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. 

Puberphonia treatment

சென்னையைச் சேர்ந்த காது மூக்கு தொண்டை அறுவை சிகிச்சை நிபுணரான டாக்டர் எம். குமரேசன், பெண் குரலுடன் கூடிய பபர்ஃபோனியா சிறுவர் பேச்சுக்கு அறுவை சிகிச்சை அல்லாத சிகிச்சையை உருவாக்கியுள்ளார், இது 1,650 வழக்குகளில் பயனுள்ளதாக இருப்பதாக கூறப்படுகிறது. அவரது "விரைவான" முறையானது, பருவமடைந்த பிறகு ஆண் நோயாளிகள் தங்கள் உயர்ந்த குரல்களை சரிசெய்ய உதவும் வகையில் தொண்டை அதிர்வு கையாளுதலைப் பயன்படுத்துகிறது. குமரேசனின் ஆராய்ச்சியின் முக்கிய விவரங்கள் சிகிச்சை முறை: குமரேசனின் அணுகுமுறை அறுவை சிகிச்சை அல்லாதது மற்றும் தொண்டை அதிர்வு கையாளுதலை மையமாகக் கொண்டுள்ளது. குரல் பாதை வலிமை மற்றும் ஒருங்கிணைப்பில் கவனம் செலுத்துவதன் மூலம் பெரும்பாலான நோயாளிகளுக்கு குரலை உடனடியாகவும் நிரந்தரமாகவும் சரிசெய்ய இந்த சிகிச்சை வடிவமைக்கப்பட்டுள்ளது. அவரது வெளியிடப்பட்ட கட்டுரைகளில் ஒன்று, பின்தொடர்தல் பராமரிப்புக்கான சுவாசப் பயிற்சியாக "நெருப்பின் மூச்சு" நுட்பத்தைப் பயன்படுத்துவது பற்றியும் விவாதிக்கிறது.

குமரேசன் முறை Women voice in male

குமரேசன் முறையை டாக்டர் எம். குமரேசன் உருவாக்கியுள்ளார். இந்த முறை, பருவமடைந்த ஆண்களுக்கு அசாதாரணமாக உயர்ந்த அல்லது "பெண்-ஒலி" குரல் இருக்கும். குமரேசன் நுட்பம், அறுவை சிகிச்சை இல்லாமல், வாய்வழி (வாயின் உள்ளே) திருத்தத்தைப் பயன்படுத்தி, குரல்வளை அதிர்வுகளை கையாளவும், சுருதியைக் குறைக்கவும் உதவுகிறது. இந்த முறை, உடனடி மற்றும் நிரந்தர சுருதி திருத்தத்தை நோக்கமாகக் கொண்டு, குரலின் அதிர்வுகளை மாற்ற குறிப்பிட்ட பயிற்சிகளில் கவனம் செலுத்தும் விரைவான குரல் சிகிச்சையின் ஒரு வடிவமாகும். முக்கிய அம்சங்கள் பின்வருமாறு: தொண்டை அதிர்வு கையாளுதல்: இந்த நுட்பம் குரல்வளையில் (தொண்டை) தசைகளை மீண்டும் பயிற்சி செய்வதில் கவனம் செலுத்துகிறது, இதனால் குறைந்த சுருதியை உருவாக்குகிறது. உவுலா கையாளுதல்: இந்த முறையின் ஒரு முக்கிய பகுதி, குறைந்த சுருதி கொண்ட குறட்டை ஒலியை உருவாக்க உவுலாவை கையாளுவதை உள்ளடக்கியது. இதைப் பயிற்சி செய்வது குரலை ஆழமான சுருதிக்கு மீண்டும் பயிற்சி செய்ய உதவுகிறது. சுவாசப் பயிற்சி: ஒரு சிறப்பு சுவாசப் பயிற்சி, சில நேரங்களில் "நெருப்பின் மூச்சு" என்று குறிப்பிடப்படுகிறது, இது நோயாளியை புதிய, குறைந்த சுருதியைப் பராமரிக்க நிலைப்படுத்தப் பயன்படுகிறது. உடனடி மாற்றம்: குமரேசன் முறையானது குரல்வளையின் எந்தவொரு அடிப்படை உடல் அசாதாரணங்களையும் விட, குரல் உற்பத்தியின் செயல்பாட்டு (நடத்தை) கூறுகளை குறிவைத்து விரைவான மற்றும் நிரந்தர குரல் திருத்தத்தை உருவாக்குவதற்கு பெயர் பெற்றது.

