• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.4 no.1
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• pp.19-23
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• 1991

Selected characteristics were compared in the speech of three tracheoesophageal, five tracheopharyngeal and ten normal laryngeal adult speakers. Tracheoesophageal speakers use Blom-Singer voice prosthesis after total laryngectomy and tracheopharyngeal speakers use tracheopharyngeal myomucosal shunt after near-total laryngectomy. Intelligibility judgement was based on standard Korean monosyllabic and bisyllabic word lists of 50 items. Aerodynamic study was composed of maximum phonation time, phonaton quotient. phonation pressure and mean air flow rate. Results indicate that intelligibility of tracheopharygeal speech is more similar to normal laryngeal speech than tracheoesophageal speech using Blom-Singer voice prosthesis.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.10 no.1
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• pp.58-62
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• 1999

Previously, laryngectomized patients can achieve speech with tracheoesophageal device. Tracheoesophageal speech is currently one of the best methods of postlaryngectomy voice rehabilitation. But, tracheoesophageal speakers have some troublesome with digital occlusion of tracheostoma in every speaking time. Therefore, the tracheostoma valve has been introduced since 1982, and this valve could eliminate the need of tracheostoma digital occlusion. Currently, couple of tracheostoma valves has been introduced and developed. In this article, we introduced the 3 representative tracheostoma valves. Also, we discussed their use and characteristics. Traditionally the tracheostoma valve is used in total laryngectomized patients. We introduced one case using a tracheostoma valve after near total laryngectomy. Advantage and disadvantage of Blom-Singer valve and BIVONA II valve during using in this patients are discussed.

• Phonetics and Speech Sciences
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• v.5 no.4
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• pp.25-32
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• 2013

This research is aimed at finding the acoustic characteristics of different voice rehabilitation techniques, the electrolaryx (EL), standard esophageal (SE), and tracheoesophageal (TE), used on 17 patients with laryngectomees. The analysis of the voice qualities was achieved using MDVP. In order to compare the acoustic characteristics, patients were asked to produce the vowel /a/ sound. The acoustic analysis included fundamental frequency (f0), jitter, shimmer, and noise-to-harmonic ratio (NHR). The main acoustic results showed no significant statistical differences between the average measurements of SE and TE speakers. It was found that the current study showed the same tendency found in previous studies. There was also a significant difference between SE and EL speakers. On the other hand, there were no significant statistical differences between the average measurements of TE and EL speakers on all acoustic measurements. This research will contribute to establishing a baseline related to speech characteristics in voice rehabilitation for patients with laryngectomees. In future, the present findings and issues should be considered in the context of gender. Specifically, the number of women who are diagnosed with laryngeal cancer continues to rise and their acoustic characteristics may indeed differ from those of men.

• Phonetics and Speech Sciences
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• v.5 no.4
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• pp.17-24
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• 2013

This study is aimed at finding out different types of speech characteristics categorized based on voice rehabilitation techniques used on twenty-six patients (all-male) with total or partial laryngectomees. The speech intelligibility of standard esophageal (SE), tracheoesophageal speech (TE), and electriclarynx (EL) was measured by using the CSL and eleven listeners were instructed to rate the speech on a 5-point scale. The vowel space parameters such as vowel space, VAI, FCR, and F2 ratio were measured by averaging 5 repeats of each vowel (/a/, /e/, /i/, /u/) and the results were put into the parameter formula. The results showed significant statistical differences in speech intelligibility and vowel space between SE and TE. The speech intelligibility and vowel space of TE were higher than those of SE or EL and there was a high correlation between speech intelligibility and some parameters (vowel space, VAI, F2 ratio). The results also showed that TE's speech characteristics were most similar to normal groups comparing with SE and EL, but still very deviant in laryngeal speech. This was due to insufficient airflow intake into the esophagus when producing sounds, and because articulation movement was carried out differently among groups. Therefore, these findings will contribute to establishing a baseline related to speech characteristics in voice rehabilitation for patients with alaryngeal speech.

• Speech Sciences
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• v.7 no.3
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• pp.197-218
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• 2000

The vocal tract shapes were measured from tracheoesophageal speakers during the sustained phonation of five Korean vowels /u/, /o/, /a/, /e/, /i/ using magnetic resonance image(MRI). The subject's original vowel utterances with speech intelligibility and the synthesized vowels from MR images were analyzed. The results were as follows: (1) The vowels /a/, /e/, /i/ were perceived as the same sounds of actual subject's speech, but the vowels /o/ and /u/ were perceived as /$\partial$/ and strained /u/, respectively. (2) The synthesized vowels /a/ and /e/ from the MR images were perceived as the same sounds, but the vowels /u/, /o/, /i/ were perceived as different sounds. (3) The synthesized vowel by the expanded pharyngeal segment of 3 times in vowel /o/ was perceived as more natural than that of 2 times. The pharyngeal areas with varied sizes should be experimented to secure better speech production because the correct shapes of the vocal tract lead to distinct vowel production.