• 대한후두음성언어의학회지
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• 제29권2호
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• pp.83-86
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• 2018

Background and Objectives : This study aimed to evaluate efficacy and complication of injection laryngoplasty using calcium hydroxyapatite (CaHA) for unilateral vocal fold paralysis in Asian. Materials and Methods : A prospective study was conducted on the adult patients with unilateral vocal fold paralysis from May 2015 through January 2016. Injection laryngoplasty was performed by one laryngologist. All patients underwent prospective voice evaluation using the subjective and objective comprehensive battery of assessments, before the procedure and after the procedure at 3 months, and 6 months. Results : A total of 7 patients (5 males and 2 females) were included in this study. VHI-10 was significantly decreased after injection laryngoplasty, at postoperative 6 months (p=0.031), while VAS score and MDADI showed no difference. GRBAS scale gradually decreased in 3 months and 6 months follow-up without statistical significance. Acoustic analysis revealed that jitter, shimmer, and noise-to-harmonic ratio continuously decreased from the baseline at 3 months and 6 months, although statistical significance was not attained. In the aerodynamic analysis, maximal phonation time was gradually increased at 3months and 6 months with significant difference (p=0.016, 0.031, respectively). There was no side effect associated with the procedure. Conclusion : CaHA can be safely used in Asian patients and the onset of maximal efficacy seems to be slow than other studies with Caucasian patients.

• 말소리와 음성과학
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• 제15권1호
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• pp.19-24
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• 2023

This study investigated acoustic (VOT) and articulatory characteristics of Korean velar stops in monosyllabic CV structures to examine how the three-way distinction is realized in the laryngeal and supralaryngeal domains and how the distinction is manifested in male versus female speakers' speech production. EMA data were collected from 22 speakers. In line with previous studies, male speakers preserved the three-way differentiation of velar stops (/k^*/</k/</k^h/) in terms of VOT while female speakers showed only a two-way distinction (/k^*/</k/=/k^h/). As for the kinematic characteristics, a clear three-way distinction was found only in male speakers' peak velocity measure in the C-to-V opening movement (/k^h/</k/</k^*/). For the other kinematic measures (i.e., articulatory closure duration, deceleration duration of the opening movement and the entire opening movement duration), male speakers showed only a two-way distinction between fortis and the other two stops. Female speakers did not show a three-way contrast in any kinematic measure. They showed a two-way distinction between lenis and the other two stops in C-to-V deceleration duration (/k^*/=/k^h/</k/), and a two-way distinction between fortis and lenis stops in the opening movement duration. An overall comparison of VOT and articulatory analyses revealed that the lenis-aspirated kinematic distinction is diminishing, driven by female speakers, in line with the loss of the lenis-aspirated distinction in VOT that could influence supralaryngeal articulation.

• 한국한의학연구원논문집
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• 제13권2호통권20호
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• pp.53-58
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• 2007

Background and Purpose : The purpose of this study was to investigate that which symptoms are adequate indicator of the Dampness-Phlegm pattern in the stroke patients. Methods : In the time period Jul. 2005 to Sep. 2006, 136 patients with a first-ever stroke admitted in the department of Internal Medicine of Daejeon University Oriental Medical Hospital in Daejeon city, Wonkwang Oriental Medical Hospital in Iksan, JeonJu city were included. Patients were hospitalized within 3 months after the onset of stroke. Stroke patients had been interviewed by resident who studied standard operation procedures in Fundamental Study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. Gi-deficiency patients was confirmed by medical specialist diagnosis, resident diagnosis, case report form analysis without a dissenting voice. Results : Dampness-Phlegm group included 37 case, Non Dampness-Phlegm group 45 case out of 136 patients. white tongue coating, slippery purse, yellowish complexion, enlarged tongue, swollen tongue were higher among Dampness-Phlegm group. Dampness-Phlegm and Non Dampness-Phlegm patients do not significantly differ in heavy sensation in the head, voice with sputum, teeth printed tongue, borborygmus, dizziness with nausea. Conclusions : This study was insufficiency because sample size is very small. More data from prospective cohort studies will help to Korean Standard Differentiation of the Symptoms and Signs for the Stroke.

