• 대한후두음성언어의학회지
• /
• 제23권1호
• /
• pp.48-51
• /
• 2012

Background and Objectives : Vocal fold cyst is generally treated by surgical resection, it has a difference with vocal fold polyp, treated by conservative management first. Decrease in mucosal waves is known as main diagnostic criteria of vocal fold cyst. Sometimes there is a difficulty for diffrential diagnosis between cyst and polyp only by endoscopic examination. The purpose of the study is to identify the objective features of vocal cyst and polyp on the basis of voice analysis for the proper differential diagnosis, especially at high pitched phonation. Materials and Method : The voice analysis was done in 15 focal fold cyst patients and 42 vocal fold polyp. Parameters of perceptual assessment, acoustic and aerodynamic measure, and voice range profile were compared between two groups. Results : Vocal fold cyst patients showed significantly reduced MPT by acoustic and aerodynamic analysis, narrowed frequency-range and low maximun frequency by voice range profile analysis compared with vocal fold polyp patient. Maximun frequency 381 Hz is established for cut off value, differential diagnosis between cyst and polyp (ROC analysis, sensitivity 60%, specificity 68%). Conclusion : Voice analysis is helpful for differential diagnosis between vocal fold cyst and polyp, especially there is a difficulty for distinguish cyst from polyp at clinical situation by endoscopic examination. The result of decreased maximum frequncy at vocal fold cyst supports incomplete high-pitched phonation and falsetto regester at vocal fold cyst patients due to decreased mucosal wave, compared with vocal fold polyp patients.

• 대한후두음성언어의학회지
• /
• 제26권2호
• /
• pp.122-126
• /
• 2015

Background and Objective : Laryngeal microscopic surgery (LMS) is popular method to treat for vocal polyp. There is not always the improvement of the voice after operation. Many methods have been developed for better outcome of the surgery. The purpose of this study is to investigate the effect of the triamcinolone injection at vocal cord during LMS. Materials and Methods : The medical records of 28 patients, received LMS under diagnosis of vocal polyp, were retrospectively reviewed. The patients were divided into two groups depending on whether triamcinolone injected or not (case group : Triamcinolone-injected group, control group : Triamcinolone-not injected group). The quality of voice was evaluated by GRBAS scale, fundamental frequency (Fo), jitter, shimmer and NHR (Noise to harmonic ratio) at previous operation, 4 weeks after operation, 8 weeks after operation. Each voice analysis factor was compared between case group and control group by Independent t-test. Results : The mean differences of each voice analysis factor. The mean difference of Jitter, Shimmer, NHR in case group were lower than in control group, and mean difference of GRBAS scale in case group were higher than in control group. These differences were not significant (p>0.05). Conclusion : Though there was a tendency of better voice outcome in patients of triamcinolone-injection, it may not be concluded that the triamcinolone injection is helpful for better voice outcome in surgery of vocal polyp due to statistical insignificance.

• 대한후두음성언어의학회지
• /
• 제26권1호
• /
• pp.40-45
• /
• 2015

Objectives:This study aims to investigate the correlation between the measurements of Praat as an acoustic evaluation and those of GRBAS and CAPE-V as perceptual rating tool respectively. Through this, it also tries to find out parameters to which attention should be paid when an evaluator, who is untrained in auditory-perceptual voice evaluation, conducts voice evaluation with objective tool. Materials and Methods:Voice samples of this study were 33 vocal polyp patients(23 males and 10 females) who visited our Department of Otorhinolaryngology. They sustained vowel voices of 'e' were recorded and acoustically analyzed. Results:As the results of correlation analysis between GRBAS and Praat measurements, G scale and R scale showed statistically significant correlation with Jitt, Shim and NHR. And it is found that B scale represented significant correlation with Jitt, S scale with Shim. As the results of analysis on correlation with CAPE-V and Praat measurements, OS scale and R scale showed statistically significant correlation with Jitt, Shim and NHR. B scale represented significant correlation with Jitt, S scale with Shim. Conclusion:Although, both GRBAS and CAPE-V were highly reliable, in comparison between CAPE-V and Pratt, more parameters that showed statistically significant correlation are observed, which implies that VAS has more potential to make detailed evaluation than ORD.

