• 제목/요약/키워드: vocal process

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성대돌기 육아종의 음성치료 효과 (The Effects of Voice Therapy in Vocal Process Granuloma)

  • 김성태;최승호;남순열
    • 말소리와 음성과학
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    • 제2권4호
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    • pp.165-171
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    • 2010
  • Vocal process granuloma can occur commonly by laryngopharyngeal reflux (LPR), vocal abuse or misuse. It has been reported that voice therapy is employed with medication therapy for the patients who has vocal process granuloma, however research about effect of voice therapy can be hardly founded. For that matter, the primary aim of this study was to evaluate the effect of therapeutic method we implement. Thirty one patients who has been diagnosed with vocal process granuloma from January, 2007 to June, 2009 participated in this study. 19 patients among them are provided voice therapy and medication, 12 patients take only medication. Voice therapy is implemented ranging from 5 to 19 sessions (mean: 8.6 sessions). We provided explanation about problem each patient has, voice rest, SKMVTT$^{(R)}$, abdominal breathing, and relaxation in session. All subjects were examined by videostroboscopy, perceptual assessment, acoustic and aerodynamic measures. Consequantly, the greater part of the patients (78.9%) who is treated by voice therapy and medication are confirmed disappearance or decrease of granuloma, it shows better results compared with the group provided only medication (66.7%). Especially, the period of drug administration is 3.7 months in the group runs parallel with voice therapy, the period of other group is 7.8 months. The results of acoustic and aerodynamic measures after treating indicates there are significant decrease in Jitter, Shimmer, and NHR, and increase in MPT, Psub (p<.05). However, there is no large difference statistically even though voice quality has improved since the therapy. In conclusion, it is verified that the voice therapy to the vocal process granuloma patients taking medication is effectual method, we recommend combining voice therapy with medication when treatment is needed for the vocal process granuloma patients.

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개에서 성대 및 성대돌기의 고정에 의한 무성술 (Devocalization of Dogs by Fixation of Vocal Cords and Vocal Processes)

  • 정종태;원상철
    • 한국임상수의학회지
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    • 제15권1호
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    • pp.124-130
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    • 1998
  • This study was performed to evaluate the new surgical technique for debarking. Of the 8 mongrel dogs which underwent devocalization, 4 heads (group 1) received complete surgical removal of the vocal cords and another 4 heads (group 2) received fixation of vocal cords and vocal processes onto the thyroid cartilage. Volume of each dogs' voices was measured by a sound level meter(Function A) over 7 months at intervals of 10 days. All experimental animals'hematological values were measured before operation and postoperative at 2i 5 and 10 days. The changes of volume of dogs'voices and hematological values were analyzed by paired t-test. The volume in the dogs'voices in each group after operation was significantly lower than that before operation. At this results we detected that devocalizing effect was the same in each group. Postoperative volume of dogs'voices in group 1 had a tendency to increaser but group 2 had a tendency to decrease. The number of erythrocytes at 2 days after operation was significantly fewer than those before operation in group 1, but the group 2 did not have significant changes. The number of leukocytes at 2 days after operation significantly increased from those before operation in group 11 but the group 2 did not have significant changes. It was concluded that the new surgical technique, fixation of vocal cords and vocal processes onto the thyroid cartilages could be available for the devocalization of dogs and for the prevention of postoperative inflammation and blood loss.

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음성처리를 위한 표준 발음법의 전산화 (Computerization and Application of Hangeul Standard Pronunciation Rule)

  • 이계영
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2003년도 하계종합학술대회 논문집 Ⅲ
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    • pp.1363-1366
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    • 2003
  • This paper introduces computerized version of Hangout(Korean Language) Standard Pronunciation Rule that can be used in Korean processing systems such as Korean voice synthesis system and Korean voice recognition system. For this purpose, we build Petri net models for each items of the Standard Pronunciation Rule, and then integrate them into the vocal sound conversion table. The reversion of Hangul Standard Pronunciation Rule regulates the way of matching vocal sounds into grammatically correct written characters. This paper presents not only the vocal sound conversion table but also character conversion table obtained by reversely converting the vocal sound conversion table. Making use of these tables, we have implemented a Hangeul character into a vocal sound system and a Korean vocal sound into character conversion system, and tested them with various data sets reflecting all the items of the Standard Pronunciation Rule to verify the soundness and completeness of our tables. The test results shows that the tables improves the process speed in addition to the soundness and completeness.

