• 제목/요약/키워드: voice change

검색결과 360건 처리시간 0.031초

갑상선 수술 전 환자의 불안 정도가 수술 후 음성에 미치는 영향 : 예비연구 (Impact of anxiety on voice after thyroidectomy : a preliminary study)

  • 이형신;이상신;김화빈;오다솔;김지수;전석원;김성원;이강대
    • 대한두경부종양학회지
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    • 제33권2호
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    • pp.17-22
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    • 2017
  • Background and Objectives: Voice change after thyroidectomy may develop without injury of recurrent laryngeal nerve. Psychogenic or emotional factors related to voice change after thyroidectomy has been rarely studied. In this study, we sought to analyze the impact of anxiety on early state of post-thyroidectomy voice change. Materials and Methods: We made a retrospective chart review of 36 patients who underwent thyroidectomy for papillary thyroid carcinoma and voice exam before surgery, 2 weeks after and 1 month after surgery. All patients included in the study answered a questionnaire for State-Trait Anxiety Inventory ; STAI-KYZ (form Korean YZ). Clinico-pathologic factors and parameters of voice analysis were reviewed to analyze correlation to the anxiety index. Results: No differences were identified between clinicopathologic factors and preoperative parameters of voice analysis between patients with higher and lower level of anxiety. Noise to harmonic ratio (NHR) was higher in those patients with higher level of anxiety, 2 weeks after surgery (p=0.043). However, none of the parameters showed any difference 1 month later. Conclusion: With limited number of patients and short period of follow up, significant impact of preoperative anxiety on postoperative voice change after thyroidectomy could not be identified in this preliminary study.

노인성 음성장애의 음성치료 효과 (The Effects of Voice Therapy in Age-related Dysphonia)

  • 김성태
    • 말소리와 음성과학
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    • 제2권2호
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    • pp.117-121
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    • 2010
  • The This study aimed to evaluate the effects of the voice therapy we operated to the patients with age-related dysphonia. Thirty four participants who were diagnosed as age-related dysphonia in laryngoscopic finding from January, 2009 to December, 2009 completed the study. The participants were aged from 60 to 82 years old with a mean age of 70.6. All participants had received the abdominal breath technique, SKHPIP with laughter, and basic vocal training with description of their problem, the length of which ranged from four sessions to twelve sessions. We executed the videostroboscopy to compare the aspect of voicing change and the perceptual assessment, voice range profile, acoustic and aerodynamic measures to identify change of voice. Participants had glottal gap due to incomplete glottic closure during voicing on the pretest. After they took the voice therapy, the glottic gap became narrow and rough and breathy voice was reduced. There were significant difference in acoustic and aerodynamic measures. Jitter, Shimmer, MFR were reduced and MPT, Psub were increased(p<.05). Participants' pitch range and intensity range were increased on the posttest performance after taking voice therapy. Especially, most of them were showed that pitch range was increased significantly in high frequency area. The results of this investigation indicate that the voice therapy using abdominal breath, SKHPIP, and exercise together is effective for the patients who have age-related dysphonia to improve their voice quality. We recommend to apply this technique to functional voice disorders who are showed glottal gap.

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A New Control Method for an Adaptive Noise Canceller Using Stochastic difference between Voice and Noise Signals Power Change

  • Nishi, H.;Kakinoki, T.
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2005년도 ICCAS
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    • pp.2362-2367
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    • 2005
  • This paper reports a technique for discriminating double talk and echo path change using the stochastic characteristics of power change for an adaptive noise canceller. The causes of rapid error increasing are double talk and echo path change. When the echo path is changed, the system corrects the impulse response in order to reduce the error. However, in the case of double talk, the system has to suspend the updating impulse response in order to maintain the quality of the voice signal. In the conventional system, it was difficult to discriminate between the two situations. In this research, the stochastic characteristics of the voice power change in the double talk period were experimentally verified to be different from the power change during echo path changing. Based on the results, a new double talk detection method is proposed.

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일반화를 강화한 시각적 피드백 프로그램이 무변성 환자의 음성 일반화에 미치는 영향 : 사례연구 (The Effect of Voice Generalization on Puberphonia Patients via Generalization -Reinforced Visual Feedback Program: A Case Study)

  • 권순복;박희준;정옥란;왕수건
    • 음성과학
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    • 제15권2호
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    • pp.145-156
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    • 2008
  • The purpose of this study was to investigate the reason why puberphonia patients revisit hospitals after completion of its treatment and the effect of visual voice therapy on voice improvement. The subject the study included are two puberphonia patients who had been diagnosed by laryngologists. The patients who were diagnosed as puberphonia by the laryngologist and treated by the a speech pathologist, completed their treatment and revisited hospital. The study used laryngoscopy, acoustic and aerodynamic analysis before and after voice treatment to investigate what change happens and why generalization of treatment effect did not occur naturally in the daily life. Their voices of pre-therapy and post-therapy were analyzed on the aspects of acoustics, aerodynamics and laryngeal endoscopy. As a result, it was found that fundamental frequency(Fo) was significantly lowered in respect of acoustic change and maximum phonation time(MPT) was increased to some extent in respect of aerodynamic change. In addition, there was a laryngoscopic change and commissure glottic chink disappeared generally in the phonation. The reason why the generalization did not occur naturally in one’s daily routine was mainly due to the fact that high-pitched voicing was used for a long time. Other than that reason, negative reaction or attitude of surrounding people and lack of confidence were to blame for failure of generalization.