Kumaran breathing manual for puberphoniaPractice this breath:Inhale through your nose.Open your eyes and mouth wide.Stick out your tongue, and “roar” your breath out audibly — the breath of your exhale should be loud like a lion’s roar.Breathing technique called lion’s breath is believed to be beneficial for the throat chakra. To practice this breath:Inhale through your nose.Open your eyes and mouth wide.Stick out your tongue, and “roar” your breath out audibly — the breath of your exhale should be loud like a lion’s roar.

Throat chakra (Vishuddha) activation for puberphonia involves using sound, such as chanting the mantra "Ham" or along with breathwork like Fire of Breath and deep breathing, and specific yoga poses like Shoulderstand. Sound & Vocal PracticesChanting: Vocalize the seed mantra "Ham," which rhymes with "thumb," to stimulate and balance the throat chakra. You can also chant "Aum" or any other soothing sound that resonates with you, joining a group training or even just humming can activate and heal the throat chakra by creating vibrations in the area. Breathing Techniques, Inhale through your nose, then exhale audibly through your mouth with your eyes and mouth wide open, sticking out your touvula to create a "roar". just like keeping water in the throat and talk.

Throat chakra

Throat Chakra (Vishuddha) can improve your ability to speak clearly, honestly, and confidently. When blocked, you may struggle to express yourself puberphonia, but when inactive/overactive, you might talk too much or use inappropriate language. Techniques to balance the Throat Chakra include chanting the mantra HAM, om, that is fire of breathing UMAR for puberphonia.

Vishuddha chakra frequency 141.27 Hz: In puberphonia healing programs, a lower frequency like 141.27 Hz is used to start the sound therapy session for the throat chakra.kumaresan 9841055774

Kumaresan manual for puberphoniaActivate throat Chakra, or Vishuddha, is the fifth of the seven main chakras and is located in the throat area, representing communication, self-expression, and truth. An open and balanced Throat Chakra facilitates clear communication and creativity, while puberphonia an imbalance can manifest as difficulty expressing oneself, fear of speaking problems. You can balance the Throat Chakra through activities like meditation, affirmations, yoga, and focusing on self-expression and listening. Puberphonia kumaresan 9841055774

Puberphonia manual a research by Dr M Kumaresan is a single document but refers to the body of information and established procedures for treating puberphonia (also known as mutational falsetto or adolescent transitional dysphonia). This condition involves an individual (typically male) retaining a high-pitched voice after puberty, and treatment involves voice therapy, often administered by a siva ent hospital trained voice therapist, to establish a normal, lower-pitched voice. 1.Fire of breathing 2.Redirected phonation from larynx to pharynx.Learn, join,call 9841055774

Puberphonia Kumaresan" refers to the work of Dr. M. Kumaresan and his team at Siva ENT Hospital in treating puberphonia, a condition where a male maintains a high-pitched, "child's voice" into adulthood. His approach, outlined in publications and books like "Puberphonia Kumaresan Remedy," utilizes techniques such as uvula manipulation and resonance (UMAR), breath of fire yoga, and other exercises to help patients achieve a permanent low-pitched, masculine voice in 5 days. Call 9841055774

UMAR treat puberphonia

Social and psychological perceptions

Maturity and authority of changing puberphonia voice: 

People may intentionally lower their voice to sound more serious, authoritative, or mature.

Formidability and prestige: Studies suggest that a lower-pitched male voice can convey greater formidability and prestige. 

Attractiveness: Lower pitches are generally perceived as more attractive for long-term relationships by both men and women. 

call 9841055774

Kumaresan theory of UMAR in treatment for puberphoniaIt has a high success rate: In most cases, voice therapy using techniques like redirected phonation is highly effective and can resolve puberphonia in one sessions and use habituation training suggesed by kumaresan manual.

