How to diagnose and treat puberphonia

Voice measurement

      The speech sound can be recorded using an Android phone. It will give the frequency. An adult female typically falls between 165 and 255 Hz and an adult male between 85 and 180 Hz.

500 𝘏𝘻 = crying baby⁠

300 𝘏𝘻 = crying toddler⁠

250 𝘏𝘻 = pre-pubescent boy/ girl⁠

125-137 Hz = male 18 years old

107 -146 = male.

Diagnosing puberphonia only by pitch measurement. Just hear their voice and diagnose. No other tests needed.

All treatment, including surgery on the vocal cords, speech therapy, laryngeal reshaping and other voice practice will result in redirecting phonation from larynx to pharynx, ie, vocal cords to uvula.

This is my observation in treating 1550 cases of puberphonia successfully.

puberphonia new concepts

Puberphonia.

We are able to arrive at twelve new concepts. 

They are:

1. Puberphonia is a common problem and needs immediate treatment.

2. Voice pitch assessment is mostly the only test required.

3. Redirected phonation treats puberphonia.

4. Get an ancestral voice after treatment.

5. Boys with a high-pitched voice have an increased chance of homosexual activity.

6. The uvula is an accessory speech organ.

7. Above all, the recovered boys are very grateful to the doctor.

8. Diphthongia and diplophonia are two sounds of different pitches. We found that one voice is a pharyngeal voice and another is a laryngeal voice.

9. In voiced sound, the vocal cords produce sounds; instead, in voiceless sound, the uvula modulates the airflow. On this view, it is better to avoid any sort of therapy for the vocal cord.

11. Puberphonia boys can produce a low pitched voice on coughing, snoring and even shouting.

12.In general,  suicide statistics reveals, common in 20 to 30 age groups in male. The common etio pathogenesis is puberphonia.

Redirect phonation

Puberphonia myths and misconceptions

       There are a number of proposed causes for the development of Puberphonia, enumerated as the aetiology of  puberphonia, can be both organic (biological) and psychogenic (psychological) in nature.

1.It is not a rare problem. It is poorly diagnosed and treated.  Puperphonia is not a rare disorder. We have treated 1,000 puberphonia males in our small centre. The gravity and size of the problem are too great to be recognized, underestimated, or ignored. And we had a high patient volume, with an average of 3 to 5 puberphonia cases for treatment per week. We did a sample study in five different high schools during a health camp. On average, two puberphonias were recognised per school of 1000 boys. The number of puberphonia should be higher. We are not able to reveal the voice change to the boys or their parents because of various social factors.  Why is the treatment of puberphonia not taken seriously? The gravity of the problem and its magnitude are so great that they go unnoticed, underestimated, and ignored. It is misunderstood that the puberphonia problem is in the vocal cords or voice box. Even though everyone knows the structure and function of the vocal cord and larynx normal in puberphonia they continue to correct the vocal cord and larynx. They fail to get the required result. Furthermore, humans are content with what they have.

2.Hormonal, similarly, at puberty, men's bodies produce an excess of testosterone, which causes changes in several parts of the body, including the voice. For starters, a guy’s, also known as the voice box, grows bigger. The examination of these patients should include a complete physical examination, including a genital examination as well. Secondary sexual characteristics should be assessed; hypogonadism should be ruled out. A genetic origin, and family history of Puberphonia are proposed. We tested the testosterone level in 100 cases of Puberphonia as a sample study. Their levels ranged between 310 and 675 ng/dL.

3.It is not psychological in nature. As they are left out of society, they are considered indifferent.

4.It is not due to habitual use. They may try everything to break the voice. It has been concluded that it is not curable.

5.Puberphonia boys are not smart or intelligent. They will have a normal life if they are not disturbed by society.

6.It is not due to anatomical reasons in the vocal tract. They have normal voices while coughing and yawning.

7.It is not neurological in nature. After puberphonia treatment, they lead a normal life.

8.Puberphonia is not the result of poor parenting. Puberphonia is not a disease, it is a life experience.

9.It is easily curable by uvula manipulation and sinus resonance.

10.Our study concludes that our treatment for puberphonia, an outpatient treatment involving uvula manipulation and breath of fire therapy, not only improves the voice, but also the personality of puberphonia clients.