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Voice onset time in English and Korean stops with respect to a sound change

  • Kim, Mi-Ryoung
    • 말소리와 음성과학
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    • 제13권2호
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    • pp.9-17
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    • 2021
  • Voice onset time (VOT) is known to be a primary acoustic cue that differentiates voiced from voiceless stops in the world's languages. While much attention has been given to the sound change of Korean stops, little attention has been given to that of English stops. This study examines VOT of stop consonants as produced by English speakers in comparison to Korean speakers to see whether there is any VOT change for English stops and how the effects of stop, place, gender, and individual on VOT differ cross-linguistically. A total of 24 native speakers (11 Americans and 13 Koreans) participated in this experiment. The results showed that, for Korean, the VOT merger of lax and aspirated stops was replicated, and, for English, voiced stops became initially devoiced and voiceless stops became heavily aspirated. English voiceless stops became longer in VOT than Korean counterparts. The results suggest that, similar to Korean stops, English stops may also undergo a sound change. Since it is the first study to be revealed, more convincing evidence is necessary.

흡인성 화상에 의한 후두 손상 (Laryngeal Inhalation Injury)

  • 조정일;김영모;임정혁;김용재;이철우;이명택
    • 대한후두음성언어의학회지
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    • 제12권1호
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    • pp.11-16
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    • 2001
  • Background and Objectives : A burn injury to the glottis differs from a burn injury to the trachea, bronchi, and lung parenchyma, in that thermal injury does not occur to any significant degree below the level of the larynx, due to the effective cooling of air by the upper airway and to reflex closure of the vocal cords from a blast of hot air. Therefore, the laryngeal inhalation injury give rise to airway problem and voice change. The objectives of this study is to assess management of laryngeal inhalation injury and voice change after management. Materials and Methods : Voice choses and laryngeal injuries of eight laryngeal inhalation patients were analyzed through questionnaire, voice dynamic laboratory, and laryngeal stroboscopy. Operative management was performed to five patients for airway patiency and vocal cord movement on laryngeal pathology ind voice therapy was performed to all patients. One-year after, voice changes and laryngeal injuries were reanalyzed with same methods. Results : Vocal breathiness, decreased voice intensity, reduced voice range, and easy fatigability were major complaints of laryngeal inhalation patients. Glottic stenosis were developed to five of eight patients, and vocal cord atrophy, bowing were developed to others. Vocal cord mucosal waves were significantly decreased in all patients. Jitter(%), Shimmer(dB) were increased and Maximal phonation time(MPT) was decreased. One-year after, subjective voice changes and objective voice parameters were improved. And vocal cord mucosal waves were recovered in all patients. Conclusions : Subjective voice quality and objective voice parameters were improved after operative management for laryngeal pathology and voice therapy. And we observed recovery of vocal fold mucosal waves by laryngeal stroboscopy. We think that early preventable tracheotomy is necessary to reduce the laryngeal contact injury in laryngeal inhalation patients.

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VoiceXML을 이용한 대화형 음성 인식 증권 거래 시스템 구현 (An Implementation of Interactive Voice Recognition Stock Trading System Using VoiceXML)

  • 조창수;신정훈;홍광석
    • 정보처리학회논문지B
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    • 제11B권4호
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    • pp.517-526
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    • 2004
  • 본 논문에서는 음성 서비스 구현 시 개발시간을 단축시킬 수 있으며, 개발된 서비스간의 컨텐츠를 보다 자유롭게 공유할 수 있는 VoiceXML을 이용하여 응용서비스를 구현하였다. 현재까지의 음성 서비스 개발은 시스템 의존적인 API의 활용 및 C/C++등의 프로그래밍 언어나 전용 개발 도구를 사용하여 이루어져 왔다. 이로 인하여 각 응용서비스간 자원의 재활용이 어려운 실정이었다. 응용 서비스의 내용이 변경되어지거나 시스템이 바뀌게 되면 다시 프로그램을 작성하거나, 적절한 API로의 수정이 필요하였다. 이러한 문제점을 해결하기 위하여 최근에는 VoiceXML을 이용한 서비스 개발이 증가하고 있는 실정이다. 그러나 VoiceXML을 이용한 응용 서비스 구현시 실제 환경에서 발생되는 문제점 및 해결 방안에 대해서는 정확한 파학이 미비한 상황이다. 본 논문에서는 이러한 문제점들을 규명, 해결하기 위하여 VoiceXML에 기반을 둔 음성 인식 증권 거래 시스템을 구현하였으며, 서비스 구현 시 발생하는 문제점과 해결방안을 제시하였다. 또한, 구현 되어진 시스템을 토대로 응용서비스 및 시스템의 장단점을 분석한다.