My theory accepted

Now all accepted my (kumaresan) theory of redirected phonation treat puberphonia. 

Yes, redirected phonation is a direct voice therapy technique used to treat puberphonia, a functional voice disorder where a person speaks with an abnormally high-pitched voice after puberty. By utilizing vegetative functions like coughing or throat clearing, a speech-language pathologist encourages the true vocal folds to make contact, gradually shifting the voice to a lower, normal pitch.

What to do if a newborn is not crying?Most people began looking at it as a barbarian practice and inhuman to the delicate baby.Doctors would hold the baby upside down firmly around his legs and then slap the butt gently. This not only causes slight pain to the child, but the motion also helps loosen any residues that might be obstructing the airways. Constantly doing so can irritate the child enough to begin crying.We modify this method, those puberphonia are not opening the mouth while talking.

Learning

Learned from my undergraduate medicos.Nobody can recognize from the newborn's cry whether the child is male or female.

Puberphonia

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डॉ.एम.कुमारेसन एमएस ईएनटी

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- डॉ. एम. कुमारेसन एमएस ईएनटी

English 91 9841055774

Dr.M.Kumaresan MS ENT

Siva ENT Head & Neck Hospital

First Floor, 94, Lloyd's Road, Royapettah, Chennai.

Opp: ADMK Office

Mobile: 98410 55774

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Puberphonia 5 days ₹10,000/-

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Forth building opp AIADMK Office in Lloyd's Road

Working Hours: 11:00 am to 6:00 pm except Sundays

- Dr. M. Kumaresan MS ENT

Puberphonia awareness

Raising awareness about puberphonia is crucial, and there are several ways you can approach this:

1. Educational Campaigns: Partner with schools and colleges to conduct workshops and seminars about puberphonia. You can share information about its signs, symptoms, and treatment options.

2. Public Awareness Campaigns: Use social media, blogs, and videos to reach a broader audience. Share success stories and educational content to help people understand the condition.

3. Collaborations: Work with other medical professionals, schools, and community organizations to spread the message and provide resources for those affected.

4. Patient Stories: Share testimonials from those you've treated to highlight the real-life impact of your work and the importance of early treatment.

5. Workshops for Professionals: Organize training sessions for healthcare providers to ensure they are aware of the condition and can identify it early.

Your expertise and dedication can make a significant difference, both in the medical field and in society.

UMAR training

Harmonics are produced in two primary ways: (1) by collision of the vocal folds, and (2) by acoustic energy from the vocal tract being fed back to the glottis and altering the glottal flow. In both cases, it is a distortion of an otherwise simpler glottal airflow in pharyngeal regions.

Puberphonia origin and treatmentVishuddha chakra is connected to our ability to communicate verbally. Voice and throat problems as well as any problems with everything surrounding that area, such as the teeth, gums, and mouth, can indicate a blockage. Blocks or misalignment can also be seen through dominating conversations, gossiping, speaking without thinking, and having trouble speaking your mind. When in alignment, you will speak and listen with compassion and feel confident when you speak because you know you are being true to yourself with your words.

Vishuddha chakra for puberphonia

Vishuddha chakra for puberphonia " is  Vi-SHOOD-hah or vi-shu-ddha. The Sanskrit word translates to "especially pure" and refers to the throat chakra, which is associated with communication and self-expression. 

Vi- (as in the "vi" in victory)

-shu- (like the "shoo" in shoo-in)

-ddha: (a short "ha" sound, like the "hah" in ha-ha) humming.

How strength and function can increase after injury. Uvula manipulation increases the strength of uvulaLocal tissue adaptation: Healing tissues (muscle, tendon, bone) remodel in response to loading. Progressive, controlled loading during rehabilitation stimulates muscle hypertrophy, tendon strengthening, and bone remodeling (Wolff’s law), so the injured region can regain and sometimes exceed pre-injury strength.Neural adaptation: After an injury, the nervous system relearns movement patterns. Targeted rehab retrains motor control and coordination, often improving recruitment efficiency and functional strength beyond pre-injury levels.Compensatory strengthening: Surrounding muscles and contralateral limbs commonly become stronger to compensate for a weakened area. That can increase overall functional capacity.Protective adaptations: Scar tissue and altered biomechanics can make local tissues stiffer or more robust in certain directions, which might increased “strength”.

