Monday, April 20, 2026

Success of puberphonia training program by UMAR

The basic concept of the success in the UMAR training program in puberphonia.
Dr M Kumaresan 9841055774.
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The function of the Respiratory system is to provide the air stream which is the basis for the production of speech sounds. It is the air stream that acts as a source of energy and is modified by the speech organs as it passes in and out of the lungs during the normal course of breathing. Besides the lungs there are other organs that can also provide an air stream for the production of speech sounds e.g. the glottis and the velum. The glottalic air stream is the air stream above the glottis which is closed for the production of sounds using this air stream. Similarly, sounds produced with the air in front of the velum or the soft palate. The passage of air from the lungs is blocked by the back of the tongue which makes firm contact with the velum. 

Velaric air stream. A large number of African languages and some languages make use of these air streams for the production of speech Indian languages only Sindhi uses the glottalic air stream mechanism on of some speech sounds.
 A number of sounds are produced at the soft palate. For example, the Hindi sounds and क म रख and. When we produce these sounds the velum acts in two ways simultaneously. Firstly, it comes into contact with the back of the tongue which moves towards it to make a complete closure and secondly, the soft palate itself is raised to make a closure with the back wall of the pharynx. The first closure is known as a velar closure and the second closure is known as a velic closure.
Before we talk about the description and classification of speech sounds, it is important for us to be aware of an important distinction between active and passive articulators. Active articulators are those organs of speech that can move and passive articulators are those organs of speech that cannot move. In the production of speech sounds the active articulators move from their position of rest towards the passive articulators. For example, in the production of the t, d, s,n sounds, the tip and blade of the tongue move from their position of rest, to articulate against the teeth ridge. As the lower jaw is movable, while the upper jaw is not, the active articulators are located mostly in the lower jaw and the passive articulators in the upper jaw. There is however, an exception to this. The soft palate is both an active and a passive articulator. When it is raised to shut off the nasal passage of air for the proof oral sounds it is an active, articulator. When the back of the tongue is rais makes contact with the velum to produce sounds such as the initial consonants in the English words, call and get, the velun is a passive articulator. The velum is indeed an exception to the rule.

Friday, April 17, 2026

ultrasound phonation apparutus

Ultrasound study in puberphonia.
The role of ultrasound in various office-based laryngeal procedures Transcutaneous laryngeal ultrasonography has been shown to be an encouraging noninvasive device in laryngeal examination that may compliment the current gold standard.
Transcutaneous Laryngeal Ultrasonography allows visualization of important laryngeal structures, namely the thyroid cartilage and pharyngeal phonation structures..

The vocal cords are best seen with an ultrasound transducer placed over the thyroid cartilage on a transverse or short axis view. They appear attached anteriorl...

Vocal cord dysfunction: Ultrasonography-aided diagnosis during routine airway examination
The vocal cord movements during phonation can be visualized real-time using USG. 
Here, we present two patients who were incidentally diagnosed to have voca...

Ultrasound, particularly if there is good ultrasound access, allows a dynamic assessment of the vocal cords movement. It is possible to identify an alteration. Corniculate and Cuneiform Cartilages Posterior attachment for vocal folds Pivots medially (adducts) and laterally (abducts) to move vocal folds Attachmen...

 vocal folds. 
... ability to abduct (move apart) during respiration and to adduct (move together) during phonation makes the vocal folds the point of division between the sub Assessing the vocal folds with an ultrasound is best done with the probe placed in the midline and transverse plane overlying the thyroid cartilage 

Technical AspectsLaryngeal Ultrasonography: A Review Observations The ultrasonographic assessment of vocal folds is based on the recognition and observation of one of three structures: false vocal folds, true voca...
 A patient with excessive neck adiposity or dense dermis may have impairment of ideal penetration and reflection of sound waves with resultant reduction in image.
Assessment of vocal fold mobility using dynamic magnetic resonance imaging and ultrasound in healthy volunteers
Assessment of vocal fold mobility seems to be particularly interesting from a clinical perspective, either in the evaluation of vocal fold paralysis.

Friday, February 27, 2026

Puberphonia camp

மாபெரும் காது–மூக்கு–தொண்டை கண்காட்சி 🎉 28 பிப்ரவரி  2026
 சனிக்கிழமை 
🗓 நேரம்: மாலை 4.00 மணி – 6.00 மணி
📍 இடம்: Siva ENT Hospital, ராயப்பேட்டை, சென்னை
25 ஆண்டுகால மருத்துவ ஆராய்ச்சிகள் மற்றும் சாதனைகள் ஒரே இடத்தில்!
காது, மூக்கு, தொண்டை தொடர்பான புதிய கண்டுபிடிப்புகள், சிகிச்சை முறைகள் மற்றும் விழிப்புணர்வு தகவல்களை நேரில் கண்டு களிக்கவும்.
இந்த கண்காட்சியை
தலைவர் டாக்டர் என்.ஆர்.டி. தனபால் அவர்கள் தலைமையில்
Marina Walkers Club தலைவர் Arunachalam (ஐ.ஆர்.எஸ்.) அவர்கள் திறந்து வைக்கின்றார்கள்.
பல கிளப்புகள் மற்றும் அமைப்புகள் இணைந்து செயல்படும் இந்த சிறப்பு நிகழ்விற்கு
அனைவரையும் அன்புடன் வரவேற்கிறோம்.
👨‍⚕️ டாக்டர் எம். குமரேசன்
காது, மூக்கு, தொண்டை மருத்துவர்
📞 98410 55774
- Dr. M. Kumaresan MS ENT