• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.21 no.1
• /
• pp.37-41
• /
• 2010

Background and Objectives : Transient minor voice changes after thyroidectomy are not infrequent complaints even in cases without any evidence of recurrent laryngeal nerve damage. However, clinical course, diagnosis and management of such voice changes are not fully understood. This study aimed to evaluate the clinical characteristics of minor voice changes after thyroidectomy. We also tried to assess the significance and feasibility of superior laryngeal nerve monitoring and to find out the optimal evaluation tools for such voice changes after thyroidectomy. Materials and Method : Nine adult patients who received total thyroidectomy without evidence of recurrent laryngeal nerve injury were enrolled for this prospective study. Voice evaluations were performed preoperatively and 3 months postoperatively ; acoustic analyses including voice range profile, aerodynamic study, stroboscopic evaluation and subjective voice assessment with questionnaires. The external branch of superior laryngeal nerve was monitored by nerve stimulator after ligation of superior thyroidal vessels. Results: Four of nine patients complained their voice change at 3 months after the surgery. Three of them reported complete recovery of their voice at 6 months after the surgery. Acoustic analysis revealed significant decrease in their phonatory range especially with high tone loss. Questionnaires related to singing was more sensitive than previously well-known "voice handicap index". Stimulation of the superior laryngeal nerve was feasible in most of the cases (94.4%), but it failed to show any correlation with minor voice changes after thyroidectomy. Conclusion : Minor voice changes were not rare events during the first 6 month after thyroidectomy. Decrease in phonatory range with high tone loss and therefore, discomfort in singing was the most common finding. Superior laryngeal monitoring was feasible but it was not a sensitive tool for the prediction of minor voice change after thyroidectomy.

• Journal of Internet Computing and Services
• /
• v.19 no.6
• /
• pp.63-72
• /
• 2018

The human voice is one of the easiest methods for the information transmission between human beings. The characteristics of voice can vary from person to person and include the speed of speech, the form and function of the vocal organ, the pitch tone, speech habits, and gender. The human voice is a key element of human communication. In the days of the Fourth Industrial Revolution, voices are also a major means of communication between humans and humans, between humans and machines, machines and machines. And for that reason, people are trying to communicate their intentions to others clearly. And in the process, it contains various additional information along with the linguistic information. The Information such as emotional status, health status, part of trust, presence of a lie, change due to drinking, etc. These linguistic and non-linguistic information can be used as a device for evaluating the individual's credit worthiness by appearing in various parameters through voice analysis. Especially, it can be obtained by analyzing the relationship between the characteristics of the fundamental frequency(basic tonality) of the vocal cords, and the characteristics of the resonance frequency of the vocal track.In the previous research, the necessity of various methods of credit evaluation and the characteristic change of the voice according to the change of credit status were studied. In this study, we propose a personal credit discriminator by machine learning through parameters extracted through voice.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
• /
• 2001.05a
• /
• pp.260-264
• /
• 2001

In this paper we suggest a method for translating (or integrating) XML documents into Voice XML documents in order to provide voice communication service. In the forthcoming web environment, XML will certainly overwhelms HTML. At this situation, the method of accessing data through the more various types of terminal machines is required.'rho best way is to use Voice XML by which the data accessing method is able to change from Web to the wired or/and wireless terminal at low costs. Thus we suggest a method for integrating the XML-based system into the Voice XML-based one.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.12 no.2
• /
• pp.140-144
• /
• 2001

Backgrounds & Objectives : Prolonged hearing loss was considered as one of the factors which have the potential to cause vocal changes. However, the analysis of quality of phonation in hearing loss patients has not been achieved enough. The purpose of the study was to evaluate the difference in objective acoustic parameters between long-term hearing impaired patients and normal control group. Material & Methods : The material of this investigation comprised a group of 20 patients (M : F=10 : 10) with moderate or profound hearing loss(over 50dB). The duration of all hearing loss was over 1 year. All of them underwent the acoustic examinations comprising electroglottography, multidimensional voice program and formant analysis during phonation of the bowels /a/ with free confortable tone and /i/ with voluntary high tone. The results of the acoustic examinations were compared with those of a control group, composed of 20 sex- and age-matched normal hearing subjects. Results : In the male hearing loss subjects, the significant increase was detected in pitch and shimmer during phonation of /a/ and in pitch during phonation of /i/. In addition, this group was characterized by decreased fundamental frequency during phonation of /i/. In female, there was no difference between hearing loss group and normal control group except a decreased formant 1 frequency. Conclusion : Long-term moderate and profound sensorineural hearing loss could affect the objective voice parameters.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.19 no.2
• /
• pp.113-116
• /
• 2008

Baekgroud and Objectives: The study was purposed to evaluate the relationship between the voice change and the menstrual cycle by measuring the variation of subjective and objective parameters. Materials and Methods: Prospective study of 13 healthy women during 2 mentrual cycles. Their voices were recorded at follicular phase and then luteal phase of the menstrual cycle. We used both single vowel /a/ and sentences for evaluate acoustic parameters. Aerodynamic parameters were also evaluated. Voice handicap index (VHI), and the presence of premenstrual syndromes (PMS) were checked at each period. We used Wilcoxon's signed rank test to compare the parameters of two periods. Results: VHI were 5.1 at both periods (p=0.146) and 92.3% of women were diagnosable with PMS. There were no significant differences in acoustic parameters and aerodynamic parameters between the two periods. Conclusion: This study shows that not only the subjective but also the objective changes of the voice parameters did not exist during the menstrual cycle in women.