UMAR for puberphonia

To convert to a low-pitched voice from puberphonia, speech therapy using exercises to convert laryngeal to pharyngeal phonation is simple- use pharyngeal voice. ( like humming and sliding down pitch, digital manipulation of the Adam's apple, and "half-swallow boom" techniques! very difficult to understand and do -helps you relax vocal muscles and habituate a lower pitch.( Counseling and, in rare cases, surgical procedures are also available. )

Puberphonia stigma

Need of puberphonia eradication program by Dr. M. Kumaresan

Psychological and Social Impacts

Social Stigma:

Affected individuals, typically males with high-pitched voices, may face social difficulties because their voices do not align with societal expectations for men. 

Psychological Distress:

The condition can lead to low self-esteem, depression, and an inferiority complex, impacting mental well-being and social interactions. 

Professional Challenges:

Difficulties in communication due to an abnormal voice pitch can hinder professional confidence and competence, particularly in certain careers, according to a study by Lupine Publishers.

success of puberphonia treatment by Dr.Dr. M. Kumaresan's puberphonia research and methods provide a non-surgical, rapid, and effective treatment for puberphonia, an inability to achieve a normal male voice after puberty, through his technique of pharyngeal resonance manipulation. His work is useful because it offers a fast-track program that leads to immediate and permanent voice correction for most patients, significantly improving their psychological well-being and return to normal activities. The technique involves exercises for vocal tract strength and coordination, which have been shown to be effective in 1650 cases.

Dr. M. Kumaresan's puberphonia research and methods provide a non-surgical, rapid, and effective treatment for puberphonia, an inability to achieve a normal male voice after puberty, through his technique of pharyngeal resonance manipulation. His work is useful because it offers a fast-track program that leads to immediate and permanent voice correction for most patients, significantly improving their psychological well-being and return to normal activities. The technique involves exercises for vocal tract strength and coordination, which have been shown to be effective in 1650 cases.

Kumaresan theory in Pharyngeal phonation

Pharyngeal phonation describes the use of the pharynx (the throat) as a primary resonating chamber to amplify and shape voice, rather than a site of primary sound production. While actual sound production, or phonation, occurs at the vocal cords in the larynx, the pharynx acts as a crucial funnel and amplifier for the sound produced there, enhancing both the volume and the quality of the voice, particularly in puberphonia treatment. It is a resonating space that vibrates to modify and project the sound created by the vocal folds. 

 The pharynx doesn't produce sound itself; instead, it's a crucial pathway and amplifier for the sound generated in the larynx.

Puberphonia treatment is redirected phonation from larynx to pharynx

The mechanism of lowering the larynx in puberphonia treatment.

Resonance:

By lowering the larynx and creating a more open "throat" space, the voice becomes more resonant, warm, and rich, as opposed to thin or shrill. This is redirect phonation. Easily we can create low pitched voices.

Puberphonia graph

A graph for puberphonia training: 

The "fire of breathing" visualizes the rapid, forceful inhalation and exhalation characteristic of the Breath of Fire yogic technique. It's represented by a sharp, repetitive pattern on a time-airflow graph, showing short, energetic bursts of air rather than the smooth curves of normal breathing. This pattern depicts the controlled, powerful breath controlled by the diaphragm and solar plexus.

Fire of breathing

One more new kumaresan innovation in puberphonia.

Demo: workshop - converting laryngeal to pharyngeal phonation.

" Fire of breathing"

This technique can help patients project their voice more effectively from abdomen to the pharynx.

For visualization, you could use imagery like:

1. Balloon Breathing: Imagine filling a balloon in your abdomen with each breath, expanding the abdomen outward.

2. Fire Visualization: Picture a small flame in your abdomen that grows brighter with each breath, symbolizing the energy and resonance.

3. Voice Projection: Visualize the sound as a beam of light or energy moving from your abdomen to your pharynx.

Combining these visualizations with the breathing technique can help puberphonia patients better understand and control their voice transition.

