Puberphonia Dr. M. Kumaresan

Dr. M. Kumaresan is a Chennai-based ENT surgeon known for his innovative, non-surgical treatment of puberphonia, a condition where a male retains a high-pitched, childlike voice after puberty. His method, called Uvula Manipulation and Resonance (UMAR), is offered at the Siva ENT Head & Neck Hospital. 

Kumaresan's treatment for puberphonia

Methodology: Dr. Kumaresan's treatment involves the following key steps, with an emphasis on shifting voice production from the larynx to the pharynx:

Diagnosis: A voice pitch analyzer is used to measure the high pitch and confirm the diagnosis.

Uvula Manipulation: The uvula is physically manipulated to trigger a low-pitched, adult male voice. This provides the patient with an immediate sensation of their "ancestral" voice.

Resonance Training: The patient is trained to sustain the low pitch by creating resonance using their uvula and soft palate, with forceful airflow from the diaphragm.

Habituation: The patient practices the technique and undergoes breathing training, often referred to as "breath of fire" exercises, to normalize the new voice. This training is typically conducted over several days and reinforced with follow-up home care.

Patient profile: According to research co-authored by Dr. Kumaresan, patients with puberphonia often experience significant psychological distress, including anxiety, depression, and social rejection, and some have attempted suicide. Treatment is presented as a way to resolve not just the voice issue but also these social and emotional challenges.

Published research: Dr. Kumaresan has published articles in various journals detailing his methodology and its success rates. His work highlights the efficacy of UMAR therapy in providing "fast-track" results for puberphonia patients. 

Clinic and contact information

Name: Siva ENT Head & Neck Hospital

Location: First Floor, 94, Lloyd's Road, Royapettah, Chennai, Tamil Nadu 600014

Contact numbers: +91 98410 55774 (English) and +91 74416 34743 (Hindi)

Appointment: No prior appointment is required for puberphonia treatment. 

Dr. Kumaresan's background

Professional focus: He is an experienced ENT surgeon who, after retiring from his post at Stanley Medical College, shifted his focus to voice care and research.

Inspiration for his work: Dr. Kumaresan was inspired to specialize in puberphonia after encountering the devastating psychological and social effects of the condition on young men.

Awards and recognition: He has received several awards for his contributions to otolaryngology and acoustics, including the Life Time Achievement Award from Tamil Nadu Dr. M.G.R. Medical University.

AI in puberphonia

AI in puberphonia, we do.

 AI can assist in diagnosing laryngeal (voice box) problems by analyzing various data, including voice recordings and images from endoscopies. AI models, such as those using Octave Frequency Spectrum Energy (OFSE) or Convolutional Neural Networks (CNNs), can detect subtle acoustic changes to identify conditions like laryngeal cancer, benign vocal fold lesions, and dysphonia with high accuracy. While AI shows promise for objective, non-invasive diagnosis, it serves as a tool to complement, not replace, the expertise of healthcare professionals.

Puberphonia book in Amazon

Books in Amazon- puberphonia by DrM. Kumaresan

 overview

The content of this book is mainly research work, personally discovered for the first time in the whole history of the world, and is completely new. The use of sophisticated measurement systems based on scientific concepts and other such technologies has greatly improved understanding of the generation of speech and the treatment of puberphonia, giving rise to new scientific theories and concepts. Science ideas are subject to change. Ideas about voice boxes have changed, which led to the development of puberphonia voice correction.

How is Redirecting Phonation (RPTP) Used to Treat Puberphonia?1. Speech Therapy:This is the primary treatment for puberphonia.1. A puberphonia therapist guides the patient through exercises to modify vocalization, that's how is Redirecting Phonation Used to Treat Puberphonia (RPTP) 2. Indirect Treatment:The SLP may provide counselling to help patients understand psychological factors contributing to the disorder and educate them on voice care. 3. Direct Treatment:Uvula Manipulation: ENT Surgeon or SLP may place a tongue depressor in the patient's throat and have them say words, vegetative words with cough or snore which can lead to immediate voice pitch changes. Continue the same pitch while speaking. That is "breath of fire"- our technique.

Puberphonia 

treat puberphonia early

Puberphonia stigma refers to the negative societal and personal consequences faced by individuals, primarily young males, due to the high-pitched voice associated with the condition. This stigma manifests as feelings of shame, embarrassment, isolation, and a lower perceived self-esteem, leading to psychological distress, social withdrawal, and difficulties in romantic relationships. Society often links a deeper male voice with maturity and masculinity, making puberphonia a source of ridicule and bullying, thus creating a significant social stigma for the affected individuals. 

Treat confidently in five days. Call9841055774

Need puberphonia treatment

: Hi Sir

+91 87789 55534: My Name is xxxxxhan 

Iam from Tiruvannamalai 

I have a problem of Puberponia

: My age is 19

+91 87789 55534: Pls can you replay: Iam facing more problems in my life by voice

[8/28, 8:58 PM] Dr. M. Kumaresan MS(ENT): Dr.M.Kumaresan MS ENT

Siva ENT Head & Neck Hospital

First Floor, 159, V. P. Raman Road, Royapettah, Chennai.

Opp: ADMK Office

Mobile: 98410 55774

https://maps.app.goo.gl/rxBJrr8Yw7yTdzs86

No Appointment Required

Puberphonia 5 days ₹10,000/- Accommodation in the hospital Rs.300/day. Food outside the hotel.

Bus 21 From Chennai Central MGR Railway Station to Ajantha Stop

Forth building opp AIADMK Office in Lloyd's Road

Working Hours: 11:00 am to 6:00 pm except Sunday

Redirected phonation in voice therapy is a technique where Dr. M. Kumaresan uses a patient's natural, non-speaking voice sounds, like a cough, laugh, snoring or a gargle, and redirects them into a speaking voice. This technique helps establish an easier, more efficient, and less strained method of vocalizing for people with voice disorders like puberphonia by starting with a familiar sound and then transitioning it to intentional speaking.

Redirected phonation 

Redirected phonation Puberphonia treatment involves speech therapy using techniques like humming and yawning to lower the larynx, relaxing the vocal cords, and result in pharyngeal phonation for a low pitch. In cases where therapy fails, surgery, such as relaxation thyroplasty, is an option to shorten or reposition the vocal cords to achieve a lower voice all result in redirected phonation from larynx to pharynx.

Puberphonia treatment involves speech therapy using techniques like humming and yawning to lower the larynx, relaxing the vocal cords, and result in pharyngeal phonation for a low pitch. In cases where therapy fails, surgery, such as relaxation thyroplasty, is an option to shorten or reposition the vocal cords to achieve a lower voice all result in redirected phonation from larynx to pharynx.

Puberphonia is a voice disorder that can be treated with professional voice therapy, and it can contribute to feelings of inferiority, so seeking help for both is important. An inferiority complex often stems from a lack of self-worth or attachment issues from childhood and is treated by building self-confidence, practicing positive self-talk, and surrounding yourself with positive influences. Consulting with a psychologist or mental health professional is recommended for managing an inferiority complex, and a speech-language pathologist is crucial for treating puberphonia,.According to information from UMAR research, the peer, socity still remember the puberphonia voice. Better leave the present people and a new life in a new place.

New life after puberphonia treatment 

Puberphonia

Puberphonia is not a rare disorder as the world believe, an inappropriate use of high-pitched voice beyond pubertal age in males. It is usually seen in the immediate post-pubescent period when the male vocal mechanism has undergone significant changes in size and function caused by hormonal changes. We have identified and treated in one day by our new research method 1700 cases of puberphonia in a short span, in a small city in the world, Chennai.In male boys talking with high frequency like female folk,as a result could make them to ashame of the situation. So they psychologically affected with depression. Negative social reactions commonly occur and it overall affects social and vocational goals of them.We treat puberphonia in five days.

There are no proven at-home treatments for puberphonia; effective treatment requires voice therapy under the guidance of a puberphonia treatment experience ENT department who can teach you exercises to habituate a lower, adult-sounding voice. Attempting to change your voice at home without professional supervision risks vocal cord damage because the problem not only in vocal cord. While some techniques like glottal fry and digital manipulation might be used in therapy, they should only be performed as instructed by a qualified therapist to ensure safety and effectiveness. Very soon we will try try to findout the home treatment, because it's not a disease.

Puberphonia home treatment 

Dr. M. Kumaresan 's 42nd book ready.

Dr. M. Kumaresan developed a non-surgical, rapid voice therapy method using uvula manipulation and "breath of fire" training for puberphonia, an inability for males to achieve a normal voice after puberty. This technique, performed by the Siva ENT Head & Neck Hospital, reportedly achieves immediate and permanent low-pitch voice results for over 90% of cases, with some international ENT doctors expressing interest and requesting further information on the technique. Dr. M. Kumaresan completed another, his, 24th book on puberphonia. Now he is planning for a text book on puberphonia.

Puberphonia treatment costs vary depending on the chosen therapy; voice therapy can range from ₹1,000 to ₹3,000 per session, potentially costing thousands overall, while non-surgical UMAR treatment is a cost-effective alternative, total Rs. 10thousand or less. Treatment plans for only five days, are not individualized, only group training from morning to late evening and costs often include initial consultations, diagnostic tests, therapy, and stay Rs. 300/daily. Food outside hotel as you like.

UMAR treat puberphonia 

UMAR must for puberphonia

Puberphonia can be treated by Kumaresan and his colleagues using techniques like Voice Therapy and Uvula Manipulation and Resonance (UMAR). Voice therapy involves vocal exercises performed with a therapist to lower the larynx and relax vocal folds, while UMAR is a specific technique that involves manipulating resonance to achieve a lower pitch. In cases where other methods are ineffective, UMAR should be considered.

Dr. M. Kumaresan was able to treat a high number of puberphonia cases by using a novel technique involving direct uvula manipulation and pharyngeal resonance, coupled with breath-of-fire breathing exercises and patient education to establish a permanent low-pitched voice. This "internal" method focuses on the upper vocal tract and is effective because the larynx is anatomically normal in puberphonia patients, allowing for immediate results and long-term habit formation.

We treated more than 1700 puberphonia 

UMAR accepted

Dr. M. Kumaresan, working at the Siva ENT Head & Neck Hospital, presented his uvula manipulation technique for puberphonia at the International Voice Association (IALP 2019) Congress in Taipei, Taiwan, with presentations at other international forums. His research on this functional voice disorder, detailed in publications like Acta Scientific and the National Institutes of Health (NIH) https://actascientific.com/ASOL/ASOL-02-0139.php,, proposed a method of direct uvula manipulation combined with breath training to achieve a "fast track" treatment with rapid and permanent voice pitch changes. While specific reviews by international ENT doctors aren't detailed, his research indicates his work was well-received by the international medical community and presented at major global conferences. 

Dr. M. Kumaresan, at Siva ENT Head & Neck Hospital in Chennai, treats puberphonia with a direct voice therapy technique involving uvula manipulation and pharyngeal resonance to achieve a lower, male voice. The treatment, described as a social service, involves a short, in-hospital procedure and follow-up group therapy, sometimes combined with group training from the first day of treatment.

Treat puberphonia 

Puberphonia treatment

,,Treatment of puberphonia, in which laryngeal massage, outside the neck, is consistently highlighted as being an effective therapy technique for treating it. In addition, there have been several individual studies conducted to examine the effectiveness of  pharyngeal manipulation inside the vocal tract, which also yielded positive results. A basic review of UMAR techniques and this partnership with yoga breathing trainers is presented which give almost immediate low pitch speech and give a good follow up.

