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J Korean Soc Laryngol Phoniatr Logop > Volume 11(1); 2000 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2000;11(1): 39-45.
성대 결절 및 후두 폴립의 수술 후 보충 치료로서 Accent Method의 유용성
박혜성1, 박영실2, 최두영2, 김상윤2, 유승주2, 남순열2
1울산대학교 의과대학 서울중앙병원 재활의학과학교실2울산대학교 의과대학 서울중앙병원 이비인후과학교실
The Utility of Accent Method as a Supplementary Treatment after Surgery of Vocal Nodule and Laryngeal Polyp
Background and Objectives
: Accent method is one of holistic approaches for behavior readjustment of voice therapy The aim of this study is to evaluate the efficacy of the accent method of voice therapy for the patients who have no improvement after LMS.
Materials and Method
s : Of the patients who had been undergone LMS during the period from Jan. 1999 to Dec. 1999, medical records of 38 patients who had not been improved were studied retrospectively. 19 patients(treatment group) were applied accent method and the other 19 patients(control group) refused voice therapy. The voice of all the patients of both group were analysed with CSL and Aerophone II programs in pre- and post operative period. The voice of treatment group were analysed with Visi-Pitch II program before the application of accent method and after the completion of accent method. Then, the results were compared using paired t-test.
: The results of voice analysis were not different statistically between pre- and postoperative examination in both group. After application of accent method in the treatment group, fundamental frequency(F$_{0}$) of male, relative average pertubation, and shimmer were revealed significant differences(p<0.01), and decrease in grade(G) scale and roughness(R) scale were statistically Important in perceptual analysis using GRBAS criteria(p<0.01). But $F_0$ of female, maximal phonation time and S to Z ratio were not revealed significant differences.
s : Accent method of voice therapy may be as a supplement- ary therapy in the patients who were not improved after surgery.
KEY WORDS: Voice therapy;Accent method;Vocal nodule;Laryngeal polyp;
중심 단어: 액센트 기법;
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