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Acoustic Characteristics of Nasal Consonants and the Change of Nasalance according to the Sites of Nasal Obstruction (비폐색 부위에 따른 비강자음의 음향학적 특성 및 비음도의 변화)

  • 손영익;정유석;이은경;정원호
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.9 no.1
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    • pp.27-31
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    • 1998
  • Nasal sounds include nasalized vowels and consonants. Nasal cavity is important for the acoustics of nasal sounds. Evaluating the effects of site-specific nasal obstruction on nasal sound will help us to understand the importance of nasal geometry for the nasal sound and to foretell voice change after nasal surgery This study was designed to analyze the change of nasality and formant characteristics of nasal sound by obstructing different sites around the ostiomeatal unit(OMU). Ten adult male and female volunteers participated. The nasal formants and bandwidths of nasal consonant /n/ were checked in various conditions of nasal obstruction. The nasalance of rabbit, baby, and mama passages were compared in each conditions. Nasalance of all passages decreased when anterior portion of OMU was obstructed. Center frequency of first nasal formant(NF1) of /n/ has decreased in the order of anterior, inferior obstruction. The bandwidth of NF1 decreased in female with anterior obstruction. Anterior portion of OMU is most critical to the change of nasality and acoustics of nasal consonant. When anterior portion of OMU is obstructed, the shift of NF1 to a lower frequency and the narrowing of NF1 bandwidth are the major acoustic changes of nasal consonant /n/.

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NASAL ASYMMETRY AFTER PRIMARY OPERATIONS IN PATIENTS WITH UNILATERAL CLEFT LIP (일차 토순 수술후의 코입부위의 심미적 평가 제1보 코의 비대칭성)

  • Min, Byong-Il
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.4
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    • pp.390-395
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    • 1994
  • The author evaluated the nasal asymmetry after primary operations in the patients with unilateral cleft lip using full face photographs. The results are as follows : 1. Nasal deviation angle is average 2.98+3.01 degree(ranged from 0 to 10 degree), significantly different from control group(p<0.05). 2. Nasal deviation angle is average 5.1% when inter-medial canthal distance is 100%, significantly different from control group(p<0.05). 3. Difference in nostril size between cleft and noncleft side is 2.1% when inter-medial canthal distance is 100%, significantly different from control group(p<0.05). 4. Nasal attractiveness analysis shows higher points in difference in nostril size, nasal deviation, nasal form in that order. 5. Nasal asymmetry after primary operations in the patients with unilateral cleft lip using full face photographs is related with Nasal deviation angle, Nasal deviation distance and Difference in nostril size between cleft and noncleft side.

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A new method of Extracting the Filter Characteristics of the Nasal Cavity Using Homorganic Nasal-Stop Sequences: A Preliminary Report (동기관음의 스펙트럼 차이를 이용한 비강 특성 산출: 예비 연구)

  • Park, Han-Sang
    • MALSORI
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    • no.53
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    • pp.17-35
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    • 2005
  • A New Method of Extracting the Filter Characteristics of the Nasal Cavity Using Homorganic Nasal-Stop Sequences: A Preliminary R eportHansang ParkThis study provides a new method of extracting the filter characteristics of the nasal cavity. Korean lenis stops are realized as voiced in the homorganic nasal-lenis stop sequences between vowels. Since the only difference between the two members of the homorganic nasal- lenis stop sequences, such as [mb], [nd], and [ g], is whether the passage to the nasal cavity is open or not, the subtraction of the LPC spectrum of the voiced stop from that of the preceding nasal leads to the filter characteristics of the nasal cavity of an individual speaker regardless of place of articulation. The results suggest that various attempts should be made to extract a robust filter characteristics of the nasal cavity by giving variation to LPC coefficients and by paying particular attention to speech samples. This study is significant in that it provides a preliminary report about a new method of extracting the filter characteristics of the nasal cavity.

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Sleep Disordered Breathing and Nasal Obstruction (수면호흡장애와 코막힘)

  • Chung, Yoo-Sam
    • Sleep Medicine and Psychophysiology
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    • v.12 no.2
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    • pp.93-97
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    • 2005
  • Nasal obstruction may cause or aggravate sleep disordered breathing but exact pathogenesis is not clear. The possible mechanism could be combination of alteration in upper airway aerodynaimcs, loss of nasal reflex or sensation, effect of mouth opening, and a genetic predisposition. Anatomical narrowing of nasal airway cause more rapid airflow and induce more negative inspiratory air pressure. So, it increases collapsibility of pharyngeal airway. Loss of nasal sensation to airflow block nasal reflex. Mouth opening decreases the activity of pharyngeal airway dilator muscles and narrowing the pharyngeal airway may occur. The treatment of nasal obstruction should be done according to the cause. The causes of nasal obstruction are various from problems of external nasal opening to nasopharynx. Relief of nasal obstruction may not cure sleep disordered breathing always. In some mild obstructive sleep apnea patients, treatment of nasal obstruction only may cure sleep disordered breathing. In some severe sleep apnea patients, treatment of nasal obstruction may increase compliance of continous nasal positive airway pressure.

