• 음성과학
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• 제14권3호
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• pp.147-160
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• 2007

This study was aimed to evaluate effect of parents-centered speech intervention program on overall speech and language performances of children with cochlear implant. Ten pairs of mother and child were selected and assigned into two groups: intervention group(G1) and control group(G2). G1 included 5 children with cochlear implant and their mothers who joined the parents-centered program. G2 consisted of 5 children with cochlear implant and their mothers did not participate in the program. To evaluate their speech and language abilities, examination instruments(Preschool Language Scale, and Language Comprehension and Cognition Test) were analyzed. Performances of pre- and post-treatment were analysed by ANOVA procedure. The results were as follows: There were significant differences of speech and language performances between pre- and post-treatment in G1. But there were no significant differences in G2(therapists centered program). G1 showed better performances in language comprehension than G2. This study revealed that parents centered language intervention program would be effective for speech and language development for children with cochlear implant.

• 말소리와 음성과학
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• 제1권2호
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• pp.25-30
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• 2009

Animal experiments have shown that the positive peaked electrically compound action potentials (ECAPs) can be recorded in round window, intracochlear, and nerve trunk by stimulating a monopolar pulse. However, positive peaked ECAPs of cochlear implant recipients have never been reported because ECAPs are recorded from intracochlear electrodes after bipolar stimulation. In our experiment, the positive peaked ECAPs were recorded from 18 intracochlear electrodes in cochlear implant recipients with multiple cochlear anomalies. Thresholds in each channel were measured and the latency of P-, N-wave, and amplitude of P-N were analyzed. These results were identical with the electrically auditory brainstem response (EABR) on the input-output characteristics. In conclusion, the positive peaked ECAPs from the cochlear implant recipients are antidromic ECAPs recorded by perimodiolar electrodes stimulating cochlear implants with multiple anomalies. Therefore, positive peaked ECAPs can be used as useful audiological tools to evaluate the eighth nerve ending.

• 말소리와 음성과학
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• 제6권3호
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• pp.91-99
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• 2014

Although it is well documented that patients with cochlear implant experience hearing difficulties when processing their first language, very little is known whether or not and to what extent cochlear implant patients recognize segments in a second language. This preliminary study examines how Korean learners of English identify English segments in a normal hearing and cochlear implant simulation conditions. Participants heard English vowels and consonants in the following three conditions: normal hearing condition, 12-channel noise vocoding with 0mm spectral shift, and 12-channel noise vocoding with 3mm spectral shift. Results confirmed that nonnative listeners could also retrieve spectral information from vocoded speech signal, as they recognized vowel features fairly accurately despite the vocoding. In contrast, the intelligibility of manner and place features of consonants was significantly decreased by vocoding. In addition, we found that spectral shift affected listeners' vowel recognition, probably because information regarding F1 is diminished by spectral shifting. Results suggest that patients with cochlear implant and normal hearing second language learners would experience different patterns of listening errors when processing their second language(s).

• 대한두개안면성형외과학회지
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• 제20권5호
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• pp.319-323
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• 2019

Cochlear implant extrusion, which is a common complication of cochlear implants, is generally repaired by a well visualized soft-tissue flap. A 61-year-old female patient with a medical history of schizophrenia who had a skin ulcer that caused cochlear implant extrusion, but that would be a stronger statement was referred to our department for removal of the implant and reconstruction of the resultant scalp defect. Accordingly, the broad defect was covered via rotation of a temporoparietal fascia flap (TPFF) using the superficial temporal artery, with the pedicle in the preauricular region as the pivot point. Coverage of TPFF was achieved with a split-thickness skin graft using the scalp as the donor site, which led to a quick recovery after the operation and satisfactory results in terms of aesthetics. This case suggests that a TPFF might be used as a flexible flap with low donor site morbidity for reconstructing cases of cochlear implant extrusion accompanied by a large full-layer scalp defect.

• 대한방사선기술학회지:방사선기술과학
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• 제25권1호
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• pp.35-37
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• 2002

To assess the new multichannel cochlear implant by radiography in Stenver's projection, because MRI generates artifacts, inducing an electrical current and causing device magnetization. CT is relatively expensive and the metal electrodes scatter the image. Multichannel cochlear implant insertion using the multichannel cochlear implant device. Patients underwent postoperative radiography of their implants. The radiographs were obtained in a Stenver's. The insertion depth of the implant was measured on the radiographs and the results were correlated with the surgical results of insertion depth and with audiometric tests. Patients a correct inserted electrode was found, while in patient complications concerning the electrode were noticed. Radiographs in the Stenver's projection are sufficient for the postoperative assessment of the multichannel cochlear implant device and an exact evaluation of the insertion depth.