Myths of puberphonia

Puberphonia myths and misconceptions

       There are a number of proposed causes for the development of Puberphonia, enumerated as the aetiology of  puberphonia, can be both organic (biological) and psychogenic (psychological) in nature.

1.It is not a rare problem. It is poorly diagnosed and treated.  Puperphonia is not a rare disorder. We have treated 1,000 puberphonia males in our small centre. The gravity and size of the problem are too great to be recognized, underestimated, or ignored. And we had a high patient volume, with an average of 3 to 5 puberphonia cases for treatment per week. We did a sample study in five different high schools during a health camp. On average, two puberphonias were recognised per school of 1000 boys. The number of puberphonia should be higher. We are not able to reveal the voice change to the boys or their parents because of various social factors.  Why is the treatment of puberphonia not taken seriously? The gravity of the problem and its magnitude are so great that they go unnoticed, underestimated, and ignored. It is misunderstood that the puberphonia problem is in the vocal cords or voice box. Even though everyone knows the structure and function of the vocal cord and larynx normal in puberphonia they continue to correct the vocal cord and larynx. They fail to get the required result. Furthermore, humans are content with what they have.

2.Hormonal, similarly, at puberty, men's bodies produce an excess of testosterone, which causes changes in several parts of the body, including the voice. For starters, a guy’s, also known as the voice box, grows bigger. The examination of these patients should include a complete physical examination, including a genital examination as well. Secondary sexual characteristics should be assessed; hypogonadism should be ruled out. A genetic origin, and family history of Puberphonia are proposed. We tested the testosterone level in 100 cases of Puberphonia as a sample study. Their levels ranged between 310 and 675 ng/dL.

3.It is not psychological in nature. As they are left out of society, they are considered indifferent.

4.It is not due to habitual use. They may try everything to break the voice. It has been concluded that it is not curable.

5.Puberphonia boys are not smart or intelligent. They will have a normal life if they are not disturbed by society.

6.It is not due to anatomical reasons in the vocal tract. They have normal voices while coughing and yawning.

7.It is not neurological in nature. After puberphonia treatment, they lead a normal life.

8.Puberphonia is not the result of poor parenting. Puberphonia is not a disease, it is a life experience.

9.It is easily curable by uvula manipulation and sinus resonance.

10.Our study concludes that our treatment for puberphonia, an outpatient treatment involving uvula manipulation and breath of fire therapy, not only improves the voice, but also the personality of puberphonia clients.

Kumaresan voice ind x

Kumaresan pitch index

1. Inaudible Sound: The simplest noise reduction works primarily by lowering efforts to talk.

2. Vocal fatigue, loss of intonation or expression,

3. Child voice: when they talk about their feelings or appropriately express them.

4. Ladies Voice: Warm and welcoming, a captivating voice entices. It sounds more like it is coming 

out of the heart than the brain. It has pleasant, non-nasal tones.

5. Double Voice: The lower range of your voice is known as the chest voice, while the upper range is 

known as the head voice. Lack of practice in mixing one's middle voice or register is a common 

source of the discordant sensation that many people report experiencing while speaking. When 

singing, the mix acts as a transition between the lower and higher registers.

6. Nasal voice is inappropriate because it increases airflow through the nose during speech.

7. Not stronger voice, manly, voice having no preference, or being uninterested, since one doesn't want 

to indicate having any strong feelings

8. High Pitch: Most people think that women who speak with somewhat high-pitched voices are 

prettier, younger, and more feminine.

9. Hoarseness is characterized by a shift in vocal quality or pitch, often resulting in a raspy or husky 

tone.

10. Breathy voice: A breathy, airy singing voice means too much air with the sound of voice escaping 

through the mouth. This causes a soft, breathy tone that's hard to hear.

Kumaresan pitch index before and after treatment: assessing the voice as per the patient's statement. All 

have 10 qualities of voice. According to the first symptom enumerated by Puberphonia,

1. Inaudible: 27%

2. Vocal fatigue: 22%

3. Child voice: 11%

4. Female voice: 10%

5. Double voice: 9%

6. Nasal voice: 7%

7. Not a strong manly voice: 7%

8. High-pitched voice: 5%

9. Hoarseness: 1%

10. Breathy voice: 1%