Why Choose Siva puberphonia treatment?The Siva ENT Center offers voice and communication training with our team of highly skilled specialists. All new clients begin with an initial evaluation only. No multidisciplinary team, which includes an examination of your overall vocal health and a discussion about your personal communication goals. For some, mild underlying vocal differences (raspiness, strain, fatigue) can be achived by group training as whole training process.

treat puberphonia

The treatment of choice for puberphonia is voice train with a convert to pharyngeal phonation. Goals are based on each patient's individual need onpy convertions. Your doctor will give you the tools to master change in vocal pitch, inflection or prosody, resonance, rate, articulation, language, and non-verbal communication by uvular voice. Training sessions will focus on using these tools in a healthy, sustainable manner. The number of sessions only 5 days.

Treat puberphonia

Puberphonia can create both psychological and physiological changes.

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Excessive admiration of another male or sibling

Excessive maternal protection Psychological upset.

Treat early.

Call 9841055774.

I live with puberphonia treatment.

There are two types of people! We were born, we worked, we ate, we died, and we are one type!

The second type is that we were born, worked, ate, lived and died with a goal!

Those who live with a single goal and disappear, go on to achieve many achievements and establish their name in the world!

I have no great ambitions, goals, or aspirations to accomplish great things!

There have been two desires within me since I can remember.

It's good to be ambitious! It's not good to be greedy!

- Dr. M. Kumaresan MS ENT

UMAR proves uvula a speech organ.

Dr. M. Kumaresan's research on puberphonia, a voice disorder where males speak in a high-pitched voice after puberty, concludes that his "pharyngeal resonance manipulation" technique is a successful and efficient treatment method. This approach is converting laryngeal phonation to pharyngeal phonation.

Key aspects of Dr. Kumaresan's research and treatment approach:

Pharyngeal Resonance Manipulation:

Fast-Track Rehabilitation:

Non-Surgical and Non-Pharmacological:

 

Addressing Emotional and Social Impact:

Focus on Confidence and Self-Esteem:

"Puberphonia Eradication Clinics":

New Voice Index:

Final remark.

Uvula a speech organ

Dear Sir/ Madam, NEW BOOK on puberphoniaGreetings,I am doing a small treatment for puberphonia/boys talking in female tone. The treatment is based on uvula manipulation. Our own research in puberphonia and treated 1600 cases of puberphonia. -kindly see my published articles and the you tube- AHaktHeOEk0 - live recording, done by me.

Puberphonia 

sexual behavior of puberphonia

sexual behavior of puberphonia 

The brain works the same way for s

ex and for the sensation of breast sucking in male homosexuals. It

is misunderstood by the brain. It has the feeling of having sex. The brain does not know the difference between 

action and intention. It is well known that the brain can be tricked. This is virtual reality. Pavlov's theory of classical conditioning also states the same. This study aims to revisit the studies reported in the area of peer

influence with reference to health behaviour. Peer groups are social groups that consist of people of the same age  who have similar interests and are usually equal in terms of education and social class. Peer groups are important as they tend to provide a space to make friends. They also help provide social and emotional support 

as well as an identity and a sense of belongingness to a social group, especially during adolescence. The authors

have found that sexual behaviour is one of the many areas in which teens are influenced by their best friends and peers.

Ballari puberphonia

Sir

My self 

Cxxxxxi M

From Ballari city 

karnataka state

I am working as a supervisor in contract basis

Jindal steel works torangallu

So I just wanted to know how many days the treatment will take

As a worker I won't get 5 days leave from our company, so please be kind & clarify my doubt.

I am 28 years old & I am suffering from puberphonia since 14 years.

I used to watch ur videos on YouTube about ur approach towards patients & the way u treat them & boost their self-confidence.

Replay 

Dr.M.Kumaresan MS ENT

Siva ENT Head & Neck Hospital

First Floor, 159, V. P. Raman Road, Royapettah, Chennai.

Opp: ADMK Office

Mobile: 98410 55774

https://maps.app.goo.gl/rxBJrr8Yw7yTdzs86

No Appointment Required

Puberphonia 5 days ₹10,000/- Accommodation in the hospital Rs.300/day. Food outside the hotel.

Bus 21 From Chennai Central MGR Railway Station to Ajantha Stop

Forth building opp AIADMK Office in Lloyd's Road

Working Hours: 11:00 am to 6:00 pm except Sunday

- Dr. M. Kumaresan MS ENT

Kumaresan's work focuses on treating puberphonia through techniques like uvula manipulation and pharyngeal resonance manipulation. He emphasizes that puberphonia is not a disease but a voice disorder that can be effectively treated with non-invasive methods. His research has been recognized and cited by other ENT specialists and researchers, including: Dr. Sudhakar Vaidya: An ENT surgeon in an article cited Dr. Kumaresan's research.Anjana A Mohite: In her research published in MedPulse, cited his work.CME organized by Dr. Roche: A CME on puberphonia in Chicago where Dr. Kumaresan was a faculty member.Meng-Ju Tsai, PhD: As a faculty member in the 31st World Congress of the IALP,Dr. Kumaresan's work cited.

Life Cycle Of Puberphonia Boys

Puberphonia boy changed his profession to earn his livelihood. He performs singing and dancingLike ladies and does physical gymnastics easily because he is aboy (this boy lives in Tamil Nadu; his activities are 

similar to those of lady boys in Thai Land). Very shy character boy having, consuming, and – having addictiveMaterials in hand.Two puberphonia boys reported trimming and correction of their eye brows,and five boys reported

exaggerated movement of the gluteal region while walking.

Lire cycle of puberphonia

Life Cycle Of Puberphonia Boys

Puberphonia boy changed his profession to earn his livelihood. He performs singing and dancingLike ladies and does physical gymnastics easily because he is aboy (this boy lives in Tamil Nadu; his activities are 

similar to those of lady boys in Thai Land). Very shy character boy having, consuming, and – having addictiveMaterials in hand.Two puberphonia boys reported trimming and correction of their eye brows,and five boys reported

exaggerated movement of the gluteal region while walking.

Pharyngeal voice can be used across various pitches, it is particularly well-suited for puberphonia, low-pitched sounds due to its ability to enhance vocal power and clarity. The pharyngeal voice, which involves specific coordination of the vocal tract and pharyngeal walls, can create a louder, brighter sound with the helpful uvular movements. This technique is achieved by shaping the vocal tract to emphasize certain overtones, which can be advantageous for projecting sound, including low pitches. UMAR treat puberphonia

A positive history of taking psychiatric medicine for an unknown cause of depression is available, with

fifty puberphonia boys in 1600 cases reported. Puberphonias stigma is defined as an undesirable attribute in a 

person that is viewed as setting that person apart from the rest of society. Shame is an intense negative emotion 

that results from a puberphonia person experiencing failure in relation to personal or other people’s standards, 

feeling responsible for that failure, and believing that the failure reflects an inadequate self. Puberphonia,

sometimes referred to as "self-stigmatisation," is a reflection of a person’s acceptance of the negative aspects of 

stigma. Although puberphonia can occur privately, shame has also been described as an affective reaction that

follows public exposure of some deviation from accepted norms.

Treat puberphonia. Call 9841055774

Snore sound treat puberphonia

One of the treatments for puberphonia is direct voice therapy. Techniques used include: (1) Cough: 

The patient is asked to apply pressure to the Adam's apple and cough. (2) Put a tongue depressor on and examine

the throat; the patient is asked to say a few words. (3) While doing an endoscope, the patient is asked to say a few

words. (4) When a patient is asked to snore, many parents report that their children are snoring like an adult male.

This results in a change in the air flow and resonance, which is the physiological mechanism that reduces pitch.

The patient can practice continuously through uvula resonance with forcible air flow from the stomach or

diaphragm.

The voicing can be practiced at the level of the uvula by using a lower pitch continuously. Yes, we can

create and give an immediate result in puberphonia voice change, but we have to maintain it and make it a habit

All articles in puberphonia focus on understanding the condition, its various treatment approaches, including voice therapy and surgery in laryngeal structures. In puberphonia larynx is normal. What is the need for a treatment in larynx ?Treatment needed is " redirected phonation.Dr. M. Kumaresan 9841055774

Isolated life, then you are probably suffering from Puberphonia. Do 

not panic, as it can be cured completely.Give yourself confidence and treat it immediately. With an 

attractive voice, which everyone would love to hear? There is no problem with sexual activity, family life, or

getting married. Confidently confirm that they will have children.  Recently, there has been a dramatic 

change in the approach to treating this condition. While older concepts were almost synonymous with vocal 

therapy, recent trends are prone to surgical correction. Watkinson actually says that surgery is 

contraindicated in the treatment of puberphonia. Nevertheless, surgical correction of puberphonia is now

successfully performed, which has been confirmed through many studies and case reports around the world. 

Our treatment is not in the larynx, but in the pharynx, mainly concentrating on uvula movement.

The surgeons and assistants can recognise the change from high pitch to low pitch immediately after the

first manipulation in the theatre and the improvement in voice quality. The patient himself recognises his new

voice, and that makes him happy.

The patient feels and hears their normal low-pitched voice.

Puberphonia is treatable

Isolated life, then you are probably suffering from Puberphonia. Do 

not panic, as it can be cured completely.Give yourself confidence and treat it immediately. With an 

attractive voice, which everyone would love to hear? There is no problem with sexual activity, family life, or

getting married. Confidently confirm that they will have children.  Recently, there has been a dramatic 

change in the approach to treating this condition. While older concepts were almost synonymous with vocal 

therapy, recent trends are prone to surgical correction. Watkinson actually says that surgery is 

contraindicated in the treatment of puberphonia. Nevertheless, surgical correction of puberphonia is now

successfully performed, which has been confirmed through many studies and case reports around the world. 

Our treatment is not in the larynx, but in the pharynx, mainly concentrating on uvula movement.

The surgeons and assistants can recognise the change from high pitch to low pitch immediately after the

first manipulation in the theatre and the improvement in voice quality. The patient himself recognises his new

voice, and that makes him happy.

The patient feels and hears their normal low-pitched voice.

Treat puberphonia

Puberphonia can produce a lower-pitched voice with difficulty, but he felt physically comfortable in high pitch voice. I asked what his friends thought about his higher pitch voice, and

They said that that he was used to his higher pitch voice. He considers this voice 

tone a symbol of his being recognised by others.

We humans tend to be most comfortable with what we are used to, even if what we are used to is

inappropriate or limiting for us. Have you ever come across a person, especially a male person, who has a female￾like or childish voice? Worse yet, have you ever been bullied or made a bad joke about his having such a 

mismatched adolescent voice?  This is peer influence. The person might be suffering from a more serious 

medical mental inferiority complex. Don’t make it so difficult for the person; he is already having a hard life

with depression! And if you are seeing and hearing that you are the one suffering from such a voice disorder treat puberphonia.

Puberphonia never cure automatically

Why are more men not taking treatment for puberphonia?

Recently, I saw a young man, 25 years old, who presented with a very high-pitched voice. Unlike most 

puberphonics, he was not particularly embarrassed about his voice, but he was aware that the pitch was high, 

that his voice fatigued easily, and that he could not project his voice. As with many handicaps, there are some

misconceptions about puberphonia.           A common myth is that it’s simply a result of somebody being overly 

nervous and shy. While having puberphonia may cause someone considerable anxiety in social situations, such

anxiety itself does not cause puberphonia; puberphonia results in anxiety. A particularly reserved type of person

may be puberphonic because they never want to exhibit their voice. Additionally, it is usually not the result of

childhood trauma, as some believe, or bad parenting.

