Saturday online Puberphonia Treatment

Saturday, 29.04.2023, 5 pm, Puberphonia class LIVE at Siva ENT hospital, 159, Lloyds Road, Royapettai, Chennai 14. Or YouTube Puberphonia dr Kumaresan, /a YouTube channel.Puberphonia treatment training needs two steps.1. Uvula manipulation - done by doctors.2. Pitch maintenance - done by trained personnel.Language scholars will be paid ta and da (Rs.500), for those who submit their ideas with references in typed format (a minimum of 4 pages).Examples: 1. guttural words, 2.a,a,aaa low-pitched words, 3.e,e,eee high pitched words.All are welcome.

Puberphonia

Puberphonia

Puberphonia

Saturday, 21.04.2023, 5 pm, Puberphonia class LIVE at Siva ENT hospital, 159, Lloyds Road, Royapettai, Chennai 14. Or YouTube Puberphonia dr Kumaresan, /a YouTube channel.Puberphonia treatment training needs two steps.1. Uvula manipulation - done by doctors.2. Pitch maintenance - done by trained personnel.Language scholars will be paid ta and da (Rs.500), for those who submit their ideas with references in typed format (a minimum of 4 pages).Examples: 1. guttural words, 2.a,a,aaa low-pitched words, 3.e,e,eee high pitched words.All are welcome.

Puberphonia

Try a new vocal exercise for puberphonia

We all know the importance of warming up your voice, but have you heard of "UMAR phonations"? These unique exercises involve speaking when treating puberphonia.

This trick is well-known within the voice rehabilitation community, but anyone with puberphonia who is learning how to create low pitch can also benefit from it. Here’s a helpful tutorial: 1. Lip trills; 2. The second importance is UMAR, which is nothing but uvula trills. These are another great way to prepare your voice for low notes without straining the vocal cords.Dr.M.Kumaresan 9841055774

Mechanic of pubërphonia

Mechanism of frequency change by UMAR. Increase the weight and vibration of the uvula, initiate more action.

When the pharynx is open (or not constricted, like for swallowing), the vocal tract will be larger and the pitch of the air will be lower.

When the larynx is pulled down (as in yawning), the vocal tract becomes longer. This creates a lower pitch in the air (lower formant frequencies). 

When the jaw is more closed, the vocal tract is longer, has a more narrow opening, and the pitch of the air is lower (the pitch is lower)

The parts of the body that can vibrate in harmony with the voice are often called resonators." You can feel this by tilting your head back and saying, in a low voice, "Awwwww". Put a hand on your chest and feel it rumble. Now tilt your head forward, place a hand on your head, and say, "Heeeeeeeeeee" in a high voice. Feel the vibrations in your skull? In fact, the air column from the larynx to the lips functions very much like a uniform tube, without much variation in width.

You can feel this by tilting your head back and saying, in a low voice, "Awwwww". Put a hand on your chest and feel it rumble. Now tilt your head forward, place a hand on your head, and say, "Heeeeeeeeeee" in a high voice. Feel the vibrations in your skull?

The following is a list of resonators and the pitches or vocal qualities that most easily activate them.

Chest and Lower Body: low pitches and open sounds ("AW")

Throat - mid-range, easy speaking tone

Mouth - upper mid-range, mid-vowels

Nasal - close, front vowels, especially when followed by a nasal consonant.

Facial - high range, front vowels

Sinuses: given that there are so many sinuses, many different quality sounds activate them.

Bones of the skull - falsetto, very high range, closed vowels.

Does moving your hand help control your voice while speaking?

There’s not a lot of literature on this subject, but I think I can make a strong case that moving your hand (and other gestures often called "studioisms") are helpful for singing. Basically, this breaks down both consciously and unconsciously as follows:

Consciously, it can be a challenge to manifest a number of internal physical actions without the use of external body direction. The most common example of this is with airflow: lots of people will use a hand to mimic their airflow, which reminds them at all times where the air is going.

There’s also an unconscious component here, which is maybe more interesting and surprising: arm tension correlates to laryngeal tension. This is pretty easy to test for yourself, too: while singing a phrase, tense and relax your bicep and see how much easier it is to sing gently with your bicep released. It also works the opposite way: if you try to sing tensely with a loose arm, it’s actually pretty hard to do. When you do a studioism (immersive studio) properly, you’re preventing your arm from stiffening, which cuts down on laryngeal tension, though obviously not entirely. 