성대결절 환자에 대한 10년간 임상 경험 (Ten years of clinical experience with the patients with vocal nodule)

  • 임혜진;김정규;최철희;최성희
    • 말소리와 음성과학
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    • 제9권4호
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    • pp.99-106
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    • 2017
  • Clinical data about vocal nodules have seldom been reported, even though vocal nodules are commonly diagnosed in outpatient speech and voice clinic. This study aims to investigate clinical characteristics of the patients who are diagnosed with vocal nodules. This study analyzed the data for 10 years from the 319 patients diagnosed with vocal nodules (45 males and 274 females with the mean age of 39.4 ranging from 2 to 83) in terms of gender, age, occupation, voice change initiation pattern, change with time, throat clearing, smoking history, type of voice abuse, acoustic analysis, maximum phonation time, GRBAS, and VHI. Thirteen patients (4.08%) had unilateral vocal nodule and 306 patients (95.9%) had bilateral vocal nodule, the majority of which had a pattern of asymmetry (73.9%). The glottal closure pattern was hourglass in 72.1% of patients, posterior chink in 17.9% of patients, and irregular in 7.9% of patients. The most common occupational category was professional voice users (43.4%). The voice abuse pattern included excessive talking in 96 patients (76.8%), loud voice in 78 (62.4%) patients, and excessive singing in 17 patients (21.6%). The patients showed worse scores in G, B, and S than in R and A for the GRBAS evaluation. The most recommended treatment for vocal nodules was voice therapy. The current clinical data will be helpful for treatment planning for the patients of vocal nodule.

후두미세수술 후 음향지표의 변화와 환자의 만족도 비교 (Change of Acoustic Parameter and Voice Handicap Index after Laryngeal Microsurgery)

  • 김범석;신지훈;김기용;이용섭;김경래;태경
    • 대한후두음성언어의학회지
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    • 제19권2호
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    • pp.142-145
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    • 2008
  • Background and Object: The aim of this study is to evaluate the change of patient's subjective voice handicap index (VHI) and acoustic parameters before and after laryngeal microsurgery for benign vocal cord disease. Materials and Method: We analyzed 78 patients who received laryngeal microsurgery for benign vocal cord disease from January 2004 to February 2007 retrospectively. There were 28 vocal polyp, 40 vocal nodule, 5 intracordal cyst and 5 Reinke's edema. Jitter, shimmer, harmony to noise ratio (HNR) were analyzed before surgery and 2-3months after surgery using the Doctor's speech science program. The voice handicap index introduced by the Pittsburgh Voice Center was used to examine patient's subjective change of voice quality. Results: Acoustic parameters of jitter, shimmer and HNR were improved in patients with vocal polyp and vocal nodule after surgery. The acoustic parameters were not improved in patients with Reinke's edema, statistically. Only jitter was improved significantly in patients with intracordal cyst (p<0.05). The VHI was significantly improved after surgery. The change of jitter and shimmer was significantly correlated with the change of VHI after surgery. Conclusion: The acoustic parameters and VHI were significantly improved in patients with benign vocal disease after laryngeal microsurgery.

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화자 인식을 위한 모음의 포만트 연구 (A Study on Formants of Vowels for Speaker Recognition)

  • 안병섭;신지영;강선미
    • 대한음성학회지:말소리
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    • 제51호
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    • pp.1-16
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    • 2004
  • The aim of this paper is to analyze vowels in voice imitation and disguised voice, and to find the invariable phonetic features of the speaker. In this paper we examined the formants of monophthongs /a, u, i, o, {$\omega},{\;}{\varepsilon},{\;}{\Lambda}$/. The results of the present are as follows : $\circled1$ Speakers change their vocal tract features. $\circled2$ Vowels /a, ${\varepsilon}$, i/ appear to be proper for speaker recognition since they show invariable acoustic feature during voice modulation. $\circled3$ F1 does not change easily compared to higher formants. $\circled4$ F3-F2 appears to be constituent for a speaker identification in vowel /a/ and /$\varepsilon$/, and F4-F2 in vowel /i/. $\circled5$ Resulting of F-ratio, differences of each formants were more useful than individual formant of a vowel to speaker recognition.

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