He had not opted for treatment for puberphonia because elders and highly learned peoples told him to live with your voice and in due course it will be automatically corrected.

Ancient Indian surgery, particularly the work of Sushruta, has significantly influenced D. M. Kumaresan. Particularly two things.One: Surgery:Sushruta's techniques for rhinoplasty (nose reconstruction) using scalp flaps for nose reconstruction and number two,Sushruta's methods for cataract surgery were groundbreaking, involving pushing the lens with a curved needle. Inspiration : disease tissue, by-pass. Puberphonia vocal cord is not functioning properly, bypassing it and supporting the new tissue to achieve the loss of function.

Puberphonia treated groups ranging from 15 years to 70 years, based on who reported voluntarily for treatment. Data Collection and The structured

questionnaire was used to assess the impact of puberphonia on society by interview method. Even though Dr. M. Kumaresan found his own simple inovative method of puberphonia relief in 1990,  vigorous propaganda has been done

since November 11, 2016. In a short period of time in our centre, we received 1600 cases, which indicates that the

prevalence of puberphonia is high.

1600 puberphonia treated

Puberphonia treated groups ranging from 15 years to 70 years, based on who reported voluntarily for treatment. Data Collection and The structured

questionnaire was used to assess the impact of puberphonia on society by interview method. Even though Dr. M. Kumaresan found his own simple inovative method of puberphonia relief in 1990,  vigorous propaganda has been done

since November 11, 2016. In a short period of time in our centre, we received 1600 cases, which indicates that the

prevalence of puberphonia is high.

Inspiration

Inspiration for developing a new training, uvula manipulation, and resonance for puberphonia 29 years 

ago, one boy committed suicide for making fun of his female voice in North Madras. I was employed at 

Government Stanley Medical College. We provide counselling for social voice changes. We conducted many 

"voice care" programmes for all the BT training colleges. We conducted seminars and conferences for the

public. More puberphonia patients are coming in for counselling. One day, a mother brought her 10-year-old son 

for snoring treatment. Mother informed me that the boy snores like an adult male [6]. Boys usually have a 

childish female voice. Intense vibrations that occur during severe snoring may cause the uvula to get longer and

thicker over time. In a small percentage of patients, the cause of snoring is a long and/or thick uvula alone. From 

that day on, we tried various snoring techniques for air flow to treat puberphonia. Since 1992 itself, I have

published 11 cases of my own method of treating puberphnia without surgery in my "Clinical and Practical ORL.

Puberphonia PreventionThere's no known way to prevent puberphonia, early intervention and treatment can help manage the condition. Voice therapy, not speech therapy is the primary treatment option. Therapy goals are tailored to each patient's needs and may include: Vocal exercises: Techniques like humming while sliding down a pitch scale, glottal attack on vowel sounds, and using vegetative sounds to initiate voice production : These can be achieved only by redirecting laryngeal phonation to pharyngeal phonation.

Puberphonia character.

One of the most common is extreme worry about sexual orientation. For example, a 

teenage boy might be obsessed with the idea that he could be a girl. Puberphonia boys might be unable to focus 

in class or socialise normally because of the relentless nature of their thoughts. But with sexual thoughts, there is

an added element of shame.

Why do some people prefer to diagnose themselves on the Internet with puberphonia instead of going

to the doctor? Why is this trust more important thanprofessional knowledge?

Puberphonia stigma

Puberphonia character.

One of the most common is extreme worry about sexual orientation. For example, a 

teenage boy might be obsessed with the idea that he could be a girl. Puberphonia boys might be unable to focus 

in class or socialise normally because of the relentless nature of their thoughts. But with sexual thoughts, there is

an added element of shame.

Why do some people prefer to diagnose themselves on the Internet with puberphonia instead of going

to the doctor? Why is this trust more important thanprofessional knowledge?

Puberphonia is inappropriate use of high-pitched voice beyond pubertal age in males. It is usually seen in the immediate post-pubescent period when the male vocal mechanism has undergone significant changes in size and function caused by hormonal changes. That is why all causes for puberphonia are contemplated to hormonal changes. But it is not. Hormone development will be normal. Physical activity will be normal. Because of your phone your voice is not able to associate with normal people. The surrounding people will try to avoid him or make fun of him. This creates further puberphonia life problems.

Puberphonias stigma is defined as an undesirable attribute in a person that is viewed as different personality (male having 

a lady's voice) setting that person apart from the rest of society. Shame is an intense negative emotion that 

results from a puberphonia person experiencing failure in relation to personal or other people’s standards,

feeling responsible for that failure, and believing that the failure reflects an inadequate self. Puberphonia,

sometimes referred to as "self-stigmatisation," is a reflection of a person’s acceptance of the negative aspects of stigma. Although puberphonia can occur privately, shame has also been described as an affective reaction that

follows public exposure of some deviation from accepted norms.

Puberphonia is observed in males in the pre puberent stage - around 14 th year.Psychological impact: The condition can cause embarrassment, anxiety, and social withdrawal. Treatment available: Puberphonia is a treatable condition with pharyngeal voice therapy. Social isolation: Individuals with puberphonia may isolate themselves due to the stigma associated with their voice.

Little is known about the measurement of health-related quality of life (HRQoL) in puberphonia

population and the extent to which puberphonia  affect humamanbeing is not yet studied. All the concepts about changing voice in the adolescent period in males are falsely understood and believed by society. Our main object is to create awareness and puberphonia care by parents and the medical profession.

Attitudes about puberphonia disclosure and perceptions of stigma and shame research has focused with the 1600 puberphonia treated.

Why do people avoid seeking medical care, even when they suspect they have puberphonia? May not be 

aware of whom to consult for adult non-surgical voice problems. If they had the impression that it is congenital,

they and their family would boldly leave it to nature and believe that it is incurable.

Puberphonia boys accept the high-pitched voice and live with it with an isolated life.

Treat puberphonia

Little is known about the measurement of health-related quality of life (HRQoL) in puberphonia

population and the extent to which puberphonia  affect humamanbeing is not yet studied. All the concepts about changing voice in the adolescent period in males are falsely understood and believed by society. Our main object is to create awareness and puberphonia care by parents and the medical profession.

Attitudes about puberphonia disclosure and perceptions of stigma and shame research has focused with the 1600 puberphonia treated.

Why do people avoid seeking medical care, even when they suspect they have puberphonia? May not be 

aware of whom to consult for adult non-surgical voice problems. If they had the impression that it is congenital,

they and their family would boldly leave it to nature and believe that it is incurable.

Puberphonia boys accept the high-pitched voice and live with it with an isolated life.

Quality of life and the impact of puberphonia in boys are important because it is a specific, relevant, commoncondition of unknown aetiology. The perception of puberphonia (male talking in female voice disorder) bymedical professionals and the public is the same all over the world. We are the pioneers in bringing out the truenature of puberphonia, treating it, and introducing a new concept of puberphonia. The puberphonia requires nobreach of confidentiality. Because it is not a disease. Don't keep the puberphonia voice secret and suffer. Moreintensive study is done for 30 years to address clinical issues related to puberphonia. It reveals the problems of puberphonia: depression, loneliness, cowardice, low self-esteem, inferiority complex, psychological feelings, and thoughts of suicide, all of which will disappear after treatment. Untreated puberphonia can have long-term effects on a person's reproductive and physical health.Keywords: Puberphoia, Devastation, Female voice, Homosexual-------------------------------------------------------------------------------------------------------------------

Hello sir

[7/28, 2:26 AM] +91 63818 90369: I am disturbed sir My voice no change 

And I will come sir traning....

[7/28, 2:27 AM] +91 63818 90369: Kindly request sir mentally disturbed sir 🙏

[7/28, 2:29 AM] +91 63818 90369: Female voice issue, Stop studying.

Disturbed.

This is the feeling of the puberphonia.boys.

We have to treat immediately. Dr. M. Kumaresan..

Man low pitched voice.It could be due to: Genetics — your pharynx take's the function of the voicebox, pharynx could be shaped in a way to produce softer sounds. State of mind — stress, anxiety, and lack of confidence can lower the sound of your voice. Culture — male- some cultures promote a softer tone of voice as a sign of modesty and respect.Redirected phonation treat puberphonia.

Vibrating Fold Characteristics:

The size and thickness of the vibrating folds play a significant role. Longer, thicker folds in the pharyngeal tissues vibrate more slowly, producing a lower pitch, while shorter, thinner laryngeal folds vibrate faster, producing a higher pitch.

Redirect phonation to treat puberphonia.

Redirected phonation treat puberphonia

Vibrating Fold Characteristics:

The size and thickness of the vibrating folds play a significant role. Longer, thicker folds in the pharyngeal tissues vibrate more slowly, producing a lower pitch, while shorter, thinner laryngeal folds vibrate faster, producing a higher pitch.

Redirect phonation to treat puberphonia.

Importance of pharyngeal voice for puberphonia

Treat puberphonia only with pharyngeal voice.

Puberphonia, also known as functional or adolescent falsetto, is a voice disorder where an individual continues to use a high-pitched voice after puberty, despite the vocal cords having physically matured. Pharyngeal voice, in the context of puberphonia, refers to a voice that is perceived as resonating in the pharynx (the throat) rather than primarily in the chest or head. This can be a symptom of puberphonia, and techniques to address it often involve manipulating the pharyngeal space and resonance to achieve a more natural, lower-pitched voice.

Pharyngeal pharyngeal voice- passaggio

pharyngeal voice is generally better for low pitch sounds. It is typically associated with higher notes and a brighter, more piercing vocal quality. Pharyngeal voice is often described as a vocal register that helps singers navigate the passaggio (the transition between vocal registers) and achieve a more stable and focused sound in the upper range. While it can be used in No Fatigue:

Pushing pharyngeal voice even too hard in the lower range can never lead to vocal fatigue and potentially it never uses the vocal folds. ..

1600 puberphonia treated

How Dr. M. Kumaresan treated 1600 puberphonia.Dr. M. Kumaresan treated puberphonia, a condition where a male voice remains high-pitched after puberty, by using pharyngeal resonance manipulation and breath-of-fire voice techniques. This approach involves manipulating the uvula, soft palate, and other structures to improve vocal resonance and coordination between respiration, phonation, and resonation.

Air movement treat puberphonia

Puberphonia treatment.

Changing the airflow can indeed alter the sound of your voice. By manipulating your uvula and the way you project your voice, you can achieve different vocal qualities. This involves vibrating, how much air is used, where the air resonates in your vocal and how it's released. 

Deep breaths using your diaphragm (the muscle below your lungs) provide a solid foundation for your voice. Next is uvula vibration.

Puberphonia

Puberphonia is more common in the society. 

The vocal cords are usually normal upon examination, and the issue is often related to a failure to adapt pharyngeal voice, the changing voice during puberty. 

Social and emotional factors, such as embarrassment or a reluctance to accept the new voice, can play a role in the after effect puberphonia. 

UMAR is often an effective treatment for puberphonia.

Puberphonia innovations by Dr. M. Kumaresan

Dr. M. Kumaresan followed an innovative, important and relevant method of manipulating the uvula which had given the required low pitch voice in 1600 puberphonia males. 10% of the reported cases had given the history of attempted suicide. The gravity of the problem and the number is so much which is under recognized, less estimated and ignored.  We assess the pitch and confirm the diagnosis and no other test is required. We show them the frequency expected to achieve which gives confidence to the patient at the first consultation

Dr. M. Kumaresan, an ENT surgeon from Chennai, India, has published research on puberphonia, a condition where males maintain a high-pitched, childlike voice beyond puberty. His work focuses on uvula manipulation and resonance (UMAR) as a treatment approach. According to Siva ENT Head & Neck Hospital, he has treated a large number of patients with this method. 

