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.