• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.27 no.1
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• pp.5-10
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• 2016

Variable systemic diseases affect larynx and vocal fold and result in voice change. Asthma and chronic obstructive pulmonary disease make increase of intra-abdomimal pressure followed by reflux of gastric acid, which stimulate vagal-bronchopulomary reflex aggravating cough and respiratory disturbance. Fungal laryngitis in the general population is extremely rare, but can occur in immunocompromised AIDS patients. Although, initially, empirical antifungal therapy for candidiasis is often given without biopsy, diagnostic direct laryngoscopy and biopsy is imperative if a substantial clinical response is not rapidly achieved. In the highly active anti-retroviral therapy era, HIV-positive patients are living longer and are at higher risk for developing non-AIDS-defining malignancies. The incidence of head and neck cancer (HNC) which is related with human papilloma virus infection has increased. The survival is significantly lower among the AIDS-HNC patients with CD4 counts ${\leq}200cells/{\mu}L$. Rheumatoid arthritis (RA) cause voice disturbance by developing cricoarytenoid joints fixation or nodule on vocal fold. Post-menopausal voice disorder (PMVD) is caused by decreased secretion of estrogen-progesterone resulting in decrease of fundamental frequency (F0). Hormonal replacement therapy is helpful to reduce F0 decrease. RA and PMVD result in slight voice change, but it could crucial in professional voice user.

• Phonetics and Speech Sciences
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• v.7 no.3
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• pp.183-191
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• 2015

This study evaluated the effect of the therapeutic methods between vocal function exercise(VFE), which has been used for the patients with presbyphonia in the precedent studies and laryngeal calibration technique($SKLCT^{(R)}$), which is designed by the author. We identified 58 patients who was been diagnosed as presbylaryngis by laryngoscopic examinations. 21 patients were underwent voice therapy using $SKLCT^{(R)}$, 20 patients were taken VFE, and the control group of 17 patients were not taken any voice therapy. All subjects received the therapy, ranging from seven to nine sessions, and were evaluated the voice change on pretherapy and posttherapy. The grade of hoarseness, roughness, and breathiness voice were reduced on perceptual judgments after $SKLCT^{(R)}$, but only grade of hoarseness was reduced after the VFE. Jitter, Shimmer, NHR were reduced and MPT were increased after the $SKLCT^{(R)}$(p<.05), while Jitter and SFF were reduced after the VFE. Frequency and intensity range were increased significantly on the posttest performance after taking voice therapy by the $SKLCT^{(R)}$, on the other hand only intensity range was increased after VFE. Especially, we can find the significant change that glottic gap and supraglottic compressions was reduced in most of patients after the $SKLCT^{(R)}$, but there's no changes in the group of VFE and control group. In the study, we can suggest that the $SKLCT^{(R)}$ may be useful in improving the voice qualities and laryngeal function of presbyphonia.

• Phonetics and Speech Sciences
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• v.16 no.1
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• pp.17-24
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• 2024

The Korean three-way stop contrast (lenis, aspirated, fortis) is currently undergoing a sound change, such that the primary cue distinguishing lenis and aspirated stops is shifting from voice onset time (VOT) to F0. Despite recent discussions of this shift, research on voice quality, traditionally considered an additional cue signaling the contrast, remains sparse. This study investigated the extent to which the associated voice quality [as reflected in the acoustic measurements of H1^*-H2^*, H1^*- A1^*, and cepstral peak prominence (CPP)] contributes to the three-way stop contrast, and how the realization is conditioned by prominence- vs. boundary-induced prosodic strengthening amid the ongoing sound change. Results for 12 native Korean speakers indicate that there was a substantial distinction in voice quality among the three stop categories with the breathiness of the vowel being the greatest after the lenis, intermediate after the aspirated, and least after the fortis stops, indicating the role of voice quality in the maintenance of the three-way stop contrast. Furthermore, prosodic strengthening has different effects on the contrast and contributes to the enhancement of the phonological contrast contingent on whether it is induced by prominence or boundary.

• Korean Journal of Head & Neck Oncology
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• v.33 no.2
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• pp.67-70
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• 2017

We present a metastatic carcinoma from the breast to the neck soft tissue around common carotid artery, with a rare finding of voice change. A 60 year-old female patient presented with voice change for 7 months. Neck ultrasound revealed a soft tissue mass between internal jugular vein and common carotid artery. Result of fine needle aspiration biopsy was a metastatic carcinoma. Computed tomography and magnetic resonance image revealed $2.5{\times}3.0cm$ sized irregular marginated soft tissue mass in right lower neck encasing common carotid artery and internal jugular vein. Surgical resection was performed and pathologic result with immunohistochemical analysis confirmed the diagnosis of a metastatic invasive ductal carcinoma originated from breast.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.27 no.1
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• pp.14-17
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• 2016