An adulthood male voice break is a conversion from laryngeal to pharyngeal phonation, it is a natural, pubertal phenomenon caused by the vocal tract rapid growth and pharynx elongation, resulting in structural instability that makes it difficult to control the voice, leading to unintentional cracks and flips. This change is a normal part of the body's development into a deeper adult voice, a fundamental shift in the location of voice production. Dr. M. Kumaresan 9841055774

Puberphonia treatment

Dr. M. Kumaresan is an ENT surgeon from Chennai, India, known for his innovative treatment approach for puberphonia, a condition where a male voice remains high-pitched after puberty. He developed a technique called Uvula Manipulation and Resonance (UMAR), which involves manipulating the uvula and soft palate to improve vocal resonance and coordination, combined with breath-of-fire techniques and patient education to achieve a permanent low-pitched voice. He has treated a 1650 number of patients with this method and published  7 research on the topic.

A new book on

Dr. M. Kumaresan textbook on puberphonia treatment, (my 43rd book, comming soon)

Topics :

1. Introduction to Puberphonia: Definition, causes, and prevalence.

2.. Anatomy and Physiology: Overview of the larynx, pharynx, and other related structures.

3. Diagnosis and Assessment: Techniques and criteria for diagnosing puberphonia.

4. Traditional Treatments vs. Innovative Approaches: Comparison and rationale for your method.

5. Umar Therapy: Detailed explanation and step-by-step guide.

6. Case Studies: Documented cases and outcomes of your treatment.

7. Counseling and Psychological Support: Importance of mental health support for patients.

8. Future Directions and Research: Emerging trends and potential areas for further study.

Would you like more detailed suggestions on any of these topics?

1650 puberphonia

Dr. M. Kumaresan is research and innovate the male talking in female tone is converted into original male tone. Consequently, he successfully treated 1650 boys worldwide.

பெண் தொனியில் ஆண் பேசும் தொனியை அசல் ஆண் தொனியாக மாற்றுவதை டாக்டர் எம். குமரேசன் ஆராய்ச்சி செய்து புதுமைப்படுத்துகிறார். இதன் விளைவாக, அவர் உலகளவில் 1650 சிறுவர்களுக்கு வெற்றிகரமாக சிகிச்சை அளித்தார்.

1650 puberphonia treated

Dr. M. Kumaresan is research and innovate the male talking in female tone is converted into original male tone. Consequently, he successfully treated 1650 boys worldwide.

பெண் தொனியில் ஆண் பேசும் தொனியை அசல் ஆண் தொனியாக மாற்றுவதை டாக்டர் எம். குமரேசன் ஆராய்ச்சி செய்து புதுமைப்படுத்துகிறார். இதன் விளைவாக, அவர் உலகளவில் 1650 சிறுவர்களுக்கு வெற்றிகரமாக சிகிச்சை அளித்தார்.

Kumaresan puberphonia treatment

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 Uvula movement by doing specific vocal exercises for puberphonia

Making an "ah" sound, or by practicing exercises that strengthen throat muscles, such as sticking your tongue out to the side or gargling. Yawning &snoring also helps raise your soft palate and move the uvula. These exercises can be helpful for speech,  by improving the movement of the soft palate, which includes the uvula. By simply bending the head and saying "OM" uvula vibration can be felt and it vibrates the body and siul.

[9/16, 8:22 AM] Dr. M. Kumaresan MS(ENT): The uvula helps to form specific speech sounds by vibrating against the back of the tongue or the pharyngeal wall. 

** Guttural Sounds:** It is involved in producing guttural sounds and the uvular trill. 

Nasal Passage Closure:

In some instances, the uvula moves with the soft palate to block the nasal passage, preventing air from escaping through the nose during the articulation of sounds like "g". 

Low pitched speech is Initiated at the level of uvula vibration in puberphonia UMAR treatment. The entire system of the mouth and throat, known as the vocal tract,  the sound produced by the vocal cords. The shape of the sound is produced by vocal tract structures. Longer and wider vocal tract needed.