• Clinical and Experimental Pediatrics
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• 제50권9호
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• pp.896-900
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• 2007

목 적 : 정량적인 분석으로 양성 로란딕 간질환자의 간질파 발생위치에 따른 음성 언어적 특성을 알아보고자 하였다. 방 법 : 항경련제를 사용한 적이 없고, 임상 증상과 검사 소견으로 양성 로란딕 간질 증후군에 합당한 초진 환자 23명을 대상으로 음성 언어 분석을 하였다. 음성언어평가는 Computerized Speech Lab을 사용하여 분석하였다. 결 과 : 간질파 위치가 좌뇌인 환자군에서 치환에 의한 조음 오류가 빈번하게 관찰되었다. 환자군의 VOT는 정상아동($46.7{\pm}10.2ms$)과 비교해 훨씬 길게 나타났으며 특히 간질파 발생위치가 좌뇌인 환자군에서($74.3{\pm}36.6ms$) 더욱 길게 나타났다. 억양형태를 비교분석한 결과, 간질파 발생위치가 우뇌인 환자군에서 간질파 발생위치가 좌뇌인 환자군 보다 억양변화가 적어 운율 변동 폭이 낮은 것으로 평가되었다. 숫자세기의 자발화 길이측정에서 간질파 발생위치가 좌뇌인 환자군이 간질파 발생위치가 우뇌인 환자군 보다 길게 측정되었다. 결 론 : 양성 경과를 보이는 양성 로란딕 간질 환자에서도 조음오류 및 유창성 등 음성 언어적 문제점을 정량적으로 확인하였다. 따라서 양성 로란딕 간질환자의 진단과 치료 과정 중 언어음성학적인 평가를 포함시킬 것을 추천하고자 한다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제23권1호
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• pp.48-58
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• 2001

After performing mandibular setback surgery, we found some changes in patterns and organs of speech. This investigation was undertaken to investigate the aspect and degree of speech patterns according to the amount of surgical setback in mandibular prognathic patients. Thirteen patients with skeletal Class III malocclusion were studied preoperative and postoperative over 6 months. They had undergone the mandible setback operation via bilateral sagittal split ramus osteotomy(BSSRO). We split the patients into two groups. Group 1 included patients whose degree of mandibular setback was 6mm or less, and Group 2 above 6mm. Control group was two adults wish normal speech patterns. A phonetician performed narrow phonetic transcriptions of tape-recorded words and sentences produced by each of the patients and the acoustic characteristics of the plosives, fricatives, and flaps were analyzed with a phonetic computer program (Computerized Speech Lab(CSL) Model 4300B(USA)). The results are as follows: 1. Generally, Patients showed longer closure duration of plosives, shorter VOT(voice onset time) and higher ratio of closure duration against VOT. 2. Patients showed more frequent diffuse distribution than the control group in frication noise energy of fricatives. 3. In fricatives, frequency of compact from were higher in group 1 than in group 2. 4. Generally, a short duration of closure for /ㄹ/ was not realized in the patient's flaps. Instead, it was realized as fricatives, sonorant with a vowel-like formant structure, or trill type consonant. 5. Abnormality of the patient's articulation was reduced, but adaptation of their articulation after surgery was not perfect and the degree of adaptation was different according to the degree of surgical setback.

• 말소리와 음성과학
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• 제13권3호
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• pp.53-64
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• 2021

일본어의 어두 폐쇄음은 일차적으로 VOT로 구별되며 유성음은 음 값의 VOT, 무성음은 양 값의 VOT를 갖는 것으로 알려져 있다. 최근의 연구에 의하면 유성음이 양 값의 VOT를 갖는 어두 유성 폐쇄음의 무성화 현상이 전국적으로 젊은 층을 중심으로 진행되고 있는 것이 확인되었다. 또한 지역마다 정도의 차이는 있으나 어두 폐쇄음 구별에 VOT 이외에 후속 모음의 F0 차이가 유효한 것이 밝혀졌다. 본고는 산출에 쓰이는 음향 변수 VOT와 F0가 지각 변수로도 유효한지를 검토한 것이다. 4개 지역의 대학생 55명을 대상으로 자연음과 합성음을 이용한 세 가지 지각 실험을 실시한 결과는 어느 지역에서나 어두 폐쇄음의 일차적 지각 변수로 기능하는 것은 VOT이며 예상했던 F0의 사용은 극히 한정적인 것으로 나타났다. F0는 VOT가 기능하지 않을 때에 높은 F0를 무성음으로 지각하는 경우는 있으나 반대로 낮은 F0를 유성음으로 지각하는 경우는 거의 보이지 않았다. 이러한 결과는 유성/무성의 구별에 관여하는 산출의 음향 변수와 지각 변수가 일치하지 않는 것을 뜻하며, 나아가 일차적 변수인 VOT의 구별이 어려운 상황에서도 F0의 적극적인 사용 없이 일상생활에서 유성/무성의 구별에 혼란이 없는 것은 VOT와 F0 이외의 다른 요인이 관여하고 있음을 시사한다. 본고에서는 산출에서 어느 정도 관여가 인정된 모음의 음질(H1-H2)이나 음향 변수가 아닌 문맥이 관여하고 있을 가능성에 대해 논하였으나 이에 대한 검증은 앞으로의 과제로 남아 있다.