• 음성과학
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• 제14권4호
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• pp.213-220
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• 2007

This study investigates the voice quality including F0, jitter, shimmer, and NHR for the children with cochlear implant (CI group) and those with normal hearing (NH group). The CI group was further classified two sub-groups depending upon the time of surgery (i.e. under four years vs. over four years). Three corner vowels (e.g. /a/, /i/, /u/) with extended vocalization were used and analyzed with Multi-Dimensional Voice Program (Kay Elemetrics, Model 4300). The statistics were made in two independent sample t-test with SPSS 11.5. The results can be summarized as follows: (1) The children with cochlear implanted before 4 years of age had very similar data with the NH group except for the vowel /a/. (2) The children with cochlear implanted after 4 years of age, however, indicated significant differences in Fo (/a/, /i/, /u/), Jitter (/e/), shimmer (/a/, /i/, /u/) and NHR(/a/) in all three vowels. It is concluded that the early CI surgery and the early intervention would be very important to maintain better voice quality.

• 대한의용생체공학회:의공학회지
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• 제34권2호
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• pp.47-54
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• 2013

Electrical stimulation is delivered to auditory nerve (AN) through the electrodes in cochlear implant system. Neurogram is a spectrogram that includes information of neural response to electrical stimulation. We hypothesized that the similarity between a neurogram and an input-sound spectrogram could show how well a cochlear implant system works. In this study, we evaluated electrical stimulus configuration of CIS strategy using the computational model. The computational model includes stochastic property and anatomical features of cat auditory nerve fiber. To evaluate similarity between a neurogram and an input-sound spectrogram, we calculated Structural Similarity Index (SSIM). The results show that the dynamic range and the stimulation rate per channel influenced SSIM. Finally, we suggested the optimal configuration within the given stimulus CIS. We expect that the results and the evaluating procedure could be employed to improve the performance of a cochlear implant system.

• 재활복지
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• 제17권4호
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• pp.371-382
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• 2013

최근 인공와우 이식 수술에 대한 건강보험이 확대 되면서 이식자들의 수는 늘어나게 되었다. 2005~2009년 사이 최근 6년간 인공와우 수술을 받은 환자는 약 3,300여명이 이르며 그 중 성인의 인공와우 이식 수가 늘어가는 양상을 보이고 있다. 어린 아동의 경우 인공와우 이식 후 청능훈련을 적극적으로 받으며 관련 연구도 많이 있지만 성인에 대한 이식 후 청능훈련에 대한 연구는 많지 않다. 본 연구는 언어습득이후 인공와우를 이식한 성인여자(54세) 1명을 대상으로 Ling 6 sound test, 표준화된 자음과 모음 듣기 검사, 문장 검사 그리고 실생활에 필요한 환경음과 단어의 인지 및 확인 평가 도구를 이용하여 10주간 청능훈련을 실시하였다. 10주간의 청능 훈련 결과, 대상자는 Ling 6 sound의 모든 음소를 확인하였으며 표준화된 자모음과 문장 듣기 검사에서도 100%에 가까운 수행력을 보였다. 또한 실생활에 환경음과 단어의 인지 및 확인은 57%에서 95%까지 수행력이 개선되었다. 본 연구 결과는 성인을 대상으로 한 청능훈련은 체계적이고 효과적인 계획과 개인의 특성을 고려한 재활 프로그램이 필요함을 보여주었다.

• 한국음향학회지
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• 제41권1호
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• pp.52-57
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• 2022

어음은 복잡한 정현파들의 합으로 구성된다. 본 논문은 정현파 모델을 인공와우 시뮬레이션에 적용하여 인공와우 사용자의 전기 청각 인지 메커니즘을 정상 청력인의 음향 청각 인지 메커니즘과 비교하였다. 이를 위해 정상 청력을 지닌 14명의 성인들이 본 연구에 참여하였다. 2, 4, 6, 8개의 정현파 성분만을 추출하는 정현파 모델이 적용된 문장과 정현파 모델과 인공와우 시뮬레이션(8 채널 보코더)이 함께 적용된 문장에 대한 어음인지도 검사를 실시하였다. 연구결과, 인공와우 시뮬레이션이 함께 적용된 정현파 문장에서 통계적으로 낮은 어음인지도를 보였으며, 특히 적은 수(2개)의 정현파 성분에서 큰 차이를 보였다. 본 연구는 정현파 모델에 대한 인공와우 사용자의 전기 청각 인지 패턴의 특성을 제시하며, 인공와우 어음처리 알고리즘의 개발에 대한 기초 자료를 제공한다.

• 말소리와 음성과학
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• 제5권4호
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• pp.71-78
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• 2013

The purpose of this study was to compare the acoustic voice outcomes of children with cochlear implant to those of children with normal hearing. Participants were 41 children using unilateral cochlear implant (18 males and 23 females), and children with normal hearing from the same age and sex. Mean age of implantation was approximately 3 years old, mean duration of implant use was 4 years in CI group. Acoustic analyses were performed using MDVP of CSL. Speech samples were 3 sustained vowels, /a, i, u/. 9 parameters (F0, Fhi, Flo, Jitter, Shimmer, vF0, vAm, NHR, and SPI) were analyzed. Children with CI did not show the significant differences in those parameters after the vowel /a/ phonation. Meanwhile, there were significantly different results in F0, Fhi, vF0, and SPI after /i, u/ phonation. These results revealed that differences of voice characteristics in children with CI compare to children with NH persist regarding vowel context. It suggests that high vowels would recommend as speech samples for acoustic evaluation. Futhermore perceptual analysis and speech therapy for phonation control would be necessary for children with CI.