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.