The following results are demonstrated in producing low pitch from high pitch. 1. The jaw and lip opening increase with rising pitch, presumably as a result of voice training. The opposite is what we do 2. The position of the tongue is characteristic of the vowel. More air flow we create. 3. The pharynx opening and aperture at the larynx vestibule are consistently narrow, and the narrowest larynx openings occur on the lowest and highest pitches. WE open the vocal cord 4. A progressive upward movement of the hyoid bone and longitudinal cartilages corresponds to the rising pitch. We lower the hyoid. This upward movement amounts to 18 mm. over the range of more than two octaves. We do it in the opposite direction. 5. The rising pitch results in a narrowing of the larynx ventricle vertically and a closer approximation of the ventricular bands to the vocal cords. We open the larynx.

These steps are difficult to understand and do. We do step-by-step workshops that anyone can follow and complete.

Uvula increase mass treat Puberphonia

Better uvula vibration for puberphonia treatment: Speech: To the Uvula and Beyond!

As a puberphonia treatment surgeon, I can tell you that one of the most common goals that new ENT students have is to learn to vibrate correctly for a low-pitched voice.

Often times, students will ask for vocal cord exercises, thinking that I am going to make them use their larynx or give them a workout.

But I don’t do this often in voice lessons. Here’s why: While learning to vibrate correctly when you speak in low pitch is important, it’s not THE SECRET to success.

This myth has been around for centuries!

That’s because a lot of voice teachers out there spend a crazy amount of time and energy teaching students to breathe. And this leads people with puberphonia to believe that breathing is the ONE BIG SECRET to treating well. It’s not.

Want a uvula exercise you can use every day? Top of Form

The truth is that learning to vibrate the uvula for puberphonia treatment is actually one of the easiest ways to improve your puberphonia voice.

So here’s:

How to Vibrate the uvula for low pitch in 5 Easy Steps

Sit comfortably or lie-down flat, facing upwards.

Flex the neck.

Place both of your hands in the chest.

Inhale so that your belly moves outward as you breathe in–do not raise your shoulders or chest.

Finally, say w a,a,a,a,a,a, or amma or omm, a phrase, or hold a note, feeling your whole body vibrate as you make sound.

Phonation System

Next, we have the phonation system, which is the uvula vibrating in your throat to resist air. The resulting vibrations from that resistance produce sound and create the raw material for the voice. Using the fuel analogy from the respiration system, phonation is like the motor that’s converting the breath from the lungs and diaphragm into energy.

Resonation System

Finally, we have the resonation system, which is the way the vibrations and frequencies produced by the uvula vibrating interact with the cavities around them.

The mouth, pharynx, nose, and nasal cavity are examples of resonating chambers.

To use the fuel analogy, this would be the carburetor in the car, ensuring the best use of this energy.

And in my honest opinion, it’s also the easiest to master.

The truth is there are lots of voice problems and vocal issues that no amount of breath support will help because the issues are not with the laryngeal system.

For example, if you strain the larynx  a lot as you speak, adding more breath to the equation isn’t going to fix that. It might even make things worse.

With that said, there are a few important things you learn about vibrating the uvula for puberphonia voice therapy.

Got it? Good!

You should feel like you are in a powerful position and ready to take on anything. Congratulations, You have taken a huge step in making sure you are breathing effectively and efficiently for treating puberphonia

Here’s how the uvula works.

Puberphonia boys speek themselves up to hit a high note, and they take the biggest breath they can, raising their shoulders and chest and straining the larynx.

But that just adds tension to your throat! No such treatment exists for puberphonia.