• 디지털콘텐츠학회 논문지
• /
• 제18권6호
• /
• pp.1049-1056
• /
• 2017

본 연구는 스피치교육의 효과를 측정하는데 있어 화자의 목소리의 변화에 주목하였다. 본 연구에서는 스피치교육을 통해 얻게 되는 실질적 효과 중 목소리의 변화를 보다 가시적이고, 과학적으로 평가하고자 하였다. 연구결과 모든 학습자의 목소리에서 스피치교육 전과는 다른 객관적인 변화를 찾을 수 있었다. 학습자 모두 공명, 음색, 발음의 정확성, 휴지 등 다양한 목소리 요소에서 점진적 기술향상이 이루어졌다. 즉, 스피치교육을 받기 전보다 목소리가 풍부해지고 발음이 정확하고, 휴지를 잘 활용하는 안정화된 결과를 볼 수 있었다. 이 연구결과를 통해 스피치훈련을 통해 목소리의 변화가 나타날 수 있는지 분석하고, 스피치 학습자들이 스피치교육에 적극 임해 스피치실력 향상의 결과를 얻을 수 있을 것으로 기대된다.

• 대한후두음성언어의학회지
• /
• 제33권3호
• /
• pp.172-178
• /
• 2022

Background and Objectives Injection laryngoplasty is a common method for treatment of unilateral vocal fold paralysis. Unilateral vocal fold paralysis has various causes, including idiopathic, infection, stroke, neurologic condition, surgery and nerve invasion by cancer. To the knowledge of the authors, there was no study on the relationship between the causes of vocal cord paralysis and the outcome of injection laryngoplasty. Therefore, we tried to investigate the difference in the outcomes of injection laryngoplasty between vocal cord paralysis after surgery group and nerve invasion by cancer group. Materials and Method A retrospective analysis was performed for 24 patients who underwent vocal cord injection due to unilateral vocal cord paralysis caused by surgery or nerve invasion by cancer. The objective quality of the voice was assessed by acoustic voice analysis with the Multi-Dimensional Voice Program. Results Both group showed an improvement of fundamental frequemcy (F0), jitter percent, shimmer (percent), and noise to hearmonic ratio (NHR) after injection laryngoplasty. The vocal cord paralysis due to nerve invasion group showed more improvement in both the mean and median value of F0, shimmer percent and NHR than the vocal cord paralysis due to surgery group, but there was not statistically significant. Conclusion Our study did not show a statistically significant difference in outcome between vocal cord paralysis due to cancer invasion group and surgery group, but statistically tendency was suggested. The vocal cord paralysis due to nerve invasion group showed more improvement in both the mean and median value of acoustic voice analysis than surgery group.

• 대한후두음성언어의학회지
• /
• 제8권2호
• /
• pp.166-172
• /
• 1997

Background : For example, aerodynamic study, vibratory study, acoustic study, neuro-muscular test and psychoacoustic evaluation, a number of objective methods are now available for assessing pathologic voice change. They help to differentiate pathologic condition from normal condition and to monitor pathologic and aging change. These laboratory analyses are used commonly to monitor speech therapy and to follow a patient's recovery after surgery. Objectives : We investigated the values of jitter, shimmer and NNE of normal person and hoarseness patients in Korea. The values of Jitter and shimmer might be meaningful parameters distinguishing pathologic vibration from normal and recovery after surgery. Materials and Methods : Statistical significance between normal control and 48 subjects taken microlaryngeal surgery were compared with Dr. speech science program that is computerized system for acoustic analysis of voice production employed to determine vocal characteristics of pitch perturbation(jitter) and amplitude perturbation(shimmer). Results : The mean normal values of jitter and shimmer were 0.226${\pm}$0.110(%), 2.200${\pm}$0.421(%) in male and 0.164${\pm}$0.060(%), 2.063 ${\pm}$0.575(%) in female. In patients with vocal nodule, the preoperative and postoperative values of jitter and shimmer were valueless. In patients with vocal polyps, the preoperative and postoperative values of jitter and shimmer were valuable. Conclusion : Dr. speech science program was effective to monitor laryngeal disease and aging changes.