Converting laryngeal to pharyngeal speech for puberphonia 

1. Abdominal breathing by moving the hand.

2. Near the mouth place the palm and talk 

3. Bend the neck and talk.

4. Snore or cough and talk.

5. Speak in a noisy place.

6. Push the wall and talk. 

7. Lift the object and talk. 

8. Play or walk and talk.

9. Humming and talking.

10. Lowering the larynx and talk. 

11. Swallow or take food and talk.

12. Make an imobile larynx.

13. Avoid speaking from the larynx.

14. Speak from the pharynx.

Exercises to Lower the Pharynx and larynx.

1. Shaker Exercise: This exercise involves lying on your back with your head raised off the pillow, and then gradually lifting your head higher and higher, engaging your throat muscles. 

2. Mendelsohn Maneuver:This exercise involves swallowing and consciously holding your Adam's apple high for a few seconds, strengthening the muscles responsible for swallowing. 

3. Masako Maneuver:This exercise involves extending your tongue out of your mouth and biting down gently, while swallowing, strengthening the posterior pharyngeal wall. 

4. Super-Supraglottic Swallow:This exercise involves taking a deep breath, holding it, and then bearing down as you swallow. 

5. Head Turn:Turning your head from shoulder to shoulder, as far as possible without causing pain, can help stretch and relax throat muscles. 

6. Yawn, then Swallow:Yawning and then swallowing can help lower the larynx and open the throat. 

7. Hot Potato:Imagine having a hot potato in your mouth and avoid touching the sides of your mouth, which can help widen the throat. 

8. Giggle Posture:Pretending something funny is happening and feeling a giggle in your throat can help relax and lower the larynx. 

9. Flip-Top Head:Rest your chin on the back of your hands with your elbows on a table and imagine raising your upper jaw, which can help widen the throat. 

10. Tongue Stretch:Extend your tongue as far as possible and say your telephone number, trying to maintain clarity, which can stretch throat muscles. 

11. Hyoid shift Maneuver:This exercise involves shifting the hyoid bone (a small bone in the neck) with a straw blowing which can help change the voice .

12.Lowering larynx exercises in puberphonia training.

a.Isometric exercises: These exercises involve sustained muscle contraction against resistance, with minimal or no movement of the joint. While not directly designed to lower the larynx, some isometric exercises can strengthen muscles involved in swallowing and vocalization, indirectly influencing laryngeal position. Isometric exercises do not directly lower the larynx, but some exercises, particularly those involving swallowing and vocal exercises, can help improve laryngeal control and potentially lower its position during specific sounds or movements. These exercises primarily focus on strengthening the muscles around the larynx and improving coordination between breathing and vocal production.

b.Swallowing exercises:These exercises, like the "hold and swallow" exercise, can help strengthen the muscles responsible for closing the larynx during swallowing. 

c.Vocal exercises:Exercises that involve a "dopey" or "yawny" sound, or modifying vowels, can help train the larynx to not always rise for high notes, potentially lowering its position for certain sounds. 

d.Laryngeal height and vocal quality:The position of the larynx can influence vocal quality and pitch. By controlling laryngeal height through exercises, singers and speakers can achieve a wider range of sounds and potentially lower the larynx during specific vocalizations. 

e.Focus on control, not forced lowering:While some exercises might temporarily lower the larynx, the goal is not to force it down. Instead, it's about developing the necessary muscle control and coordination to achieve the desired laryngeal height for different sounds and purposes.

Pharyngeal voice with uvula vibration without Strain in Puberphonia training

1. Who doesn’t want more power without strain? This is a simple technique to apply and a bit easier than the one above. All you have to do is to keep your chin pointed slightly down and your pectorals slightly flexed (well sometimes it’s a lot flexed) when you go for more power.

2. Press on your chest with both hands, then, raise your chest higher than normal. Take a breath in and then exhale, but don’t drop your chest. Sing one note and hold it as long as possible with your chest raised.

3. Take your first two fingers and pull your jaw down 2 inches (or even better – use a plastic bottle cap or a cork (wine) to prop your jaw open). And speak the vowels.