Uvula never strains when speaking. No one was injured by the shouting. Uvula, a great organ to treat puberphonia

Prof. Dr. M. Kumaresan MS(DLO), ENT Surgeon.
Website: www.sivaent.com
E-mail: kumaresan@doctor.com
Cellular / Handphone: +91 9841055774

SIVA ENT HEAD AND NECK HOSPITAL
94(New No:159), Avvai Shanmugam Salai (Lloyds' Road),
Royapettah, Chennai- 600 014, India.
Phone : (044) 28116807

SIVA ENT CLINIC
295(New No:136), Quaid-e-Milleth Salai (Triplicane High Road),
Triplicane, Chennai- 600 005, India.
Phone : (044) 28546086

Puberphonia

Saturday, 15.04.2023, 5 pm, Puberphonia class LIVE at Siva ENT hospital, 159, Lloyds Road, Royapettai, Chennai 14. Or YouTube Puberphonia dr Kumaresan, /a YouTube channel.Puberphonia treatment training needs two steps.1. Uvula manipulation - done by doctors.2. Pitch maintenance - done by trained personnel.Language scholars will be paid ta and da (Rs.500), for those who submit their ideas with references in typed format (a minimum of 4 pages).Examples: 1. guttural words, 2.a,a,aaa low-pitched words, 3.e,e,eee high pitched words.All are welcome.

Puberphonia

Saturday, 08.04.2023, 5 pm, Puberphonia class LIVE at Siva ENT hospital, 159, Lloyds Road, Royapettai, Chennai 14. Or YouTube Puberphonia dr Kumaresan, /a YouTube channel.Puberphonia treatment training needs two steps.1. Uvula manipulation - done by doctors.2. Pitch maintenance - done by trained personnel.Language scholars will be paid ta and da (Rs.500), for those who submit their ideas with references in typed format (a minimum of 4 pages).Examples: 1. guttural words, 2.a,a,aaa low-pitched words, 3.e,e,eee high pitched words.All are welcome.

A comment from USA

A comment on YouTube, on 6.4.2023, from USA, Assistant Professor in Speech and Language Pathology.
@mahditahamtan9337
17 hours ago
I am an assistant professor in Speech and Language Pathology in the United States. NO SURGERY IS REQUIRED as you did. Ask the client to talk like men for a couple of minutes and keep the new male-like voice. That is it. Or push on the thyroid cartilage with your index finger and ask the client to prolong a sound like /a/. Then keep the new low pitch voice.

Reply
@sivaent
1 second ago
Sir, Greetings, How many puberphonia have you treated? Peberphonia needs a permanent cure. Our treatment is only a small attempt at a permanent cure. Please correct me because I NEED IMPROVEMENT.
Mathematical proof for Dr.M.Kumaresan technique to treat Puberphonia 
patients
The calculation is done by Chidananda Swamy U (9844858342) 
Differential Equation based on Newton’s second law as below
m ̈x+c ̇x+kx=f(t)
The natural frequency equation is as below
 fn = √k/m
2π
Where, fn = Natural frequency in Hz
            k = Stiffness in N/m or M/mm
           m = Mass in kg
Let us assume, Voice pitch of Puberphonia patient is 185hz when measured 
using a device
So fn = 185hz
     m= mass of uvula in kg
       m = 5 milligrams when measured physically
 i,e m= 0.005 kg 
       ∴fn = √k/m
2π
      185 = √k/0.005
2π
      ∴ k=170N/mm  (Stiffness before treatment)
“Dr. M. Kumaresan treatment includes wrapping of thread around uvula”
By adding thread over the uvula, the mass of the uvula has increased. 
Weight of thread is assumed to be around 3milligram i,e m= (0.005+0.003) = 
0.008 kg
      ∴ k=272N/mm  (Stiffness during treatment)
Hence, adding thread has increased stiffness value by 37.5%
But, the Thread wrapped around the uvula will be removed on 4th day of treatment. 
Yet stiffness value will still remain. 
Please give me your address. I will send my book. Dr.M.Kumaresan India, 9841055774
Prof. Dr. M. Kumaresan MS(DLO), ENT Surgeon.
Website: www.sivaent.com
E-mail: kumaresan@doctor.com
Cellular / Handphone: +91 9841055774

SIVA ENT HEAD AND NECK HOSPITAL
94(New No:159), Avvai Shanmugam Salai (Lloyds' Road),
Royapettah, Chennai- 600 014, India.
Phone : (044) 28116807

Prof. Dr. M. Kumaresan MS(DLO), ENT Surgeon.
Website: www.sivaent.com
E-mail: kumaresan@doctor.com
Cellular / Handphone: +91 9841055774