• Phonetics and Speech Sciences
• /
• v.10 no.2
• /
• pp.69-76
• /
• 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.

• Speech Sciences
• /
• v.10 no.1
• /
• pp.143-152
• /
• 2003

The present study was performed to investigate change in shimmer according to $F_{0}$ variation precisely, and to offer suggestions for a clinical application. The analysis for the present study was done by the fundamental frequency ($F_{0}$) and shimmer measurement results of the previous 120 Korean normal adults' voice study of Pyo et al. (2002), used three vowels, /i/, /a/, /and /u/. Through the analysis of 60 female samples from the previous study, we found that $F_{0}$ of the vowels was the highest in /u/, and the lowest in /a/, but, on the contrary, shimmer was highest in /a/and lowest in /u/. Thirty of 60 subjects showed such an inverse relationship between $F_{0}$ and shimmer, as a whole. In the vowel /a/, 47 of 60 subjects showed the increased $F_{0}$ and decreased shimmer, in /i/, 32 subjects, and in /u/, 33 subjects showed the same results. The decrease in shimmer means the improvement of voice quality, so by these results, we expect to answer the question why the patients with spasmodic dysphonia can improve their voice quality with increased pitched voice production.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.8 no.1
• /
• pp.65-68
• /
• 1997

The mutational falsetto is failure to change from the higher pitched voice of preadolescence to the lower pitched voice of adolescence and adulthood. The one of characteristic findings is contraction of suprahyoid muscles. The large majority of young men with inappropriately high voice have excellent voice therapy prognosis. We have experienced one case of mutational falsetto treated with botulinum toxin injection on suprahyoid muscles. His suprahyoid muscles are contracted markedly simultaneously with each phonation. fundamental frequency$(F_0)$ of his vowel phonation was 332Hz. Extensive voice therapy including manual compression of thyroid notch was ineffective. Forty units of Botox$^{\circledR}$ was injected under the EMG-guidance(20U bilaterally). At seven days post-injection, his voice changed lower than before and at 40 days after procedure, his $F_0$ was 126Hz.

• Journal of Clinical Otolaryngology Head and Neck Surgery
• /
• v.29 no.2
• /
• pp.229-234
• /
• 2018

Background and Objectives : Vocal nodules occur with a 12-22% prevalence in pediatric populations. Most otolaryngologists recommend voice therapy as the primary treatment. The aim of this study is to evaluate patient compliance with voice therapy and its effect on vocal nodules in children. Materials and Methods : We retrospectively reviewed 44 pediatric patients between 3 and 11 years old diagnosed with vocal nodules between March 2015 and December 2017. We evaluated the treatment adoption rate, dropout rate during voice therapy, and reasons for dropout. For patients who completed voice therapy, we measured the changes in nodule size, perceptual parameters, and acoustic parameters. We evaluated patient satisfaction using the pediatric voice handicap index (P-VHI). Results : Of the 44 pediatric patients diagnosed with vocal nodules, 22 (50%) agreed to voice therapy. Of the 22 patients who started voice therapy, 5 (22.7%) dropped out during therapy because they were unsatisfied with their treatment. Another 4 patients discontinued therapy for reasons unrelated to treatment effectiveness. Vocal nodule disappeared or decreased in all 13 patients who completed voice therapy. All voice parameters were improved and statistically significant changes were observed in perceptual, acoustic, and P-VHI parameters. Conclusions : Although compliance to voice therapy among the pediatric patients with vocal nodules was low, there were significant improvements in voice parameters for those who completed voice therapy. A change toward a positive perception of voice therapy is necessary and a multidisciplinary approach is needed to improve the effect of voice therapy on pediatric patients with vocal nodules.

• Journal of Korea Entertainment Industry Association
• /
• v.13 no.2
• /
• pp.155-167
• /
• 2019

The aim of this study was to examine the experiences of music therapists in using their voice clinically. The researcher conducted in-depth interviews with seven music therapists who were able to explain their experiences in using voice. Each interview was analyzed using the phenomenological method of Amedeo Giorgi. The data analysis yielded 9 sub-categories and 6 components: "promotion of various feelings due to clinical use of voice", "voice use depending on the therapist's personality", "voice use for therapy", "positive musical experiences with clients in using voice", "difficulty in using voice as a tool for music therapy", and "attempt to change unsatisfactory voice". The result showed that the music therapists had both positive and difficult experiences with their clients in using their voice. Their instances of perceived unsatisfactory voice prompted them to develop themselves personally and professionally. This study is intended to provide a general understanding of voice use by music therapists and offer a solid basis for music therapists to study voice in the future.