Dr M Kumaresan theory

Pharyngeal resonance manipulation, a research by Dr M Kumaresan is a technique used in speech therapy to treat puberphonia by adjusting how sound resonates in the throat and pharynx. Instead of the high-pitched voice produced by a tight, stretched vocal cord, this method helps to relax the structures and create a lower, more natural pitch. It's often part of a broader treatment plan that can include voice therapy, exercises, and behavioral techniques.

The origin of uvula manipulation for puberphonia stems from observing how snoring affects voice resonance, leading practitioners to adapt this principle for voice correction. This treatment was developed by researcher M. Kumerasan in the early 1990s, using direct manipulation of the uvula to change airflow and resonance, aiming for an immediate, permanent reduction in voice pitch. Origin and developmentObservation from snoring: The idea was first observed from a young boy who snored with an adult-like voice, which gave researchers the idea to manipulate the uvula to alter resonance and airflow to produce a lower pitch. Early research: Researcher M. Kumerasan began to develop and publish on direct laryngeal and uvula manipulation techniques in the 1990s. Mechanism: The method works by changing the resonance of the pharynx. By manipulating the uvula, a more efficient, lower-pitched sound can be produced, aiming to create a conditioned reflex for a permanent change. How it worksPharyngeal resonance: The manipulation targets pharyngeal resonance, which is the way air vibrates in the throat and mouth to produce sound. By changing the shape and position of the uvula and soft palate, the resonant qualities of the voice are altered. Neuromuscular cycle breaker: The technique is designed to break the neuromuscular patterns that maintain the high-pitched voice. It is a type of expiratory cycle breaker that enhances the efficiency of voice production. Immediate and permanent results: The therapy can provide an immediate, temporary change, but with practice, it can lead to a permanent shift to a lower pitch by establishing a new "ancestral" voice through a conditioned reflex. Treatment processIn-office procedure: The manipulation is often done in a clinic setting by a doctor, sometimes using a laryngoscope for a better view. Home practice: Patients are also given exercises to practice at home, which can include manipulating the uvula or using other voice and breathing exercises. Therapy and follow-up: The treatment often involves a combination of in-office procedures, home practice, and regular follow-up appointments to ensure the new voice is maintained and becomes a habit.

Puberphonia

Umar treat puberphonia and gives no injury to the vocal cord, treated boys get the natural voice.

As this 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 voice, immediately after this simple manipulation procedure in most puberphonia treated clients get their ancestors voice tone.

Pharyngeal widening voice in treatment for puberphonia: a research by Dr M Kumaresan The pharynx is the chamber that runs from the larynx to the nasal and oral cavities. Widening the pharyngeal cavity serves to lower the first formant (F1) and raise the second formant (F2). When F1 is lowered and tuned to the fundamental frequency (\(F_{0}\)) or its harmonics, the voice can achieve a louder, more resonant, and darker tone without increased vocal effort.

Puberphonia

Dr. M. Kumaresan at Siva ENT Head & Neck Hospital treats puberphonia using a non-surgical, rapid method involving direct manipulation of the uvula and "breath of fire" pharyngeal resonance training to help establish a permanent low-pitched voice. This innovative technique uses a simple silk thread in the uvula for a temporary, localized anesthetic effect, aiming for immediate and successful voice changes in over 90% of cases. After the initial treatment, patients continue with 21 days of breath-of-fire exercises to solidify the new vocal habit.