• 대한후두음성언어의학회지
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• 제21권1호
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• pp.37-41
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• 2010

Background and Objectives : Transient minor voice changes after thyroidectomy are not infrequent complaints even in cases without any evidence of recurrent laryngeal nerve damage. However, clinical course, diagnosis and management of such voice changes are not fully understood. This study aimed to evaluate the clinical characteristics of minor voice changes after thyroidectomy. We also tried to assess the significance and feasibility of superior laryngeal nerve monitoring and to find out the optimal evaluation tools for such voice changes after thyroidectomy. Materials and Method : Nine adult patients who received total thyroidectomy without evidence of recurrent laryngeal nerve injury were enrolled for this prospective study. Voice evaluations were performed preoperatively and 3 months postoperatively ; acoustic analyses including voice range profile, aerodynamic study, stroboscopic evaluation and subjective voice assessment with questionnaires. The external branch of superior laryngeal nerve was monitored by nerve stimulator after ligation of superior thyroidal vessels. Results: Four of nine patients complained their voice change at 3 months after the surgery. Three of them reported complete recovery of their voice at 6 months after the surgery. Acoustic analysis revealed significant decrease in their phonatory range especially with high tone loss. Questionnaires related to singing was more sensitive than previously well-known "voice handicap index". Stimulation of the superior laryngeal nerve was feasible in most of the cases (94.4%), but it failed to show any correlation with minor voice changes after thyroidectomy. Conclusion : Minor voice changes were not rare events during the first 6 month after thyroidectomy. Decrease in phonatory range with high tone loss and therefore, discomfort in singing was the most common finding. Superior laryngeal monitoring was feasible but it was not a sensitive tool for the prediction of minor voice change after thyroidectomy.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2001년도 춘계종합학술대회
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• pp.260-264
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• 2001

본 논문에서는 현재 표준화가 진행중인 XML 관련 문서를 음성 통신서비스를 위한 Voice XML로 변환 및 통합할 수 있는 효율적인 방법을 제시하고자 한다. 가까운 미래의 웹 환경은 HTML 방식에서 XML 방식으로 변환 또는 통합될 것이 거의 확실시되어지고 있을 뿐만 아니라 이러한 환경에서 더욱 다양한 단말기로 자료를 접한 수 있는 방법이 요구되고 있다. 그 중에서 현재 최고의 대안으로 대두되고 있는 Voice XML을 이용함으로써 자료의 접근 방식을 저비용으로 웹에서 유·무선 단말기로 전환하고자 한다. 따라서 표준 XML을 이용하여 현재 구성되어 있는 가상의 시스템을 설정하고 이를 효과적으로 Voice XML로 변환 또는 통합하는 방안을 제시하고자 한다. XML은 특성상 확장성을 염두해 두고 만들어진 언어인 만큼 이를 이용해 효과적인 Voice XML 문서로의 변환 또는 통합하는 효율적인 방법이 제시된다면 많은 파장을 불러일으킬 것으로 확신한다.

• 인터넷정보학회논문지
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• 제19권6호
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• pp.63-72
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• 2018

인간의 목소리는 사람간의 정보 전달을 위한 가장 쉬운 방법 중 하나이다. 음성의 특징은 사람마다 다를 수 있으며 발성 속도, 발성기관의 형태와 기능, 피치 톤, 언어 습관 및 성별에 따라 다르게 나타난다. 목소리는 사람의 의사소통 핵심 요소이다. 제 4 차 산업 혁명의 시대에 목소리는 사람과 사람, 사람과 기계, 기계 와 기계 사이의 주요한 의사소통 수단이 된다. 그 이유 때문에 사람들은 자신의 의도를 다른 사람들에게 명확하게 전달하려고 노력한다. 그리고 이 과정에서 목소리는 언어 정보와 함께 다양한 추가 정보가 포함되게 된다. 예를 들어 감정 상태, 건강 상태, 신뢰도와 관련되거나, 거짓말의 여부, 음주로 인한 목소리의 변화 등 다양한 언어 및 비언어 정보를 포함하며, 다양한 분석 파라미터로 나타나게 된다. 이를 활용하면 개인의 신용도를 평가하는 척도로 사용할 수 있다. 특히 성대의 기본 주파수의 특성과 성도의 공진 주파수 특성의 관계를 분석함으로써 얻을 수 있다. 이전의 연구에서 다양한 신용 상태의 변화에 따른 목소리 분석 및 특성 변화를 연구 하였다. 본 연구에서는 음성을 통해 추출 된 매개 변수를 통해 기계 학습을 통한 개인 신용 판별 기를 제안한다.