Key aspects of Dr. Kumaresan's work:

Dr. Kumaresan's approach, Uvula Manipulation and Resonance, aims to retrain the vocal apparatus by manipulating the uvula to achieve a more natural voice. 

Dr. Kumaresan has published his research on puberphonia, including articles in Acta Scientific Otolaryngology and other publications. He also presented his work at various forums and has been featured in online publications about voice disorders.

Fast track puberphonia

Puberphonia is not a disorder that is likely to go away on its own. Without treatment, the changes in the patient's voice can become permanent.

 A deep voice is often considered attractive, especially in men. Research suggests that low-pitched voices are associated with traits like dominance, strength, and sexual allure, and can lead to a "halo effect" where people are perceived as more attractive overall. 

Treat puberphonia. Call 9841055774

Kumaresan method

The Kumaresan method, developed by Dr. M. Kumaresan, is a treatment approach for puberphonia, a condition where males speak in a high-pitched voice despite having a physically normal larynx. The method involves a combination of techniques, including pharyngeal resonance manipulation, breath of fire breathing training, and feedback home training. It also utilizes the Kumaresan Voice Pitch Index to assess the voice before and after treatment. 

Call 098410 55774

Development of puberphonia

Development of puberphonia.

Puberphonia has normal grown larynx  but the voice continue the same child voice. The voice is continued intentionally or unintentionally.

Puberphonia can create both psychological and physiological changes: Psychological causes 

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Excessive admiration of another male or sibling

Excessive maternal protection Psychological causes

Delayed development of secondary sex characteristics.

Treat puberphonia before it creates a social problem.

Call 9841055774

Puberphonia treatment

PUBERPHONIA. Puberty time for boys voice break to get male, low pitch voice. We correct it at any age. Siva ENT Hospital 159, V. P. Raman, Royapettai. Chennai 600014.No appointment needed for this treatment because it is my special interest.5 days treatment .Rs.10 thousand or as you like.1600 cases of puberphonia treated. Whatever you can afford, we still be able to provide the complete treatment. This service,we provide as an individual basis as a social service.

UMAR help

There are a lot of changes that come with puberty.

You start to develop secondary sex characteristics, hair growth where it wasn’t before, and stronger emotions, to name a few.

Another typical change is your voice getting deeper,  more for young boys.

When this doesn’t happen, it can be concerning, it’s different for teen boys.

Not having your voice drop can be psychologically troubling for teen boys.

One cause of this is a condition called puberphonia..

If you find yourself experiencing this, or are worried about your teenage son, UMAR training can help.

Call 9841055774, Chennai.

மாறுபட்ட குரலுக்கு மருத்துவம்

Puberphonia அறிகுறிகள்?

வயதுவந்த காலத்தில் குறைந்த தொனியில் ஒலிக்கும் குரலாக மாறத் தவறுவதே புபர்ஃபோனியாவின் சிறப்பியல்பு. வழக்கத்திற்கு மாறாக உயர்ந்த தொனியுடன் இணைந்து, பொதுவான அறிகுறிகளில் பலவீனமான, மூச்சுத் திணறல் அல்லது கரகரப்பான குரல், குறைந்த குரல் தீவிரம், தொனி உடைப்புகள் மற்றும் ஆழமற்ற சுவாசம் ஆகியவை அடங்கும்.

 இக்குரல் தானாக சரியாகாது. சிவா மருத்துவமனையில் ஐந்து நாளில் எவ்வித அறுவை சிகிச்சையும் இல்லாமல் சரி செய்ய வேண்டும்.

Puberphonia need awareness and research

Puberphonia primarily affects males but can occur in females less frequently. Although not life-threatening, puberphonia can significantly impact an individual's quality of life, leading to challenges in social interactions, self-perception, emotional well-being, and even professional and social interactions.
Need for awareness
Understanding and Empathy: Raising awareness can help the general public better understand puberphonia and its effects on individuals, fostering empathy and reducing teasing, bullying, and judgmental attitudes that can lead to social anxiety and isolation.
Early Intervention: Increased awareness among parents, educators, and healthcare professionals can facilitate early identification and intervention, improving treatment outcomes and potentially preventing long-term psychological impacts.
Seeking Help: Many individuals might not be aware that puberphonia is a treatable condition. They might delay or avoid seeking help due to shame, stigma, or a misconception that the condition is untreatable or linked to negative traits.
Importance of Scientific Research
Understanding the Causes: Puberphonia is often functional, meaning there's no structural damage to the vocal cords. Research is crucial to gain a deeper understanding of the interplay of psychological, neurological, and physiological factors that contribute to the development of puberphonia in some individuals.
Improving Treatment Methods: Research is vital to refine existing voice therapy techniques and develop new approaches to treating puberphonia effectively and efficiently.
Enhancing Accessibility: Research focusing on the readability and understandability of information about puberphonia is important to ensure that online resources are accessible to individuals of various educational backgrounds, enabling them to make informed decisions about their healthcare.
In conclusion, a greater understanding and awareness of puberphonia are crucial to destigmatize the condition, encourage individuals to seek timely help, and provide the necessary support for their overall well-being. Continued scientific research is vital to unravel the complex etiology of this disorder and develop increasingly effective and accessible treatment options

Puberphonia need awareness and research

Puberphonia need for awareness and research.
Understanding and Empathy: Raising awareness can help the general public better understand puberphonia and its effects on individuals, fostering empathy and reducing teasing, bullying, and judgmental attitudes that can lead to social anxiety and isolation.
Early Intervention: Increased awareness among parents, educators, and healthcare professionals can facilitate early identification and intervention, improving treatment outcomes and potentially preventing long-term psychological impacts.
Seeking Help: Many individuals might not be aware that puberphonia is a treatable condition. They might delay or avoid seeking help due to shame, stigma, or a misconception that the condition is untreatable or linked to negative traits.
Importance of Scientific Research
Understanding the Causes: Puberphonia is often functional, meaning there's no structural damage to the vocal cords. Research is crucial to gain a deeper understanding of the interplay of psychological, neurological, and physiological factors that contribute to the development of puberphonia in some individuals.
Improving Treatment Methods: Research is vital to refine existing voice therapy techniques and develop new approaches to treating puberphonia effectively and efficiently.
Enhancing Accessibility: Research focusing on the readability and understandability of information about puberphonia is important to ensure that online resources are accessible to individuals of various educational backgrounds, enabling them to make informed decisions about their healthcare.

In conclusion, a greater understanding and awareness of puberphonia are crucial to destigmatize the condition, encourage individuals to seek timely help, and provide the necessary support for their overall well-being. Continued scientific research is vital to unravel the complex etiology of this disorder and develop increasingly effective and accessible treatment options therapy for Puberphonia.

1.Intentionally -puberphonia voice persist - want to sing in lady voice-psychology adjustment required. Thay continue the high pitched voice because of pressure from others. We have to bring them out.

2.Unintentionally need voice rehabilitation with UMAR training.

3.Forced voices need small adjustments with UMAR.

4.Emotional exhaust needs UMAR with group therapy.

Puberphonia intentionally or unintentionally

Prefered therapy for Puberphonia.

1.Intentionally -puberphonia voice persist - want to sing in lady voice-psychology adjustment required. Thay continue the high pitched voice because of pressure from others. We have to bring them out.

2.Unintentionally need voice rehabilitation with UMAR training.

3.Forced voices need small adjustments with UMAR.

4.Emotional exhaust needs UMAR with group therapy.

Our puberphonia work recognised

Journal of Voice

(Available online 29 March 2024) 

Four of our research are elected as best articles in Puberphonia - among 18 website selected for study.

A great honour for us, India. We are proud.

18.M. Kumaresan, N.B. Kumaresan, P.D. Elangovan

Uvula Manipulation and Resonance (UMAR) Treatment for Puberphonia

Indian J Otolaryngol Head Neck Surg, 74 (2022), pp. 4954-4961, 10.1007/s12070-021-02412-3

View at publisher

View in ScopusGoogle Scholar

19.

Kumaresan K, Bharath N. Fast track treatment for puberphonia; February 5, 2020. lupinepublishers.com. Available at: https://lupinepublishers.com/otolaryngology-journal/fulltext/fast-track-treatment-for-puberphonia.ID.000173.php. Accessed July 2023.

Google Scholar

20.

Muthiah K. Puberphonia. LinkedIn; January 4, 2019. Available at: https://www.linkedin.com/pulse/puberphonia-kumaresan-muthiah-1d. Accessed July 2023.

Google Scholar

21

K. Muthiah

An Immediate and Permanent Cure for Puberphonia

J Otolaryngol ENT Res, 10 (2018), 10.15406/joentr.2018.10.00351

Accessed July 2023

View at publisher Google Scholar

Internationally 4 of articles are selected for review by

Accessibility to Puberphonia Online and Its Readability by Patients

Author links open overlay panel

Maryam Aljawi, 

Anastasios Hantzakos, 

Cite

https://doi.org/10.1016/j.jvoice.2024.03.010

To assess the readability of online materials related to puberphonia.

Study design

Online material review.

Method

The study was conducted by performing a Google search using the specific keyword “puberphonia.” The selected websites underwent assessment utilizing three distinct readability metrics: Simple Measure of Gobbledygook (SMOG), Flesch Reading Ease Score (FRES), and Flesch-Kincaid Grade Level (FKGL).

Thanks for the selection committee.

Dr.M.Kumaresan.

Frequency change

Laryngeal frequently is converted to pharyngeal frequently.

The fundamental frequency of the vocal folds can be changed by altering the physical properties of the wave's source or medium. This can be achieved by changing the length, tension, or density of the medium or by adjusting the speed of the wave within the medium. 

Medium Properties:

For sound waves in the vocal react (like a pipe), the fundamental frequency depends on the speed of sound in the medium and the length of the tube. 

Changing the pharyngeal soft flexible tissue medium will affect the speed of sound and therefore the fundamental frequency. 

The length of the tube also plays a role. Open-ended tubes have a different relationship between length and frequency compared to closed-ended tubes.

Frequency conversion in the vocal track.

Laryngeal frequently is converted to pharyngeal frequently.

The fundamental frequency of the vocal folds can be changed by altering the physical properties of the wave's source or medium. This can be achieved by changing the length, tension, or density of the medium or by adjusting the speed of the wave within the medium. 

Medium Properties:

For sound waves in the vocal react (like a pipe), the fundamental frequency depends on the speed of sound in the medium and the length of the tube. 

Changing the pharyngeal soft flexible tissue medium will affect the speed of sound and therefore the fundamental frequency. 

The length of the tube also plays a role. Open-ended tubes have a different relationship between length and frequency compared to closed-ended tubes.

Success of UMAR

Scientific evidence for success of UMAR.

Natural frequencies produced by vocal folds are crucial for which can cause excessive vibrations and potentially damage the voice. By adjusting the mass, stiffness, or damping of machine components in the pharynx can shift the natural frequencies away by uvula from the frequencies of rotating parts or other sources of vibration.

That is UMAR.

UMAR success

Puberphonia treatment by UMAR:

In puberphonia, individuals, usually males, maintain a high-pitched voice despite their vocal cords having changed to a lower pitch during puberty. This is often due to psychological factors or learned vocal habits rather than physical limitations of the vocal cords. 

Unlike surgical interventions or external laryngeal manipulations, pharyngeal voice therapy focuses on retraining the vocal tract and optimizing natural resonance. It is a non-invasive, cost-effective, and potentially faster method for treating puberphonia.