• 한국통신학회논문지
• /
• 제36권8B호
• /
• pp.979-985
• /
• 2011

오늘날 관계지수 또는 공존지수라 불리우는 NQ(Network Quotient)가 중요한 사회에 살면서 가장 중요한 것이 상대와의 대화가 되고 있다. 따라서 사회생활에 있어 정확한 발음을 구사하여 자신의 의견을 개진하고 의사 전달력을 극대화시키는 것이 대단히 중요한 항목이 되고 있다. 이를 위해 일상생활에서 자신의 의사 전달력을 높이기 위해 발음 체조 뿐 아니라 성대와 연계된 성대 반사점을 지압하는 행위 등 발음의 정확성을 향상시키고자 하는 노력이 이루어지고 있는 실정이다. 그러나 이런 노력들이 실제 정확한 발음을 향상시키는 역할을 하는지에 대한 객관화된 실증적 연구가 전무한 실정이었다. 따라서 본 논문에서는 IT 기술을 적용하여 발음 체조 등과 같은 방법들이 실제 발음 정확성의 향상에 도움이 되는지에 대한 효용성 입증 및 정량화를 위한 방법을 새롭게 제안하였다. 이를 위해 20대 남성 30명을 대상으로 성대 반사점 지압과 발음 체조를 수행하기 전과 후의 음성을 수집하여 음성 분석을 수행하였다.

• 대한후두음성언어의학회지
• /
• 제29권1호
• /
• pp.30-36
• /
• 2018

Background and Objectives : The effect of palliative injection laryngoplasty in cancer-related unilateral vocal cord paralysis patients on voice and swallowing function is uncertain and there are few previous studies of its suitability, benefits as a palliative treatment option. The purpose of this study is to confirm the objective results of voice and swallowing function after palliative office-based hyaluronic acid injection laryngoplasty in cancer-related unilateral vocal cord paralysis patients. Materials and Method : 36 patients who had unilateral vocal cord paralysis from non-thyroidal, extralaryngeal neoplasms were included in this study. To evaluate the clinical outcome, we analyzed perceptual GRBAS grading, acoustic analysis, aerodynamic study, Electroglottography (EGG), Voice Handicap Index (VHI-30) about voice function and disability rating scale (DRS), gastric tube dependency, aspiration pneumonia about swallowing function and 36-Item Short Form Survey version 2 (SF-36v2) about quality of life. Results : In GRBAS scale, G (p<0.001), R (p=0.004), B (p=0.001), A (p=0.011), and S (p=0.007) showed significant improvement. Jitter, shimmer, speaking fundamental frequency, maximal phonation time, VHI-30, DRS score, gastric tube dependency, aspiration pneumonia, and SF-36v2 were significantly improved after injection (p=0.016, p=0.011, p=0.045, p=0.005, p<0.001, p<0.001 p=0.003, p<0.001, and p<0.001 respectively). Conclusion : From this study we concluded office-based hyaluronic acid injection can be used as a useful palliative treatment option in cancer-related ill patients with unilateral vocal cord paralysis. Palliative hyaluronic acid injection laryngoplasty avoids the need for tube feeding, thus reducing the risk of aspiration pneumonia. These outcomes are accompanied by significant improvement in voice quality.

• 대한한방소아과학회지
• /
• 제20권2호
• /
• pp.77-92
• /
• 2006

Objective : The purpose of this study was to distribute children by Sasang constitution through voice analysis, and to investigate the difference of physical and physiological characteristics in constitutions. Material and Methods : The subjects were 380 children aged between 5 and 6 who had been attending kindergartens. In April 2006, children were examined to make a diagnosis of Sasangin by PSSC-2004. Their parents responded the questionnaire on the children's characterist as eating habit, digestion, defecation, urination and perspiration. Results : Sasang constitution composed of 55.0% Soeumin, 1.8% Soyangin and 43.2% were Taeumin, and there were no significant physical and physiological differences in those groups. Conclusion : In this study, we tried to figure out some physical and physiological characteristics differences in Sasang constitution by using PSSC-2004. Statistically, however, there were no remarkable differences and we needed more specific studies.

• 음성과학
• /
• 제7권1호
• /
• pp.97-107
• /
• 2000

Motor aphasia is an affection frequently caused by insult of the left middle cerebral artery and usually accompanied by a large lesion involving the Broca's area and the adjacent motor and premotor areas. Therefore, a patient with motor aphasia commonly shows articulatory disturbances due to failure of the motor programing of speech sound. Objective assessment and treatment of phonologic programing is one of the important aspects of speech therapy in aphasic patients. We analyzed the speech disorders acompanied with motor aphasia in a 45-year-old man using a computerized sound spectrograph, Visi-$Pitch{\circledR}$, and Multi-Dimensional Voice $Program{\circledR}$. We concluded that a computerized speech analysis system is a useful tool to visualize and quantitatively analyse the severity and progression of dysarthria, and the effect of speech therapy.