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청각 장애인용 통합형 발음 훈련 기기의 개발 (Development of Integrated Speech Training Aids for Hearing Impaired)

  • 박상희;김동준
    • 대한의용생체공학회:의공학회지
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    • 제13권4호
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    • pp.275-284
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    • 1992
  • Development of Integrated Speech Training Aids for Hearing Impaired In this study, a spepch lralnlng aids that can do real-time display of vocal tract shape and other speech parameters together in a single system is implemenLed and self-training program for this system is developed. To estimate vocal tract shape, speech production process is assumed to be AR model. Through LPC analysis, vocal tract shape, intensity, and log spcclrum are calculated. And, fundamental frequency and nasality are measured using vibration sensors.

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한국어 음운 변동 처리 규칙의 설계 및 구현 (Design and Implementation of Vocal Sound Variation Rules for Korean Language)

  • 이계영
    • 한국정보처리학회논문지
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    • 제5권3호
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    • pp.851-861
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    • 1998
  • 한국어는 음운 변동 현상이 매우 발달되어 있다는 특징을 갖고 있다. 따라서, 음성 인식율의 제고와 음성 합성음의 자연스러움을 향상시키기 위해서는 음운 변동 현상을 비롯한 한국어의 모든 특징에 대한 체계적인 연구가 있어야 한다. 본 논문은 한국어의 제 특징 중에서 음운 변동 현상을 효율적으로 처리할 수 있는 규칙을 설계하고 구현함으로써, 한국어 음성 인식과 합성에 효율적으로 이용될 수 있음을 보인다. 음운 변동 규칙의 설계를 위하여 사용된 규정은 한글 맞춤법 통일안의 표준 발음법(7장 30항)이며, 일차적으로 각 규정별로 설계된 규칙을 최종적으로 27개 그룹으로 정리된 종성별 규칙을 제시하였다. 본 연구에서 제안된 음운 변동 처리 시스템은 한번의 규칙 적용으로 음운 변도 dgus상이 신속히 처리되는 잇점이 있으며, 단어 및 용언의 어간에 접속되는 정보에 대한 처리 내용까지도 제안된 규칙내에 수용하였기 때문에 문장 단위의 음성 인식과 합성 시스템의 연구에 도움을 줄 수 있다.

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Botulinum Toxin Type A (BOTOX$^{\circledR}$)를 이용한 성대 육아종의 치료효과 (The Effect of Botulinum Toxin Type A for the Vocal Fold Granuloma)

  • 김정홍;김한수;남지인;장정현;김지훈;최홍식
    • 대한후두음성언어의학회지
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    • 제14권1호
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    • pp.40-46
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    • 2003
  • Background and Objectives : The vocal fold granuloma has been associated with vocal abuse, gastroesophageal reflux, endotracheal intubation and habitual throat clearing etc.. Granuloma is benign growth of hypertrophic granulation tissue. It is usually located on the posterior third of vocal fold, in one or both vocal process of the arytenoid cartilage In spite of the voice therapy, steroid therapy, anti-reflex therapy and surgical procedure. The distinct advantage and uniform success rate of each methods have not been generally shown. Authors report that localized injection of botulinum toxin type A (BOTOX$^{\circledR}$) is the promising method both as an initial treatment and as an alternative treatment in patients who do not respond to standard therapy or who are poor surgical candidates. Materials and Method : We carried out a retrospective study of 9 patients with the diagnosis of vocal fold granuloma on the videostroboscopic examination from Jan 2000 to Mar 2003. The botulinum toxin type A was injected into one or both thyroarytenoid muscle or lateral cricoarytenoid muscle under the electromyography. The average dosage ranges from 6U to 8U per injection. Results : Unilateral vocal fold granuloma in 7 patients had been resolved completely within 2-3 months after first injection : 5 patients received th\ulcorner GER medical therapy in addition to the Botulinum toxin injections, 2 patients was resolved completely who had shown recurrence after $CO_2$ laser vaporization. 2 patients who had shown recurrence after $1^st$ injection were also completely resolved within 6 months after further injections. Conclusion : We expect that localized injection of Botulinum toxin type A can provide an alternative treatment for the refractory cases to the traditional forms of therapy and avoid the recurrence in conjunction with proper medical and voice therapy against GER and vocal abuse.