• 대한후두음성언어의학회지
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• 제12권2호
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• pp.140-144
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• 2001

Backgrounds & Objectives : Prolonged hearing loss was considered as one of the factors which have the potential to cause vocal changes. However, the analysis of quality of phonation in hearing loss patients has not been achieved enough. The purpose of the study was to evaluate the difference in objective acoustic parameters between long-term hearing impaired patients and normal control group. Material & Methods : The material of this investigation comprised a group of 20 patients (M : F=10 : 10) with moderate or profound hearing loss(over 50dB). The duration of all hearing loss was over 1 year. All of them underwent the acoustic examinations comprising electroglottography, multidimensional voice program and formant analysis during phonation of the bowels /a/ with free confortable tone and /i/ with voluntary high tone. The results of the acoustic examinations were compared with those of a control group, composed of 20 sex- and age-matched normal hearing subjects. Results : In the male hearing loss subjects, the significant increase was detected in pitch and shimmer during phonation of /a/ and in pitch during phonation of /i/. In addition, this group was characterized by decreased fundamental frequency during phonation of /i/. In female, there was no difference between hearing loss group and normal control group except a decreased formant 1 frequency. Conclusion : Long-term moderate and profound sensorineural hearing loss could affect the objective voice parameters.

• 대한후두음성언어의학회지
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• 제19권2호
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• pp.113-116
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• 2008

Baekgroud and Objectives: The study was purposed to evaluate the relationship between the voice change and the menstrual cycle by measuring the variation of subjective and objective parameters. Materials and Methods: Prospective study of 13 healthy women during 2 mentrual cycles. Their voices were recorded at follicular phase and then luteal phase of the menstrual cycle. We used both single vowel /a/ and sentences for evaluate acoustic parameters. Aerodynamic parameters were also evaluated. Voice handicap index (VHI), and the presence of premenstrual syndromes (PMS) were checked at each period. We used Wilcoxon's signed rank test to compare the parameters of two periods. Results: VHI were 5.1 at both periods (p=0.146) and 92.3% of women were diagnosable with PMS. There were no significant differences in acoustic parameters and aerodynamic parameters between the two periods. Conclusion: This study shows that not only the subjective but also the objective changes of the voice parameters did not exist during the menstrual cycle in women.

• 말소리와 음성과학
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• 제10권2호
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• pp.69-76
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• 2018

The elderly are at increased risk of developing dysphagia due to aging and illnesses. The aim of the current study was to analyze, via an acoustic study, the change in the voice quality of normal elderly people after a 3oz water-swallow test. Subjects included a group of 60 normal elderly people (age: $mean{\pm}SD=76.9{\pm}6.66$) and 60 healthy young adults (age: $mean{\pm}SD=25.1{\pm}2.36$). Every participant produced a five-second /a/ phonation pre- and post-swallowing, and the fractioned two-second sections were analyzed using the MDVP (multi dimensional voice program) analysis. The elderly group demonstrated a post-swallowing increase in the following related acoustic parameters: fundamental frequency, fundamental frequency variation, amplitude-variation, and noise in both two-second sections. However, the younger group showed an increase only in frequency related acoustic parameters (i.e., STD ) in the first two-second section. The significant changes in values in the post-swallowing parameters might indicate temporary irregularities in pitch and amplitude along with higher amounts of noise in the voice. The results could be attributed to water residues in the vocal fold and vocal tract, as well as a deterioration of the motor and sensory functions caused by anatomical and physiological changes that result from aging.

• 음성과학
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• 제10권1호
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• pp.143-152
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• 2003

The present study was performed to investigate change in shimmer according to $F_{0}$ variation precisely, and to offer suggestions for a clinical application. The analysis for the present study was done by the fundamental frequency ($F_{0}$) and shimmer measurement results of the previous 120 Korean normal adults' voice study of Pyo et al. (2002), used three vowels, /i/, /a/, /and /u/. Through the analysis of 60 female samples from the previous study, we found that $F_{0}$ of the vowels was the highest in /u/, and the lowest in /a/, but, on the contrary, shimmer was highest in /a/and lowest in /u/. Thirty of 60 subjects showed such an inverse relationship between $F_{0}$ and shimmer, as a whole. In the vowel /a/, 47 of 60 subjects showed the increased $F_{0}$ and decreased shimmer, in /i/, 32 subjects, and in /u/, 33 subjects showed the same results. The decrease in shimmer means the improvement of voice quality, so by these results, we expect to answer the question why the patients with spasmodic dysphonia can improve their voice quality with increased pitched voice production.