Pharyngeal voice

The pharyngeal voice can be utilized across various pitches, it is particularly useful for creating low-pitched sounds in Puberphonia and can be a helpful technique for enhancing vocal power and clarity, especially in the lower registers. The pharyngeal voice involves shaping the vocal tract to emphasize certain overtones, which can be advantageous for projecting sound, including low pitches, and for achieving a more powerful and clear tone. 

Here's why the pharyngeal voice is often associated with low-pitched sounds: 

Uvula vibration products sound.

Resonance adjusted by uvula sending air to nose or mouth and Vocal Tract Shaping:

The pharyngeal voice utilizes the resonance of the pharynx (throat) to create a distinct tone. By shaping the vocal tract in a particular way, it can amplify certain frequencies, including those associated with lower pitches.

Power and Clarity:

This technique is known for adding power and clarity to the voice, making it useful for projecting sound in lower ranges without strain.

Bridging Registers:

The pharyngeal voice often acts as a bridge between the chest voice and head voice, enabling smoother transitions and a more connected vocal range.

Balancing Sound:

Pharyngeal resonance can help balance the voice, making it more stable and focused, which is particularly helpful for low notes where stability can sometimes be an issue.

In essence, the pharyngeal voice isn't just for low pitches, but its ability to create a powerful, clear, and connected sound, along with its resonance properties, makes it a valuable tool for treating Puberphonia boys while producing voice in the lower range.

Wood voices

Our treatment (Dr.M.K.umaresan,,)approach for puberphonia using Umar therapy and uvula manipulation is quite fascinating. Comparing this to the ancient practice of using a pharyngeal voice for a "wood voice" in singing, it seems there might be a historical connection between the concepts of pharyngeal resonance and voice quality. While the exact methods may differ, both approaches focus on modifying resonance to achieve a desired voice quality. The pharyngeal voice technique might have been used historically to produce a stronger, more resonant sound, which aligns with the goals of your therapy to shift the tone from a laryngeal to a pharyngeal resonance. It's interesting to see how ancient practices and modern treatments can have parallels.

Pharyngeal voice

pharyngeal voice can be used across a range of pitches, it is often associated with lower pitches and can be a valuable tool for enhancing vocal power and clarity in that register. The technique involves using the resonance of the pharynx (throat) with uvular vibration to create a distinct tone, which can be particularly helpful for puberphonia aiming for a powerful and clear sound in lower vocal ranges.

kumaresan voice pitch index

The Kumaresan Voice Pitch Index, developed by Dr. Kumaresan Muthiah and his son Navin Bharath Kumaresan, is a method for assessing puberphonia, a condition where males retain a high-pitched voice after puberty. It's a tool that evaluates various aspects of the voice, including pitch, vocal fatigue, and other vocal qualities, to determine the severity and characteristics of the puberphonia.

Project air flow to treat puberphonia

How Uvula Manipulation Works:

Why we are targeting the Pharynx:

Puberphonia is not typically caused by structural abnormalities in the larynx (voice box). Instead, phonatory organs are not functioning properly. The issue where the individual continues to use a high-pitched voice despite normal physical changes associated with puberty. 100% phonatory organ function is initiated and maintained by air flow. We initiate and maintain air flow. That's UMAR.

Inspirational Tamil

 Learning’s:

1.  How to do UMAR treatment, (a) Fast track of achieving the low pitch from high voice.

(b) Training to habituate the usage of low pitch voice.

2. Biomechanical and physical process of the uvula in puberphonia treatment, the correct scene to  understand the whole mechanism

தொல்காப்பியம் ஒரு விரிவான  உச்சரிப்பு  ஒலிப்பை  விளக்குகிறது,  கொடுக்கிறது

3. How we discovered the importance of voice       modulation by knowing the importance of pharynx and its holes. The art of finding the target voice; help in developing and improving voice.

வாயில் புகுந்து காது வழியாக வெளியே  வரும் ஹனுமான் - அங்கணமாக விளங்கும் தொண்டையில் நிறைய துளைகள்

4. Our experience of sex identification of lady boys at Battaya beach at Thailand.

5.  Vinayagar  Agaval song by Avvaiyar and are all about practices for voice care

விநாயகர் அகவல் -முழுக்க முழுக்க இருப்பது குரல் வழ முறைகள்

6. Recognizing the importance of cone hall resonance       in river Thamaravarni at Thirunelveli Sanku Mandabam `

தாமிரபரணி ஆற்றின் நடுவே கல் மண்டபம் ஒன்று இருக்கிறது. புயல், வெள்ளத்த கண்டுபிடிக்க ஆற்றுக்கு தாமிரபரணி ஆற்றின் நடுவே கல் மண்டபம் ஒன்று இருக்கிறது. புயல், வெள்ளத்த கண்டுபிடிக்க ஆற்றுக்கு நடுவே கட்டப்பட்ட கல் மண்டபங்கள்).       நடுவே கட்டப்பட்ட கல் மண்டபங்கள்).

7. Successful life of puberphonia high pitch voice singer Mickel Jackson, Palam Kalyanasundaram, few rulers and polititions

8. Nerve to uvula preservation in cleft palate repair       surgery, causes no velopharyngeal dysfunction during speech and velopharyngeal insufficiency.

9. The mechanism of pitch change in the voice-       which organ to be treated in puberphonia?

‘ஓம்’ பிறக்கும் சொல் தொண்டைத் தீண்டாமல் நாக்கு மேல் வாயின் மூலமாய் பிறக்கும். (Open throat voice is “ om”word

UMAR

Dr. M. Kumaresan has achieved a successful non-invasive, fast-track treatment for puberphonia using a method called Uvula Manipulation and Resonance (UMAR) treatment. This technique focuses on manipulating the uvula and training resonance to help individuals with puberphonia achieve a more typical male voice. 

More than 1550 puberphonia successfully treated.

Treat puberphonia

[7/1, 10:50 PM] +91 76021 34089: I have been suffering from my voice for many years. I am in great trouble. I have a feminine voice. I have great difficulty in moving around in society. Sir, please help me. How can I go to your chamber or your clinic and be shown? I want to get well very soon.🙏

[7/2, 6:51 AM] Dr. M. Kumaresan MS(ENT): Dr.M.Kumaresan MS ENT

Siva ENT Head & Neck Hospital

First Floor, 159, V .P.Raman Road, Royapettah, Chennai.

Opp: ADMK Office

Mobile: 98410 55774

https://maps.app.goo.gl/rxBJrr8Yw7yTdzs86

No Appointment Required: Rs.10 thousand,

Puberphonia 5 days /-

Bus 21 From Chennai Central MGR Railway Station to Ajantha Stop

Forth building opp AIADMK Office in Lloyd's Road

Working Hours: 11:00 am,except Sunday.

- Dr. M. Kumaresan MS ENT

Voice by 3 boxes

Three boxes produce a voice.

What Are R1, R2, and R3 and How Do They Affect Your Voice Sound?

What is R1?

Within the vocal mechanism, there are different areas where the voice will resonate, or ‘vibrate.’ The term R1 refers to the resonance area containing the laryngeal space (located inside your neck where your voice box is) and the pharyngeal space (located in the back of the throat). R1 is often called the primary gender control knob, and it will be the most decisive factor in the feminization of the voice.

R2 is a pharyngeal box.

R2 can create the widest range of possible frequencies (low –sounding pitch). This means that R2 can produce a wide range of sounds, making it an important area to understand in mtf and ftm trans voice training.

R3 is primarily controlled in the area between the tongue apex (tip of the tongue) and the teeth and lips. While this resonance chamber will usually produce sounds in the high end of the frequency spectrum, it can drop much lower when the tongue is in retroflexion.

Voice box

Larynx & pharynx different sound boxes.

Larynx and pharynx are both parts of the throat, but they have distinct roles in sound production. The larynx, also known as the voice box, is the primary structure for sound generation in children and ladies, while the pharynx acts as a resonating chamber. 

Pharynx, muscular wide tube in male . Its tissue can vibrate and create sound, pharyngeal voice in male and also plays a role in speech by shaping and resonating the sound produced by the larynx. So in an adult male high pitched voice automatically vanishes.

Internal manuare

pharyngeal voice can be utilized across various pitches, it's better for low pitch sounds. It's a technique that can be used to enhance vocal power and clarity, and is particularly useful for puberphonia.. 

Here's why:

The pharyngeal voice involves a specific coordination of the vocal tract, including the pharyngeal walls, which can create a louder, brighter sound with the helpful uvular movements. This is achieved by shaping the vocal tract to emphasize certain overtones, which can be advantageous for projecting sound in various registers, including low pitches.

Uvula create pharyngeal speech

pharyngeal voice can be utilized across various pitches, it's better for low pitch sounds. It's a technique that can be used to enhance vocal power and clarity, and is particularly useful for puberphonia.. 

Here's why:

The pharyngeal voice involves a specific coordination of the vocal tract, including the pharyngeal walls, which can create a louder, brighter sound with the helpful uvular movements. This is achieved by shaping the vocal tract to emphasize certain overtones, which can be advantageous for projecting sound in various registers, including low pitches.

Uvula change the frequency

Uvula significantly impact voice pitch by altering the shape and size of the vocal tract and controlling airflow. The uvula, can be raised or lowered, affecting whether sound passes through the nasal or oral cavity. A raised soft palate  with the uvula creates more space in the vocal tract, allowing for a fuller, more resonant tone and potentially enabling higher notes

Training for puberphonia

Training for puberphonia.

Vowel sounds like “ee” and “ay” or "Amma" naturally engage pharyngeal resonance. Practise speech using these vowels, focusing on low pitch, keeping the sound clear and resonant.

Class on voice xare

How to improve low pitch voice?

Dr.M.Kumaresan class on Saturday evening 5 pm.

Use the following tips to loosen the vocal folds in your larynx, which in turn will help you hit lower notes.

First, understand your vocal cords. ...

Drop your jaw when you talk

&

Many more tips..

voice is associated with power and clarity, particularly in higher ranges, it's inherently better for low-pitched sounds. The pharyngeal voice is a vocal technique that utilizes the resonance of the pharynx (the throat) to create a distinct tone. It can be helpful for puberphonia training and adding a powerful quality to the voice,  It determine pitch.

pharyngeal voice

pharyngeal voice is associated with power and clarity, particularly in higher ranges, it's inherently better for low-pitched sounds. The pharyngeal voice is a vocal technique that utilizes the resonance of the pharynx (the throat) to create a distinct tone. It can be helpful for puberphonia training and adding a powerful quality to the voice,  It determine pitch.

Vibrating Objects produce sound:

Any object that vibrates, such as vocal cords, uvula, lips or even a piece of tissue, can produce a sound with a specific pitch based on the frequency of its vibration. 

 Voice:

The puberphonia voice is also produced by vibrating structures (vocal cords). The frequency at which the vocal cords vibrate determines the pitch of the voice. Puberphonia males have normal long, thicker vocal Cords, typically should have lower pitched voices (due to thicker and longer vocal cords) that vibrate slower. 

In puberphonia it creates a high pitched voice. Why?

Answer is UMAR.

Puberphonia vibration

Vibrating Objects produce sound:

Any object that vibrates, such as vocal cords, uvula, lips or even a piece of tissue, can produce a sound with a specific pitch based on the frequency of its vibration. 

 Voice:

The puberphonia voice is also produced by vibrating structures (vocal cords). The frequency at which the vocal cords vibrate determines the pitch of the voice. Puberphonia males have normal long, thicker vocal Cords, typically should have lower pitched voices (due to thicker and longer vocal cords) that vibrate slower. 

