoustic wave in the vocal tract, ii) the vocal fold tension is the main control parameter for the fundamental frequency of phonation, iii) the subglottal pressure plays an appreciable role on reproduction of the self-sustained oscillation of vocal folds, and iv) the strength of pulsating airflow and vortical structures are primarily affected by glottal width and subglottal pressure, and are closely related to pitch, loudness, and voice quality. Finally, more comprehensive explanation about the difference between one- and two-mass models is presented with discussion of effectiveness of vocal folds oscillation and voice quality.

• Nuclear Medicine and Molecular Imaging
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• 제40권1호
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• pp.23-27
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• 2006

목적: 일측성 성대마비 환자의 FDG-PET에서 영상 판독에 오류를 일으킬 수 있는 성대의 비대칭 섭취가 여러 차례 보고되었다. 저자들은 일측 성대마비 환자와 정상인에서 발성시와 침묵시의 성대근육의 활동정도를 FDG의 섭취로 비교하여 보았다. 방법 : 11명의 일측 성대마비 환자와(원인:thyroidectomy=7, lung cancer=1, others=3) 12 명의 정상인을 대상으로 FDG-PET 을 시행하였다. 이들을 각각 두그룹으로 나누어 발성군은 FDG 주사후 20분간 책을 읽고 비발성군은 평소 검사와 같이 발성을 금하였다. 성대근육을 5부위로 나누어 SUV를 측정하였고 이를 위해 최근 시행한 CT와 융합 영상을 만들었다. 결과: 일측성대마비환자는 건측 갑상피열근에 높은 섭취를 보였으며 발성군은($SUV=5.88{\pm}2.65$) 비발성군에 비하여($SUV=2.30{\pm}0.39$) 유의하게 높은 섭취를 보였다. 정상군에서는 발성시 외윤상피열근에 대칭적인 FDG 섭취증가를 보였고 후위의 피열간근이 가장 높은 섭취($SUV=3.68{\pm}0.96$)를 보였다. 결론: 발성시 FDG-PET 검사를 하면 일측 성대마비환자와 정상인은 각각 서로 다른 후두근육에 FDG 섭취를 보였다. PET-CT 영상 융합을 사용하여 일측 성대마비 환자의 보상에 관여하는 후두근육의 비대칭적인 FDG섭취를 이해하는 것이 영상 판독에 도움을 줄 수 있을 것이다.

• 대한후두음성언어의학회지
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• 제10권1호
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• pp.12-16
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• 1999

Background and Objectives : The common cause of voice disorders may be bad habits of phonation. faulty vocal habits might aggravate the voice disorder or make the dysphonia. Authors thought the analysis of faulty vocal habits might help to evaluate the causes and to choose the treatment methods in patients with dysphonia. Authors studied to evaluate which vocal habits were used in patients with dysphonia. Materials and Methods : Patients with dysphonia(N= 32) and person without dysphonia(N=20) were evaluated through pre-evaluation test by otolaryngologist and SLP. All subjects were evaluated accordingly Posture of body, expansion of cervical vein, excessive movements of thyroide prominence, position of tongue, tension of lower lip, tension of jaw, breathing pattern related with phonation. Results : In dysphonia group, we found 23 cases with tension of jaw, 15 cases with expansion of cervical vein, 7 cases with bad position of tongue, 3 cases with excessive movement of thyroid prominence and a lot of cases with bad breathing Pattern on Phonation. In control group, only 3 cases with bad position of tongue, 2 cases with tension of lower lip, 1 case with tension of jaw were found. Conclusions : More faulty vocal habits were found in dysphonia group. Authors thought faulty vocal habits could be the cause of dysphonia and aggravate the dysphonia and the control of vocal habits would be very important in patients with dysphonia.

• 말소리와 음성과학
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• 제9권3호
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• pp.75-83
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• 2017

The purpose of this study is to find clues to the risk of voice disorders in soprano students. The subjects of the study were 17 soprano students and 18 general students (women). The phonation of vowels /a/, /i/, and /u/ with C4 and F4 notes in each group were recorded. Then, only soprano students were made to record their classical vocalization containing vibrato. Formant, formant energy, bandwidth, VAI (vowel area index), VSA (vowel space area) and L/H ratio were analyzed. There was significant difference in F3 such that the singers' note was measured around 3 kHz which seems to be 400 Hz higher than one from general students. But, There was no significant difference in L/H ratio between soprano student and the general student. There was a significant difference in F3 in the comparison of the soprano students' two vocalization methods. Classical vocalization was measured at 200Hz higher than sustained phonation in F3. Vocal tract adjustment was made and vowel space changed, but there was no significant difference in F3 energy, which is the index of singers' formant according to the phonation method. The L/H ratio, which can be a direct indicator of vocal effort, has no difference in phonation method and is lowered in all phonation methods as the pitch increases. C4 and F4 pitches are lower than the singing range of the soprano. When the pitch changes, vocal effort increases like a general student which will be an indicator of the risk of vocalization. This will be a clue to the vocalization of the immature soprano student.