• 대한후두음성언어의학회지
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• 제8권1호
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• pp.65-68
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• 1997

The mutational falsetto is failure to change from the higher pitched voice of preadolescence to the lower pitched voice of adolescence and adulthood. The one of characteristic findings is contraction of suprahyoid muscles. The large majority of young men with inappropriately high voice have excellent voice therapy prognosis. We have experienced one case of mutational falsetto treated with botulinum toxin injection on suprahyoid muscles. His suprahyoid muscles are contracted markedly simultaneously with each phonation. fundamental frequency$(F_0)$ of his vowel phonation was 332Hz. Extensive voice therapy including manual compression of thyroid notch was ineffective. Forty units of Botox$^{\circledR}$ was injected under the EMG-guidance(20U bilaterally). At seven days post-injection, his voice changed lower than before and at 40 days after procedure, his $F_0$ was 126Hz.

• 임상이비인후과
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• 제29권2호
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• pp.229-234
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• 2018

Background and Objectives : Vocal nodules occur with a 12-22% prevalence in pediatric populations. Most otolaryngologists recommend voice therapy as the primary treatment. The aim of this study is to evaluate patient compliance with voice therapy and its effect on vocal nodules in children. Materials and Methods : We retrospectively reviewed 44 pediatric patients between 3 and 11 years old diagnosed with vocal nodules between March 2015 and December 2017. We evaluated the treatment adoption rate, dropout rate during voice therapy, and reasons for dropout. For patients who completed voice therapy, we measured the changes in nodule size, perceptual parameters, and acoustic parameters. We evaluated patient satisfaction using the pediatric voice handicap index (P-VHI). Results : Of the 44 pediatric patients diagnosed with vocal nodules, 22 (50%) agreed to voice therapy. Of the 22 patients who started voice therapy, 5 (22.7%) dropped out during therapy because they were unsatisfied with their treatment. Another 4 patients discontinued therapy for reasons unrelated to treatment effectiveness. Vocal nodule disappeared or decreased in all 13 patients who completed voice therapy. All voice parameters were improved and statistically significant changes were observed in perceptual, acoustic, and P-VHI parameters. Conclusions : Although compliance to voice therapy among the pediatric patients with vocal nodules was low, there were significant improvements in voice parameters for those who completed voice therapy. A change toward a positive perception of voice therapy is necessary and a multidisciplinary approach is needed to improve the effect of voice therapy on pediatric patients with vocal nodules.

• 한국엔터테인먼트산업학회논문지
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• 제13권2호
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• pp.155-167
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• 2019

이 연구는 음악치료사들의 목소리 사용 경험을 심층적으로 탐구하는 데 목적이 있다. 연구자는 이와 관련된 경험에 대하여 자세히 진술해줄 수 있는 음악치료사 7명을 대상으로 심층면담을 진행하였으며, Giorgi의 현상학적 연구방법으로 분석하였다. 분석결과 '임상에서의 목소리 사용으로 인한 다양한 감정촉진', '치료사의 개인적 성향에 따른 목소리 사용', '치료적 목적을 위한 목소리 사용', '목소리 사용으로 인한 내담자와의 긍정적인 음악적 경험', '음악치료 도구로서의 목소리 사용의 어려움', '만족스럽지 않은 목소리의 변화 시도'로 총 6개의 구성요소가 도출되었다. 본 연구를 통해 음악치료사들은 음악치료 안에서 노래 부르기 혹은 즉흥적 노래를 통해 내담자와의 긍정적인 관계를 형성할 수 있다고 보고하였다. 그러나 개인적인 이유로 목소리 사용에 있어서 어려움을 경험하기도 하였다고 설명하였으며 다양한 자기작업을 통해서 목소리 사용을 확장하고 더 나아가서 자신의 변화와 성장을 실현하고자 하였다고 진술하였다.