In puberphonia it creates a high pitched voice. Why?

Answer is UMAR.

Logic in pharyngeal phonation

Dr.M.Kumaresans research work will provide an update include information on the logic, theory and evidence related to pharyngeal resonance manipulation therapy may be one of the important modality of treatment for puberphonia. The manipulation is done for change in pitch of the voice in the uvula. Incidentally we are able to through some light on the movement of the sound filled air travel from laryngopharynx to the oropharynx. We are able to study some of changes that happen in the uvula and the different air pressure changes in the phonatory apparatus.

Pharyngeal Resonance

Dr.M.Kumaresans research work will provide an update include information on the logic, theory and evidence related to pharyngeal resonance manipulation therapy may be one of the important modality of treatment for puberphonia. The manipulation is done for change in pitch of the voice in the uvula. Incidentally we are able to through some light on the movement of the sound filled air travel from laryngopharynx to the oropharynx. We are able to study some of changes that happen in the uvula and the different air pressure changes in the phonatory apparatus.

R1 and R2

R1 For females, R2 for male

Within the vocal mechanism, there are different areas where the voice will resonate, or ‘vibrate.’ The term R1 refers to the resonance area containing the laryngeal space (located inside your neck where your voice box is) and R2 the pharyngeal space (located in the back of the throat). R1 is often called the primary gender control knob, and it will be the most decisive factor in the feminization of the voice. R2 is for male voices.

Redirect phonation

Understanding puberphonia is the first step toward seeking effective treatment. It’s crucial to keep in mind that this voice disorder is treatable with the appropriate therapeutic interventions, giving those who suffer from it hope. Talking in a high pitched voice they have a low pitch voice inside the throat, it can be revealed while they cough, so bring it out by changing phonation from larynx to pharynx.

Simple treatment for puberphonia

Uvula manipulation and resonance procedure needs no surgery it is cost effective and no post treatment complication. The surgeon who performs the procedure and the patient recognize the desired low pitched voice immediately after this simple manipulation procedure. Added to that, few boys immediately recognize the new voice which is similar to their ancestral voice. In such cases immediate phone by the puberphonia treated boys to their family members create a climax in our procedure.

Stroboscope in puberphonia

Use of Stroboscope in puberphonia: Of the 1530 patients, 1223 had vocal cord problems like thin, bend,la lazy or phonatory gap. The remaining stroboscopic parameters were normal. Since the pre-therapy findings were not clinically significant, the stroboscopy was not repeated during the follow-up. For several years they have not used their vocal cords. We redirect phonation from larynx to pharynx and get good results.

Puberty voice changes in boys are marked by a deepening of the voice, often accompanied by cracking or breaking as the larynx and pharynx grow and change. 

Symptoms in Boys:

The voice may sound squeaky, croaky, or crack/break as the voice adjusts to its new size. 

Cause of change of voice in male.

Children and girls need shouting for their protection 

Adult boys need only development of their body and there are ready to fight. So their voice change to pharyngea voice.

The overall pitch of the voice lowers, often by an octave or more in males. 

Laryngeal Prominence (Adam's Apple):

In males, the larger larynx may become more prominent as a bump in the front of the throat. Some boys knowingly or unknowingly continue the same child voice. That is caed puberphonia.

UMAR

Our new UMAR training in the treatment of puberphonia is similar to voice therapy. Instead of external voice therapy or external conventional laryngeal manipulation, we do internal pharyngeal manipulation and resonance at uvula level and get the desired permanent result early. We train to have a pharyngeal voice which gives a low pitch voice. Scientifically what is needed we give.

Puberphonia Reference

Research Gate:

PUBERPHONIA: A NOVEL APPROACH TO TREATMENT

Sudhakar Vaidya*, G. Vyas**

The method reported by the authors was incidentally found

to be useful, while doing direct laryngoscopic examination

of a patient of puberphonia. No reference is available except

from Dr M Kumerasan (Chennai), who has published his work

in book “A research work in Otorhinolaryngology” in 1992.

He used rush-miller (USA) laryngoscope and treated 11

patients up to publication of his research paper.[13]

REFERENCES

1.....

13. Kumaresan M. Clinical and Practical Otorhinolaryngology: A Research

work in Otorhinolaryngology. 1st edn. Madras: Paramkalyan printers.

Address for Correspondance

Dr. Sudhaka

Redirect phonation

Voice Training for puberphonia:

While voice training can help improve voice control and range, it may not entirely change the underlying physical characteristics of the voice, such as the size of the vocal folds. Vocal folds are normal in puberphonia. So not needed for correction. low pitched voice is pharyngeal voice. So redirect phonation from larynx to pharynx.

Prevention of puberphonia.

.

While there's no known way to prevent puberphonia, early intervention and treatment can help manage the condition. Voice therapy is the primary treatment option. 

Vocal exercises: Techniques like humming while sliding down a pitch scale, glottal attack on vowel sounds, snoring sound and using vegetative sounds to initiate low pitched voice production. Continuous voice exercises there for a few days to make it as a habits.

Group therapy is better, with abdominal breathing, with a pharyngeal voice nasal resonance.

.

Typical puberphonia

Puberphonia has a high pitched voice with normal larynx.

Laryngeal muscle tension, vocal fold issues, laryngeal abnormalities, vocal fold asymmetries, or non-fusion of the thyroid laminae are not the features of puberphonia. If the diagnosis is different. has a high pitched voice with normal larynx.

Laryngeal muscle tension, vocal fold issues, laryngeal abnormalities, vocal fold asymmetries, or non-fusion of the thyroid laminae are not the features of puberphonia. If the diagnosis is different. can create:

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Bulling another male or sibling

Less maternal protection 

Psychological and physical development of artificial secondary sex characteristics .

Puberphonia create

Puberphonia can create:

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Bulling another male or sibling

Less maternal protection 

Psychological and physical development of artificial secondary sex characteristics .

Puberphonia create

Puberphonia can create:

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Bulling another male or sibling

Less maternal protection 

Psychological and physical development of artificial secondary sex characteristics .

Pharyngeal voice

Puberphonia treatment exercises focus on improving pharyngeal function and lowering pitch. Techniques often involve humming, "BOOM" exercises, snoring, coughing, sighing, and pharyngeal manipulation. 

:

Pharyngeal speech involves using the pharynx as the primary source of airflow and a replacement for the glottis to produce sounds. The tongue, upper alveolus, palate, uvula or pharyngeal wall can be used to create these sounds. 

Production:

Individuals using pharyngeal speech can draw air into the pharynx and manipulate it with the uvula and other structures to create a variety of sounds. This can involve constricting the pharynx or using other movements to modify the airflow. 

Characteristics:

Pharyngeal speech can have a low pitched voice quality, and it can be difficult to produce certain sounds, consonant clusters, or polysyllabic words according to a study on a patient using pharyngeal speech. Intelligibility can also be a challenge, especially for those not familiar with the speaker. In puberphonia still a good vocal cords are there. All the disadvantages can be compensated

Increase pharynx function

Puberphonia treatment exercises focus on improving pharyngeal function and lowering pitch. Techniques often involve humming, "BOOM" exercises, snoring, coughing, sighing, and pharyngeal manipulation. These exercises aim to activate pharyngeal muscles and encourage vocal tract adjustments to achieve a more natural voice. Pushing on the thyroid cartilage during vowel production can help adjustment in directing the air to reach pharynx for a active pharyngeal function.

Puberphonia treatment day

Puberphonia treatment in Siva

Frequency training therapy was one continuous session for 5 days. The therapy techniques were practiced in groups in all days, ease of production, and improvement in pitch. Simultaneously, all the patients practiced relaxation exercises to reduce the fear complex. During the course of therapy, we record the frequency, the patient note the difference in their habitual pitch and lowered pitch and were counseled regarding the appropriateness and use of this “new voice.” 4th day the thread is removed from the mouth. 5th day complete s the treatment.

puberphonia employment

We  treat puberphonia by uvula manipulation.

It needs immediate post treatment support :

Puberphonia can have a significant impact on an individual's self-esteem and social interactions, so a group therapy, socialization psychological support is crucial. We provide employment opportunities for them.

Puberphonia post treatment

We  treat puberphonia by uvula manipulation.

It needs immediate post treatment support :

Puberphonia can have a significant impact on an individual's self-esteem and social interactions, so a group therapy, socialization psychological support is crucial. We provide employment opportunities for them.

Journal of Voice recognised us.

March 29, 2024

Open access

Accessibility to Puberphonia Online and Its Readability by Patients

Maryam Aljawi aljawim@clevelandclinicabudhabi.ae ∙ Anastasios Hantzakos HantzaA@ClevelandClinicAbuDhabi.ae

Journal of Voice.

Our (Dr.M.Kumaresan & Dr.Navin Bharath) four puberphonia articles are reviewed in this International Journal.

Happy.

our articles reviews in international journal.

March 29, 2024

Open access

Accessibility to Puberphonia Online and Its Readability by Patients

Maryam Aljawi aljawim@clevelandclinicabudhabi.ae ∙ Anastasios Hantzakos HantzaA@ClevelandClinicAbuDhabi.ae

Journal of Voice.

Our (Dr.M.Kumaresan & Dr.Navin Bharath) four puberphonia articles are reviewed in this International Journal.

Happy.

Puberphonia, open the mouth and talk.

2nd  June 2025, yesterday I met a puberphonia boy. His voice is almost nil , feeble voice and almost a child-like..Whenever he talks, he never open the mouth. simply talk like a girl. I was so surprised. How to  treat him.we did Umar. I was able to get a little male sound. I put my three fingers in his mouth and asking to talk. I had a bite, then I put your blade in between the tooth and asked to talk. this is a great support for him to talk with open mouth. He is slowly regaining the male voice.

FINAL WORDS

Again! Do not be afraid! Keep on practicing even if look dumb, even if someone discourages you, even if someone tells you you’re crazy! Because nothing is impossible in this universe! Because even the universe is impossible itself! Yet here we are, we exist. And that not mouth opening puberphonia exist, and now it’s not… That’s it. I will not share name yet, but someday, you’ll know. Please share this on your fb, twitter, or anywhere on this earth so everyone with puberphonia might find this useful. Puberphonia is not a disease, it is just some form of fear or anxiety. Thanks!

UMAR Treatment, A scientific explanation.

Scientific explanation for UMAR success in puberphonia treatment.

Pitch of voice is somewhat like the strings of a stringed instrument. The tighter the tension, the higher the pitch. If weight increases it lowers the pitch.

Thyroplasty, designed to loosen the vocal cords to lower pitch.

Bilateral vocal cord implants, which are for people with thin or atrophied vocal cords.

Microlaryngeal rearrangement of soft tissue, which will add mass to the vocal cords, lowering the pitch of the voice.

It’s surgery, and can be a risk. But if you desire a deeper voice, and are unable to relax your throat enough to attain it naturally, it may be the risky option.

We temporarily add the mass of the uvula and get the low pitch voice. Make it happen by practice. In puberphonia vocal cords are there. After habitation the whole vocal track takes its regular function. We can remove the loading by the appended thread.

puberphonia articulated

Puberphonia, a speech difficulty involving the creation of low pitch voice from high, is typically treated with the articulation therapy techniques. This therapy aims to improve the production of the "low" sound through techniques focusing on uvula positioning, muscle strengthening, and auditory/visual feedback. 

Here's a more detailed look at treatment approaches:

Uvula Exercises:

These exercises focus on teaching the correct placement of the uvula to produce low pitch sound, often involving slight curling or positioning it at the back of the throat. 