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편측성대마비환자에 대한 피열연골내전술 (Arytenoid Adduction as a Surgical Treatment for Hoarseness with Unilateral Vocal Cord Paralysis)

  • 김광문;김영호;홍원표;최홍식
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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    • pp.74-74
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    • 1993
  • 다양한 원인에 의하여 야기되는 편측성대마비에 의한 애성을 치료하기 위하여 현재 사용되고 있는 방법으로는 테프론이나 실리콘 등의 성대내 주입술, 갑상연골성형술 등이 있다. 그러나 성대부전이 너무 크거나, 양측성대의 위상차이가 심한 경우에는 상기 수술법으로는 만족스러운 결과를 얻기가 용이하지 않다. 이런 경우에 피열연골의 근돌기를 외과적으로 노출시킨 후 측전방으로 당겨줌으로써 성대의 내전을 유도할 수 있는 피열연골내전술(arytenoid adduction)로 음성개선을 도모할 수 있다. 최근 저자들은 애성을 주소로 영동세브란스병원 이비인후과로 내원하였던 편측성대마비 환자 3예에서 보다 만족할만한 음성개선의 결과를 도모하고자 피열연골내전술을 시행하여 좋은 결과를 얻었기에 보고하는 바이다.

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LSP를 이용한 성문 스펙트럼 기울기 추정에 관한 연구 (A Study on the Estimation of Glottal Spectrum Slope Using the LSP (Line Spectrum Pairs))

  • 민소연;장경아
    • 음성과학
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    • 제12권4호
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    • pp.43-52
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    • 2005
  • The common form of pre-emphasis filter is $H(z)\;=\;1\;- az^{-1}$, where a typically lies between 0.9 and 1.0 in voiced signal. Also, this value reflects the degree of filter and equals R(1)/R(0) in Auto-correlation method. This paper proposes a new flattening algorithm to compensate the weaked high frequency components that occur by vocal cord characteristic. We used interval information of LSP to estimate formant frequency. After obtaining the value of slope and inverse slope using linear interpolation among formant frequency, flattening process is followed. Experimental results show that the proposed algorithm flattened the weaked high frequency components effectively. That is, we could improve the flattened characteristics by using interval information of LSP as flattening factor at the process that compensates weaked high frequency components.

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연령에 따른 정상인의 후두 위치 및 발화 기저주파수의 변화에 대한 연구 (A Study for the Changes of Laryngeal Position and Vocal Pitch with Ageing Process)

  • 홍기환;김현기;정경수;윤희완;김성완
    • 대한후두음성언어의학회지
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    • 제9권1호
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    • pp.79-85
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    • 1998
  • Changes in the human voice occur between infancy and old age and reflect a myriad of biological changes that influence the size, shape, and physical properties of the larynx. The human larynx is located near the base of the neck and attached inferiorly to the trachea and opens superiorly into the pharynx. The larynx by the third month of fetal life has the same features recognizable at birth. The fundamental frequency of vocal fold vibration generally becomes higher in early age, lower in middle age, and higher in old age. These decreases in Fo undoubtedly result from a combination of factors, consisting of modest increase in length and mass of the muscle and connective tissues of the vocal fold. But the level of the larynx in the neck may be closely connected with Fo directly, high larynx in related with high pitch and low larynx with low pitch. The purpose of this study is to determine the developmental level difference from child to adult larynx using conventional radiography, and the change of speaking fundamental frequency from second decade to sixth decade.

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