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Á¢¼ö¹øÈ£ - 210361 HNOP-75 |
Comparison of 2D scanning videokymography and videostroboscopy using animal
excised larynx model |
©öDepartment of Otorhinolaryngology-Head and Neck Surgery, Pusan National University School of Medicine and Medical Research Institute, ©÷Speech and Language clinic, Department of Otorhinolaryngology-Head and Neck Surgery, Pusan National University Hospital, ©øDepartment of Otorhinolaryngology-Head and Neck Surgery, Yangsan Pusan National University Hospital |
Chan-Hwi Park©ö, Sung-Chan Shin©ö, Geun-Hyo Kim©÷, Jin-Choon Lee©ø, Jeon-Yeob Jang©ö, Won-Jae Cha©ö, Byung-Joo Lee©ö, Soo-Geun Wang©ö |
¸ñÀû: Evaluation of the vibratory pattern of vocal folds is of paramount
importance to diagnose vocal fold disorders. For this purpose,
videostroboscopy is widely used to show ¡®illusory¡¯ slow motion images
of the vibrating vocal folds. However, its clinical use is limited
because it relies on periodic vocal fold vibration and a stable phonation
frequency to activate the strobe light. The use of kymographic imaging as
a method of visualizing vocal fold vibration, especially for disordered
vibration, has increased greatly. Wang et al. have developed a new device
- 2D scanning videokymography(VKG) – for mucosal wave analysis in 2013
and showed meaningful results of visualization of vocal fold vibration.
In this study, we report the comparison of 2D scanning VKG and
videostroboscopy using animal larynx model for mucosal wave analysis.
¹æ¹ý:The excised animal larynx model was used to evaluate the vibrating mucosa of
vocal folds by the 2D scanning VKG and videostroboscopy. We prepared various
larygeal mocosal lesion model. Fisrt, we prepared a laryngeal mass by making
a Vicryl¢ç suture knot in unilateral vocal fold. Second, we made a laryngeal
polyposis by injection of glycerine in the Reinke¡¯s space of the unilateral
vocal fold. Third, we made a CO2 resected lesion by resection of unilateral
vocal fold. Then we compared the efficacy of these two modalities. °á°ú:The videostroboscopy was superior for the laryngeal mass like a focal
morphological mucosal lesion compared to the 2D scanning VKG. The 2D
scanning VKG provided distorted images, but had advantages for visual
analysis of the lesion located in the superior, inferior, and free edge of
vocal fold. And the 2D scanning VKG was effective for evaluation of
polyposis and CO2 resected lesion, because fibrotic change of vocal folds
can easily detected using 2D scanning VKG. °á·Ð:The 2D scanning VKG is expected to be a promising tool to evaluate the vocal
folds vibration for both clinical practice and voice research. |
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