Hoarseness is a postoperative complication of thyroidectomy, mostly due to damage to the recurrent laryngeal nerve (RLN). Hoarseness may also be brought about via vocal cord dysfunction (VCD) due to injury of the vocal cords from manipulations during anesthesia, as well as from psychogenic disorders and respiratory and upper-GI related infections. The clinician or surgeon should 1) document assessment of the patient's voice once a decision has been made to proceed with thyroid surgery ; 2) examine vocal fold mobility, or refer the patient to a clinician who can examine vocal fold mobility 3) examine vocal fold mobility, or refer the patient to a clinician who can examine vocal fold mobility, once a decision has been made to proceed with thyroid surgery 4) educate the patient about the potential impact of thyroid surgery on voice once a decision has been made to proceed with thyroid surgery ; 5) inform the anesthesiologist of the results of abnormal preoperative laryngeal assessment in patients who have had laryngoscopy prior to thyroid surgery ; 6) take steps to preserve the external branch of the surperior laryngeal nerve(s) when performing thyroid surgery ; 7) document whether there has been a change in voice between 2 weeks and 2 months following thyroid surgery ; 8) examine vocal fold mobility or refer the patient for examination of vocal fold mobility in patients with a change in voice following thyroid surgery ; 9) refer a patient to an otolaryngologist when abnormal vocal fold mobility is identified after thyroid surgery ; 10) counsel patients with voice change or abnormal vocal fold mobility after thyroid surgery on options for voice rehabilitation.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.32 no.1
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• pp.43-47
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• 2021

Voice therapy is effective in many voice and speech disorders. However, patients have low accessibility to therapeutic facilities due to disease-unrelated reasons such as lack of time and pandemic of COVID-19. Contactless voice therapy could be an alternative and may helpful to all patients with voice and speech problems. We developed contactless voice and speech therapy program on the necessity of improving accessibility. Herein, we report the first case of voice therapy to 30 year-old female patient who complained voice change after total thyroidectomy using contactless voice and speech therapy service platform in Korea.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.25 no.1
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• pp.42-46
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• 2014

Rosai-Dorfman disease is a rare disorder of unknown of etiology and is usually associated with benign proliferation of hematopoietic and fibrous tissue that often manifest in the head and neck region. We report a case of extranodal Rosai-Dorfman disease presenting in the neck, subglottis and nasal floor diagnosed by voice change.

• Speech Sciences
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• v.10 no.2
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• pp.191-203
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• 2003

This study examined the effect of vocal loudness on nasalance measures, under the conditions of three sentence patterns (i.e., Oral sentences, Mixed sentences, Nasal sentences). The vocal loudness level was classified into soft voice (55 dB), medium voice (65 dB) and loud voice (75 dB). The participants in the present study were 30 normal adults (male: female =1:1). Kay's Nasometer 6200 was used to measure nasalance and Sound level meter was used to adjust the loudness level. The results of the present study are as follows. Firstly, the change in vocal loudness is in the following. In the Oral sentence stimuli, the loud voice for both male and female showed the highest nasalance degree, and the medium voice the lowest level. In the Mixed and Nasal sentence stimuli, however, male participants showed the highest degree of nasalance in the soft voice, and the lowest degree in the loud voice, and female showed the highest degree of nasalance in the soft voice and the lowest in the medium voice. Secondly, when each subject's nasalance scores were ranked in a ordered manner, noticeable tendency. Lowest nasalance score occurred in the loud voice and the highest nasalance score was recorded in the soft voice during participants' reading of the Nasal sentences. However, it was hard to find such pattern in the Oral sentences. It is assumed that velopharyngeal function could be related to these findings. Furthermore, the findings associated with vocal loudness may have diagnostic as well as clinical implications.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.8 no.2
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• pp.173-177
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• 1997

The speech movements are acquired activity, not determined by instincts or by biologic inheritance either. The child listens to the sound from the surrounding persons, observes the speech movement of the people and tried to imitate them. Then the child acquires their specific phonation pattern. We guessed that the parents influences to the child are very important in the developing of the speech movements. Because the parents are first contact person to the baby. The recognition of parents about the voice changes in the child will be important too. And social environments such as kindergarden, school, friends contact with, can influence to the voice of the child. We investigated the state of the voice, parents influence and social environmental factor. In the bases of this study, we knew that the parents recognition about the voice changes of child, faulty vocal habits of child, social environmental factors influenced to the voice of child. And we thought we have to do our best for the early detection of voice changes and proper treatment.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.9
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• pp.5763-5768
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• 2014

Maintaining a voice color is important when compounding both the normal voice because an emotion is not expressed with various emotional voices in a single synthesizer. When a synthesizer is developed using the recording data of too many expressed emotions, a voice color cannot be maintained and each synthetic speech is can be heard like the voice of different speakers. In this paper, the speech data was recorded and the change in the voice color was analyzed to develop an emotional HMM-based speech synthesizer. To realize a speech synthesizer, a voice was recorded, and a database was built. On the other hand, a recording process is very important, particularly when realizing an emotional speech synthesizer. Monitoring is needed because it is quite difficult to define emotion and maintain a particular level. In the realized synthesizer, a normal voice and three emotional voice (Happiness, Sadness, Anger) were used, and each emotional voice consists of two levels, High/Low. To analyze the voice color of the normal voice and emotional voice, the average spectrum, which was the measured accumulated spectrum of vowels, was used and the F1(first formant) calculated by the average spectrum was compared. The voice similarity of Low-level emotional data was higher than High-level emotional data, and the proposed method can be monitored by the change in voice similarity.