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The Effect of Half Day Nasal Packing in Results of Closed Reduction of Nasal Bone Fracture (반나절 비강충전이 비골 골절 수술결과에 미치는 영향)

  • Han, Dong Gil;Kim, Tae Seob
    • Archives of Craniofacial Surgery
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    • v.13 no.2
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    • pp.119-124
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    • 2012
  • Purpose: Closed reduction and nasal packings for 3-7 days is usual procedures in managing nasal bone fracture. Most patients experience several discomfort owing to lack of nasal breathing. There are many reports concerning how to reduce patient's discomforts or complications. But it is obvious that the duration of nasal packing is 3-7 days. The aim of this study is evaluate the effect of half day nasal packing in results of nasal bone fracture. Methods: The study was performed on 97 nasal bone fracture patients who had simple nasal bone fractures from January to June 2012. The incidence, cause, patient's discomfort and satisfaction with half day nasal packing are analyzed according to patient's medical records and questionnaire at each nasal packing removal, postoperative 4 weeks. Results: Young male patients, especially the teenagers and the twenties were the common age group, and physical violence was most common cause of injury. A total of 78 out of 97 patients were male. In 92 cases, closed reduction were applied. Approximately, 87% of the patients were satisfied with the outcomes. Conclusion: Half day nasal packing is considered as an effective method to minimize patient's discomfort owing to prolonged absence of nasal breathing with maintenance of stability.

The measurement of nose dimensions through the three-dimensional reformation images after nasal bone fracture

  • Jang, Seung Bin;Han, Dong Gil
    • Archives of Craniofacial Surgery
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    • v.20 no.1
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    • pp.31-36
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    • 2019
  • Background: After closed reduction, patients are sometimes concerned that their external nasal shapes have changed. The aim of this study was to investigate and explain changes in nasal shape after surgery through objective photogrammetric anthropometry measurements taken through three-dimensional (3D) reformed computed tomography (CT) images. Methods: Our study included 100 Korean patients who underwent closed reduction of isolated nasal bone fracture from January 2016 to June 2017. Using the ruler tool in Adobe Photoshop CS3, we measured preoperative and postoperative nasal base heights, long nostril axis lengths, both nasal alar angles, and amount of nasal deviation through the 3D reformation of soft tissue via CT scans. We then compared the dimension of nose. Results: The amount of postoperative correction for nasal base height was 1.192 mm. The differences in nostril length between each side were found to be 0.333 mm preoperatively and 0.323 mm postoperatively. The differences in the nasal alar angle between each side was $1.382^{\circ}$ preoperatively and $1.043^{\circ}$ postoperatively. The amount of nasal deviation was found to be 5.248 mm preoperatively and 1.024 mm in postoperatively. Conclusion: After the reduction of nasal bone fractures, changes in nasal dimensions were noticeable in terms of nasal deviation but less significant in nasal tips, except for changes in nasal alar angles, which were notable.

Discordance between Clinical Diagnosis and Reading of Computerized Tomography in Nasal Bone Fracture (코뼈 골절의 임상적 진단과 전산단층촬영 판독간의 불일치)

  • Kim, Dong-Hyun;Hwang, Kun
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.375-379
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    • 2010
  • Purpose: The nasal bone is the most frequently fractured facial bone. Discordance between the CT reading by the radiologist and the diagnosis by the plastic surgeon is not uncommon. This study examined the discordance and proposes a method for reducing the rate of discordance. Methods: The CT readings by the radiologist were compared with the diagnosis by the plastic surgeon in 716 patients with a clinically suspected nasal bone fracture. The CT reading was classified as the following: a nasal bone fracture, suspicious nasal bone fracture, old nasal bone fracture, no nasal bone fracture. The sensitivity, specificity and positive predictive value of the CT reading were calculated. Results: A nasal bone fracture was diagnosed in 646 patients by the plastic surgeon and confirmed intraoperatively. The reading of a "nasal bone fracture", "suspicious nasal bone fracture", "old nasal bone fracture" and "no nasal bone fracture" was 85.8%, 4.6%, 0.6% and 9.1% respectively. The sensitivity and specificity of the CT reading were 95.0% and 92.9%, respectively. The positive predictive value of the CT reading was 99.3%. The reading of "nasal bone fracture" that was not a nasal bone fracture clinically was 17.1% (12 of 70), and the reading of "no nasal bone fracture" or "old nasal bone fracture" that was found to be a nasal bone fracture clinically was 3.3% (21 of 646). The discordance rate between the CT reading by the radiologist and the diagnosis by the plastic surgeon was 4.6%. Conclusions: To reduce the discordance rate, we propose to hold a meeting with the plastic surgery-radiology staff to communicate the information regarding a suspicious or old nasal bone fracture.