Uvula Strengthening by increasing the weight.

 Exercises:

Exercises designed to enhance the flexibility and strength in improving control and coordination. 

Listening and Repetition Uvular Drills:

Using audio recordings of correct "low" sounds and practicing them repeatedly to reinforce the sound. 

Visual Aids:

Diagrams showing mouth positions and mirrors can be used to help individuals see and adjust their uvula placement. 

Auditory and Visual Feedback provide feedback on sound production, helping individuals refine their technique.

Correct treatment for puberphonia

In adult males, voice changes primarily occur during puberty and can continue subtly into later life. During puberty, hormonal changes, particularly testosterone, lead to the larynx (voice box) growing, vocal cords lengthening and thickening, and the development of a deeper, more resonant voice. After puberty, voices may continue to develop and stabilize into the early twenties. Older males may experience some voice changes, including a possible increase in pitch, decreased volume, or vocal strength but these changes are often subtle. Also called presbyphonia or presbylaryngeus, these issues can develop due to vocal cord atrophy, diminished lung power, and lazy structures. The same findings are expected in puberphonia. So, treatment only actiates the vocal tract. That is Puberphonia treatment 

Articulation Therapy:

This focuses on improving the physical production of the sound through exercises that strengthen soft palate and tongue muscles and improve coordination. 

Phonological Therapy:

This addresses the underlying phonological patterns of speech, helping the individual understand and produce the sound correctly within the language system. 

Exercises:

Examples include uvula positioning exercises, strengthening exercises, and repetition drills. 

Visual and Auditory Feedback:

Using mirrors, diagrams, and listening to the correct sound helps individuals correct their production. 

Individualized Plans:

Treatment plans to the specific needs of the individual, considering factors like the severity of the puberphonia and the individual's age and abilities. 

UMAR:

Increase weight of the uvula. In olden days increasing the weight of the tongue was tried.

Why did this procedure not continue?.

Old age and puberphonia, same pathology.

In adult males, voice changes primarily occur during puberty and can continue subtly into later life. During puberty, hormonal changes, particularly testosterone, lead to the larynx (voice box) growing, vocal cords lengthening and thickening, and the development of a deeper, more resonant voice. After puberty, voices may continue to develop and stabilize into the early twenties. Older males may experience some voice changes, including a possible increase in pitch, decreased volume, or vocal strength but these changes are often subtle. Also called presbyphonia or presbylaryngeus, these issues can develop due to vocal cord atrophy, diminished lung power, and lazy structures. The same findings are expected in puberphonia. So, treatment only activates the vocal tract. That is UMAR.

Rhotacism

Rhotacism is a form of puberphonia. Puberphonia treatis similar to rhotacism training.

Rhotacism, the difficulty producing the "r" sound, is typically treated with speech therapy, focusing on exercises to improve tongue positioning, coordination, and muscle strength. This may include awareness exercises, visual cues (mirrors, diagrams), and articulation drills, gradually increasing the complexity of the sound in words, phrases, and sentences.

Uvular speech

Uvular speech for puberphonia 

Uvular speech refers to consonant sounds produced by the back of the tongue (dorsum) against or near the uvula. Uvular sounds can be stops, fricatives, affricates, trills, or nasals. 

Role in Speech:

The uvula helps in the articulation of certain sounds, particularly guttural sounds. It works with the soft palate to seal the nasal passage and direct airflow through the mouth, which is essential for producing specific phonetic sounds.

Head move

My friend wants to have a more manly voice.His voice is almost normal. I have given him some instructions to talk from the region of the uvula. 5 days he did the exercise. He was doing all sorts of small movements to improve the voice to be more manly. He moved the head  from right and left , up and down and waited for a few minutes and talked. He felt the sound was strong  and felt blowing in the ear and he felt, he got the manly voice. If anyone gives some explanation for this menovere and changes in frequency please contact me.

Moving the head changes the voice

My friend wants to have a more manly voice.His voice is almost normal. I have given him some instructions to talk from the region of the uvula. 5 days he did the exercise. He was doing all sorts of small movements to improve the voice to be more manly. He moved the head  from right and left , up and down and waited for a few minutes and talked. He felt the sound was strong  and felt blowing in the ear and he felt, he got the manly voice. If anyone gives some explanation for this menovere and changes in frequency please contact me.

குரல் வளம் மன்றம்

பேச்சு குரல் வள 

மன்றம்

†******

என்பது குரல் மற்றும் பேச்சு தொடர்பான கோளாறுகளை ஆராய்ச்சி, சிகிச்சை மற்றும் மேம்படுத்துவதற்காக அர்ப்பணிக்கப்பட்ட ஒரு அமைப்பாகும். இது குரல்வளையின் உடற்கூறு, குரல் நாண்களின் செயல்பாடு, பேச்சு உற்பத்தி, மற்றும் பேச்சு சார்ந்த கோளாறுகள் போன்றவற்றை ஆய்வு செய்கிறது. மேலும், குரல் பயிற்சி, பேச்சு சிகிச்சை, மற்றும் குரல் கோளாறுகளுக்கான பிற சிகிச்சைகளையும் வழங்குகிறது.

மேலும் விவரங்கள்:

மனித குரல் மற்றும் பேச்சின் பண்புகள், வரம்புகள் மற்றும் மேம்பாடு ஆகியவற்றைப் படிப்பதற்காக அர்ப்பணிக்கப்பட்ட பல தள ஆராய்ச்சி மற்றும் கற்பித்தல் அமைப்பாகும். 

குரல்வளையின் உடற்கூறு:

குரல்வளையின் குருத்தெலும்பு எலும்புக்கூடு, குரல் நாண்களை உள்ளடக்கியது. தைராய்டு, கிரிகாய்டு, மற்றும் அரிட்டினாய்டு குருத்தெலும்புகளால் ஆனது. 

குரல் நாண்கள்:

சுருதி, சத்தம், மற்றும் தொனியை சரிசெய்யும் நரம்புத்தசை அலகுகள் ஆகும். 

பேச்சு உற்பத்தி:

குரலின் இறுதி மாற்றம் வாய், மூக்கு மற்றும் தொண்டையில் நிகழ்கிறது, அங்கு நாக்கு, அண்ணம், கன்னம் மற்றும் உதடுகள் உச்சரிப்பில் ஈடுபட்டுள்ளன. 

குரல் கோளாறுகள்:

குரல் கோளாறுகள் மற்றும் குரல்வளை (குரல் பெட்டி), காற்றுப்பாதைகள் மற்றும் விழுங்கும் செயல்பாட்டை பாதிக்கும் பிற நிலைமைகள் உள்ள நோயாளிகளுக்கு அதிநவீன சிகிச்சையை வழங்குகிறது. 

குரல் பயிற்சி:

உங்கள் குரலை டிப்-டாப் வடிவத்தில் வைத்திருக்க சில எளிதான சிகிச்சைகள் மற்றும் பயிற்சிகளை பரிந்துரைக்கவும் நாங்கள் உதவலாம். 

பேச்சு சிகிச்சை:

குரல் பகுப்பாய்வு:

தொடர்பு மையங்களுக்கு பயன்படும் ஒரு கருவி, இது உரையாடல்களின் விரிவான புரிதலை வழங்க மேம்பட்ட AI ஐப் பயன்படுத்துகிறது. 

குரல் வள மையத்தின் முக்கியத்துவம்:

குரல் கோளாறுகளைக் கண்டறிந்து சிகிச்சை அளிக்கிறது, குரல் பயிற்சி மற்றும் பேச்சு சிகிச்சையை வழங்குகிறது, குரல் மற்றும் பேச்சு தொடர்பான ஆராய்ச்சிகளை மேற்கொள்கிறது, குரல் தொழில்நுட்பத்தை மேம்படுத்துகிறது, பேச்சு சார்ந்த கோளாறு நிபுணர்.

Dr.M.Kumaresan MS(ENT), DLO. FICS, FIMSA, MIALP(Swiz.), FCCP(USA), FRSH(London).

காது மூக்கு தொண்டை நிபுணர்.

Phone 9841055774

- Dr. M. Kumaresan MS ENT

சங்கு மண்டபமும் எனது ஆய்வும்

Treat puberphonia by pharyngeal voice:

Pharyngeal voice, also known as "voce faringea" or the "witch's cackle," was a historical singing practice developed to extend their upper range. Puberphonia voice is considered weak, change into a more tenoral and powerful vocal quality. The concept of using the pharynx to modify resonance and extend vocal range is still relevant in modern puberphonia treatment techniques. Modern puberphonia treatment pharyngeal resonance by uvula manipulation to create a richer, more resonant tone, similar to the effects achieved by the historical pharyngeal voice.  Our concept developed from "Sangu Mandabam" .சங்கு மண்டபம் தாமர பரணி ஆறு பாளையங்கோட்டை:, அங்கு தண்ணீர் ஓட்டம் குரலாக மாறும். அதிக மழை நேரங்களில் அக்குரலைக் கேட்டு மக்கள் அதிக மழை வெள்ளம் வந்து விட்டது என்று அறிந்து கொள்வார்கள்.

Puberphonia, a pioneering research by Dr.M.Kumaeesan

PUBERPHONIA: A NOVEL APPROACH TO TREATMENT

Sudhakar Vaidya*, G. Vyas**

They referred to Dr.M.Kumaresans "puberphonia" research work as a pioneer.

Puberphonia. No reference is available except

from Dr M Kumerasan (Chennai), who has published his work

in book “A research work in Otorhinolaryngology” in 1992.

He used rush-miller (USA) laryngoscope and treated 11

patients up to publication of his research paper.(13).

It confirms that my research on boys talking in female tone started in 1992 itself, 33 years back. Now I have treated  and changed the life of 1560 cases of puberphonia. it's a world record.

Dr.M.Kumaresan 9841055774.

Puberphonia voice becomes a habit

Puberphonia, also known as functional falsetto, is not a voice disorder where a person's voice doesn't change naturally during puberty. It's characterized by a high-pitched voice, breathiness, and low intensity. Puberphonia can  present as having physiological and psychological causes:  because of the persistent of child/ female like voice they are worried. They continue the same voice intensionally or unintentionally. Intentionally means they like to sing in high pitch because of their profession. Unintentionally means , they accept what God has given and what others tell. Others like to utilise you.

Uvula a source of sound

Air forcibly moves at the uvulopharyngeal complex (both Bernoulli's and Venturi effect works), similar to lip air blowing vocal musical instruments-flute.

Uvular complex in voice production.

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Acoustic theory of voice production, also known as the source-filter theory, explains how speech sounds are created by a combination of a sound source (like the vibrating vocal folds) and a filter (the vocal tract). The source generates the initial sound, and the vocal tract modifies it through resonance, shaping the sound into recognizable speech sounds. 

1. The Source:

Vocal Fold Vibration:

The primary source of sound for voiced sounds is the vibration of the vocal folds within the larynx. 

Aspiration:

For voiceless sounds, air rushing through a narrow opening, like in fricatives, creates a source of noise. 

Other Sources:

Other sources include transient sounds created during consonant production and turbulence during the airflow through the vocal tract. 

Clearly indicate that we can produce voice by the vibration of any structure in the vocal tract. We can create more vibration in the uvular complex. This is the theory behind treatment for puberphonia by UMAR.

Manly voice

Steps to Develop More manly Voice

1.Practice Yawning: Mimic the act of yawning to stretch and relax your throat muscles. This helps open your throat, allowing sound to resonate more freely.

2.Diaphragmatic Breathing: by moving the hand from abdomen to head.

3.Humming: Gently hum while focusing on feeling the vibrations by keeping water in the throat.

