성대마비의 음성장애 측정을 위한 청지각적 및 음향학적 평가

김근효; 이연우; 박희준; 배인호; 이병주; 권순복

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자료유형: 학술저널

저자정보: 김근효 (부산대학교병원 이비인후과) 이연우 (부산대학교병원 이비인후과) 박희준 (춘해보건대학교 언어재활과) 배인호 (양산부산대학교병원 이비인후과) 이병주 (부산대학교병원 이비인후과) 권순복 (부산대학교 인문대학 언어정보학과)

저널정보: 대한후두음성언어의학회 대한후두음성언어의학회지 대한후두음성언어의학회지 제28권 제2호

발행연도: 2017.1

수록면: 106 - 111 (6page)

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🔬

연구방법

🏆

연구결과

초록· 키워드

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Background and Objectives : The purpose of this study was to investigate the criterion-related concurrent validity of two standardized auditory-perceptual assessments and the Acoustic Voice Quality Index (AVQI) for measuring dysphonia severity in patients with vocal cord paralysis (VCP). Materials and Methods : Total 210 patients with VCP and 236 normal voice subjects were asked to sustain the vowel [a:] and to read aloud the Korean text "Walk". A 2 second mid-vowel portion of the sustained vowel and two sentences (with 26 syllables) were recorded. And then voice samples were edited, concatenated, and analyzed according to Praat script. Two standardized auditory-perceptual assessment (GRBAS and CAPE-V) were performed by three raters. Results : The VCP group showed higher AVQI, Grade (G) and Overall Severity (OS) values than normal voice group. And the correlation among AVQI, G, and OS ranged from 0.904 to 0.926. In ROC curve analysis, cutoff values of AVQI, G, and OS were <3.79, <0.00, and <30.00, respectively, and the AUC of each analysis was over .89. Conclusion : AVQI and auditory evaluation can improve the early screening ability of VCP voice and help to establish effective diagnosis and treatment plan for VCP-related dysphonia.

#성대마비 #프랏 #음성장애

참고문헌 (25)

참고문헌 신청

Holinger LD / 1976 / Etiology of bilateral abductor vocal cord paralysis: a review of 389 cases / Annals of Otology, Rhinology & Laryngology 85:428~436

Benninger MS / 1998 / Changing etiology of vocal fold immobility / Laryngoscope 108:1346~1350

Munin MC / 2016 / Consensus Statement: Using Laryngeal Electromyography for the Diagnosis and Treatment of Vocal Cord Paralysis / Muscle & Nerve 53:850~855

Bando H / 2006 / Vocal fold paralysis as a sign of chest diseases: A 15-year retrospective study / World Journal of Surgery 30:293~298

Rosenthal LHS / 2007 / Vocal fold immobility: A longitudinal analysis of etiology over 20 years / Laryngoscope 117:1864~1870

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