Postoperative Change in Hypertrophic Rhinitis(Study Using Nasometer, CSL and Acoustic Rhinometer) (비후성 비염환자에서 음성검사 및 음향비강통기도검사를 이용한 수술전후 비교)

  • 유영삼;우훈영;윤자복;최정환;조경래
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.12 no.1
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    • pp.34-38
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    • 2001
  • Background and Objectives : With the development of computerized systems, an objective evaluation methods of nasal speech and nasal geometry have become readily available by means of a simple, noninvasive technique. In this study, we assessed the nasality, nasal formant, nasal volume and nasal area in patients with hypertrophic rhinitis before and after turbinate surgery. Material and Method : With the nasometer, we measured nasalance, which reflects the ratio of acoustic energy output of nasal sounds from the nasal and oral cavities. With CSL 4300B, we measured nasal formants. We used acoustic rhinometer to measure nasal area and nasal volume. Postoperative changes of above factors were compared with preoperative values. Paired t-test and Pearson's correlation were used for statistical analysis. Results : The first nasal formant frequency, nasalance scores of three passages(baby, mamma and rabbit passages), minimal cross sectional area(MCA) of narrow side, nasal volume of narrow side and nasal volume of wide side had increased significantly after turbinate surgery (p <0.05). The MCA and nasal volume of narrow side and MCA of wide side showed significant correlation with nasalance score of rabbit passage and baby passage showed significant correlation with nasal volume of narrow side(p<0.05). Conclusion : There were significant increases in nasalance scores, first nasal formant frequency, MCA and nasal volume after turbinate surgery. Thus, we must consider the possibility of voice changes postoperatively in professional voice users.

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A STUDY ON NORMAL NASAL RESPIRATORY RESISTANCE IN THE PREPUBERTAL CHILDREN (사춘기전(思春期前) 아동(兒童)의 정상(正常) 비강(鼻腔) 통기도(通氣度)에 관한 연구(硏究))

  • Yang, Won-Sik;Suhr, Cheong-Hoon;Nahm, Dong-Seok;Chang, Young-Il
    • The korean journal of orthodontics
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    • v.22 no.1
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    • pp.31-42
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    • 1992
  • This study was designed to analyze normal nasal respiratory resistance in prepubertal children. The subjects consisted of 30 prepubertal children (male: 15, female: 15). The mean age was 11.4 years in male children and 11.5 years in female children. The results were as follows: I. The normal nasal respiratory patency was lower than the normal values from RION corp. 2. The normal nasal respiratory airflow rates showed no sexual differences. And there were no differences between inspiration and expiration. 3. Before and after use of nasal decongestants, there were no significant differences of normal nasal respiratory airflow rates and after the administration of nasal decongestants, nasal respiratory patency manifested lower variability. 4. The normal nasal respiratory resistance without nasal decongestants at 150 Pascal in inspiration was $0.30Pa/cm^3/sec({\pm}0.07)$ and peak nasal inspiratory airflow rate was $1016.83cm^3/sec({\pm}223.89)$. 5. The normal nasal respiratory resistance with nasal decongestant at 150 Pascal in inspiration was $0.25Pa/cm^3/sec({\pm}0.05)$ and peak nasal inspiratory airflow rate was $1148.33cm^3/sec({\pm}234.29)$.

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PIV Measurement on Airflows in the Abnormal Nasal Cavity with the Adenoid Vegetation (아데노이드 비대증에 의한 비정상 비강 내 유동의 PIV해석)

  • Kim, Sung-Kyun;Son, Young-Rak
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.27 no.4
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    • pp.518-523
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    • 2003
  • Airflow in the nasal cavity of Korean adults is investigated experimentally by PIV measurement. Quantitative data for normal and abnormal nasal cavities with adenoid vegetation are obtained. The CBC PIV algorithm with window offset is used for PIV flow analysis. Average and RMS distributions are obtained for inspirational and expirational nasal airflows. Comparisons between western and Korean nasal airflows are appreciated. Due to the difference in geometry of the frontal part of nasal cavity, the flow near nares shows the difference. For the joint research on nasal deceases, PIV measurements of nasal airflow for nasal cavities with 50% and 70% adenoid vegetation are conducted for the first time. Comparisons in nasal airflows for both normal and abnormal cases are also appreciated.