4.Lip Trills: blowing air through closed lips.

5.Mouth and Nasal Resonance: Use sounds like "mmm" and "ng" to direct vibrations to your mouth .

Develop Manly voice

పురుష స్వరాన్ని ఎలా పొందాలి మీ గొంతును తిప్పుతూ, మీరు పుక్కిలించేటప్పుడు చేసే అదే శబ్దం. ఒక్క స్వరం హమ్ చేయండి, పెదవులు మూసుకోండి. కంపనం మీ నోటి మధ్యలో, మీ గొంతు మరియు పెదవుల మధ్య ఉందని మీరు గమనించవచ్చు. కంపనాన్ని మీ ఉవులా (మీ గొంతు)కి తిరిగి ఇవ్వండి. ఇది బహుశా చక్కిలిగింతలు పెడుతుంది మరియు మీరు అసౌకర్యం లేకుండా నోట్‌ను ఎక్కువసేపు పట్టుకోలేరు. చింతించకండి, మీరు అలా చేయనవసరం లేదు! మీ గొంతులో మరియు మీ నోటిలో రెండింటిలోనూ కంపనంతో హమ్ చేయండి. ఇప్పుడు, మీరు శబ్దం చేస్తున్నప్పుడు నెమ్మదిగా మీ నోరు తెరవండి. గమనికను బిగ్గరగా చేయడానికి ప్రయత్నించండి మరియు మీరు స్వరంలో హెచ్చుతగ్గులను గమనించవచ్చు, ఇది సులభతరం అవుతుంది.

How to get a manly voice

Rolling your throat, the same sound you make when gargling.

Hum a single note, lips closed. you'll notice the vibration is in the middle of your mouth, between your throat and lips.

Make the vibration back to your uvula (your throat). this will probably tickle and you wont be able to hold the note for long without discomfort. don't worry, you don't have to!

Hum with both the vibration in your throat AND in your mouth.

 now, slowly open your mouth as you're making the noise.

Develop Manly voice

How to Develop a Deep & Manly Voice - 

పురుష స్వరాన్ని ఎలా పొందాలి మీ గొంతును తిప్పుతూ, మీరు పుక్కిలించేటప్పుడు చేసే అదే శబ్దం. ఒక్క స్వరం హమ్ చేయండి, పెదవులు మూసుకోండి. కంపనం మీ నోటి మధ్యలో, మీ గొంతు మరియు పెదవుల మధ్య ఉందని మీరు గమనించవచ్చు. కంపనాన్ని మీ ఉవులా (మీ గొంతు)కి తిరిగి ఇవ్వండి. ఇది బహుశా చక్కిలిగింతలు పెడుతుంది మరియు మీరు అసౌకర్యం లేకుండా నోట్‌ను ఎక్కువసేపు పట్టుకోలేరు. చింతించకండి, మీరు అలా చేయనవసరం లేదు! మీ గొంతులో మరియు మీ నోటిలో రెండింటిలోనూ కంపనంతో హమ్ చేయండి. ఇప్పుడు, మీరు శబ్దం చేస్తున్నప్పుడు నెమ్మదిగా మీ నోరు తెరవండి. గమనికను బిగ్గరగా చేయడానికి ప్రయత్నించండి మరియు మీరు స్వరంలో హెచ్చుతగ్గులను గమనించవచ్చు, ఇది సులభతరం అవుతుంది.

what to practice for getting a manly voice

How to Develop a Deep & Manly Voice - 

A more masculine-perceived sound can be achieved by modifying pitch, resonance, and/or loudness. Aim for a lower pitch, open your mouth more vertically, and get louder, but don't blow anyone overboard! The pharynx modifies pitch by vibration of the uvula and resonance with loudness. It is automatically created because uvula only directs more air to the nose to increase resonance and loudness.

Train uvula vibration

How to Develop a Deep & Manly Voice - 

A more masculine-perceived sound can be achieved by modifying pitch, resonance, and/or loudness. Aim for a lower pitch, open your mouth more vertically, and get louder, but don't blow anyone overboard! The pharynx modifies pitch by vibration of the uvula and resonance with loudness. It is automatically created because uvula only directs more air to the nose to increase resonance and loudness.

Siva clarity speech centre

speech clarity center" in Siva, often a clinic or training center, that provides services to address speech difficulties, including issues with clarity, articulation, and fluency. These centers offer assessments and therapy to improve a person's ability to speak clearly and intelligibly. 

Here's a more detailed explanation:

What they do:

Speech clarity centers provide services for individuals who have trouble with:

Articulation: Correctly producing speech sounds.

Fluency: Speaking smoothly without hesitations or repetitions.

Language: Understanding and using words and sentences appropriately.

Voice: Producing clear and healthy vocal tones.

Who they serve:

These centers cater to individuals of all ages, including children, adults, and seniors.

Services offered:

Assessments: Evaluating speech and language abilities to identify areas of difficulty.

Therapy: Providing individualized treatment plans to improve speech clarity.

Counseling: Offering support and guidance to individuals and families.

Examples of issues addressed:

Stuttering: Interruptions in speech rhythm.

Speech delays: Difficulty developing speech skills at an age-appropriate rate.

Voice disorders: Problems with voice quality, pitch, or loudness.

Cognitive-communicative disorders: Difficulties with thinking, language, and communication.

Benefits of speech therapy:

Improved communication: Making it easier to be understood and express oneself.

Increased self-esteem: Enhancing confidence in social and professional settings.

Enhanced quality of life: Improving overall well-being.

Speech clarity center

Speech clarity center in college:

That sounds like a wonderful initiative! Here are some steps to consider:

1. Research and Planning: Start by researching the specific needs of students in the college you're targeting. Understand the common speech issues they face.

2. Collaboration: Partner with schools, educators, and speech therapists. Participation with actors, singers, mimicry artists and orators. Actor Dhamu will lead the show. All college students competitions and awards will be given. This will help in gaining support to increase the strength of the college .

3. Training: Provide training for teachers and staff on basic speech clarity techniques and how to identify issues.

4. Resources: Create or gather resources such as exercises, tools, and materials that can be used in the center.

5.. Awareness and Promotion: Educate students and parents about the importance of speech clarity and the services you offer.

Starting small and scaling up based on feedback can make the process more manageable. What do you think?

Speech clarity center in college

Speech clarity center in college:

That sounds like a wonderful initiative! Here are some steps to consider:

1. Research and Planning: Start by researching the specific needs of students in the college you're targeting. Understand the common speech issues they face.

2. Collaboration: Partner with schools, educators, and speech therapists. Participation with actors, singers, mimicry artists and orators. Actor Dhamu will lead the show. All college students competitions and awards will be given. This will help in gaining support to increase the strength of the college .

3. Training: Provide training for teachers and staff on basic speech clarity techniques and how to identify issues.

4. Resources: Create or gather resources such as exercises, tools, and materials that can be used in the center.

5.. Awareness and Promotion: Educate students and parents about the importance of speech clarity and the services you offer.

Starting small and scaling up based on feedback can make the process more manageable. What do you think?

Gender identity and bulling

Gender Identity: bulling 

Some studies suggest that puberphonia might be linked to concerns about gender identity, particularly in male adolescents who may experience distress or confusion regarding their gender expression.  on Relationships:

While not a definitive barrier to marriage, puberphonia can create social obstacles. Some individuals with puberphonia have reported difficulty finding dates or partners due to societal perceptions and their own insecurities. 

The unusual voice can lead to teasing and bullying from peers, impacting social interactions and self-esteem. Individuals with puberphonia may also face difficulty being heard on the phone, further isolating them. 

Teachers, principals, parents, and lunchroom helpers at school can all help to stop bullying. 

repeated unwelcomed or threatening behavior, including physical assault, threats, offensive comments, or intimidation. 

High school students can learn how to handle bullying and harassment in our anti-bullying education program: Bullying: Imbalance of Power.

The Effects of Physical Bullying

Physical bullying does not just lead to injuries. All forms of bullying affect the targeted person's emotional and mental health.

Clarity of voice

Clarity of voice while speaking,:

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Consider the following:

Focus on increasing your airflow with each breath.

Practice proper posture throughout the day.

Make sure your tongue is pressed against the floor of your mouth when speaking.

Try speaking in your nasal voice more often.

Voice and gender

Voice and gender 

It's important to remember that voice changes and gender identity are separate aspects of a person's experience. People have unique journeys, and it's essential to approach these topics with compassion and respect. If puberphonia boys have questions or need support, seeking guidance from professionals or trusted individuals can be helpful.

Voice and gender identity,:

It's important to approach each individual's experience with sensitivity and respect. Puberphonia is a condition related to voice, and it’s not directly linked to gender identity.

Voice and gender

Voice and gender identity: 

Introduction 

It's important to remember that voice changes and gender identity are separate aspects of a person's experience. People have unique journeys, and it's essential to approach these topics with compassion and respect. If puberphonia boys have questions or need support, seeking guidance from professionals or trusted individuals can be helpful.

 Voice and gender identity,:

It's important to approach each individual's experience with sensitivity and respect. Puberphonia is a condition related to voice, and it’s not directly linked to gender identity.

Behaviour change in puberphonia

Causes for puberphonia and behavioural changes.

Psychological and physiological listen never produce puberphonia. Puberphonia only produces psychological and physiological problems.

Puberphonia can create both psychological and physiological lesions.:

 Psychological causes 

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Excessive admiration of another male or sibling

Excessive maternal protection Psychological ladies attitude and brain never recognise that this body is lady or male. It tries to develop some extent what they want, development  sex behaviour.

High and low pitch in Tamil

How to make a Low pitch voice in treating puberphonia:

Train with "o-o-o"(nasal voice) and "m-m-m"(throat voice) have a low pitch. Practice with uvula vibration. Treatment for puberphonia is only a redirected phonation from larynx to pharynx.

_The sound high pitch is "e-e-e" (laryngeal voice)

க,ச,ட,த,ப,ற என்ற வல்லின எழுத்துக்கள் ஆறும் மார்பினை இடமாகக் கொண்டு பிறக்கின்றன.

ங,ஞ,ண,ந,ம,ன என்ற மெல்லின எழுத்துகள் ஆறும் மூக்கினை இடமாகக் கொண்டு பிறக்கின்றன.

ய, ர, ல, வ, ழ, ள என்ற இடையின எழுத்துகள் ஆறும் கழுத்தை இடமாகக் கொண்டு பிறக்கின்றன.

puberphonia training sound

How to make a Low pitch voice in treating puberphonia:

Train with "o-o-o"(nasal voice) and "m-m-m"(throat voice) have a low pitch. Practice with uvula vibration. Treatment for puberphonia is only a redirected phonation from larynx to pharynx.

_The sound high pitch is "e-e-e" (laryngeal voice)

Stages of puberphonia

Stages of puberphonia

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One simple way to remember the criteria in defining puberphonia voice disorders are the six D's: deviance, dysfunction, distress, danger, defiance and defeatist.

1. Deviance: The culture and structure of society pressure individuals to be socially deviant.

2. Dysfunction: An unhealthy identity that can lead to problems with self-esteem and acceptance, difficulty tolerating strong emotions, and erratic actions.

3. Distress: An umbrella term for a range of conditions, including, anxiety, stress, or posttraumatic stress disorder (PTSD)

4. Depression is the more-severe form of depression—persistent depressive disorder (PDD)

5. Defiance: A daring or bold resistance to authority, a challenge to meet in combat or in a contest stage of acceptance with confidence, control and commitment.

6. Defeatist: Accept with no hope, this results in a coward..