4. Press your tongue down in the back of your throat to “anchor” the note.

5. DON'T SING FROM YOUR THROAT

Despite all this talk about healthy vocal cords, your vocal folds are only one part of a complex system that produces your voice. To speak well and maintain your vocal health, you need to understand your body and know where your voice is coming from. You should never talk from your vocal cords—the power behind your voice is your breath, and your breath should be supported by your diaphragm. Allow your vocal cords to relax, and let your voice resonate in your chest, pharynx, and face with vibration of uvula. Don’t worry if this doesn’t immediately make sense to you. It takes time to train your body to support your voice, though you can speed up the process by working with UMAR.

1.Vowel sounds are low pitched voice: This is a quick trick that makes you sound better instantly so I called it the “Instant Fix”. Say A-E-I-O-U (watch your jaw movement in the mirror). Did your jaw close on any of the vowels? Chances are your jaw closed on the E and the U – and most likely on others too, if not all of them.

2.Abdominal breathing. Sit on a bench with a table in front. Lean forward while keeping the head in the table.  Feel the abdominal breathing. Practice abdominal breathing throughout the day: As you become more proficient, you can practice abdominal breathing while standing, sitting, or even driving.

Abdominal breathing offers several benefits to your body including:

1.Helping you larynx relax.

2.Improving pharyngeal muscles function during speaking and prevent strain of vocal cords.

3.Increasing how much oxygen is in your blood.

4.Making it easier for your body to release gas waste from your lungs.

5.Reducing blood pressure.

6.Reducing heart rate.

Fire of breathing in UMAR -aid to energize the body and mind. The yoga practice involves forceful, active exhales driven by the diaphragm and belly, with passive inhales.

A "manly" voice is typically characterized by a lower pitch, richer resonance, and breathier texture, often perceived as confident and authoritative. These qualities are primarily influenced by the pharyngeal phonation  and the size of their vocal tract. Relax the Larynx: Yawning, snoring or humming exercises can help relax and lower your larynx (voice box), no work to the larynx, which is a key component for creating a deeper sound in the pharynx.

Increase Chest and nasal/ sinus eesonance: Practice humming, vibrating uvula,deeply and feel the vibrations in your chest. Speaking from this place of resonance can help create a richer, fuller tone.

3.Open mouth practice: Take your first two fingers and pull your jaw down 2 inches (or even better – use a plastic bottle cap or a cork (wine) to pop your jaw open). And speak the vowels.

The instructions are a vocal exercise for singers and speakers to improve resonance and open up the vocal tract by physically propping the jaw open while speaking or singing the vowels (A, E, I, O, U). The goal is to retrain muscle memory so the jaw remains open on all vowels, resulting in a louder, more resonant voice with less strain. 

Use a prop: Place a plastic bottle cap or a wine cork between your teeth to keep your jaw held open.

Speak the vowels: Say the vowels "A-E-I-O-U" with the prop in place.

Observe the jaw: Watch in a mirror to see if your jaw is opening on each vowel.

Practice the goal: Your objective is to keep your jaw open on every vowel, maintaining a long, open sound rather than closing it.

Sing a phrase: Once you can do this with individual vowels, try singing a short phrase from a song, making sure your jaw opens to the same position on each vowel.

Repeat: Continuously repeat the exercise to reprogram your muscle memory and make this new movement natural. 

Keeping the jaw open creates a more open vocal tract, which increases resonance and makes your voice sound louder and richer. 

Reduced Strain: A wide-open jaw can reduce vocal strain, as it gives the vocal cords more room and allows them to work more efficiently. 

Muscle Memory: The consistent practice helps to build new muscle memory, allowing you to maintain an open jaw without thinking about it over tim..e

4. You should think down for your high notes or think  of adding weight (resistance) to your highest notes.

5.  Keep your chin pointed slightly down and your pectorals slightly flexed (well sometimes it’s a lot flexed) when you go for more power. Most singers reach forward or lift their chin up to sing with more power. While it may temporarily work, it causes vocal problems.  Tipping your chin down not only works better and saves your voice – it actually SOUNDS better! Stand in front of the good ‘ol mirror.

6. press on your chest with both hands, then raise your chest higher than normal. Take  a breath in and then exhale, but don’t drop your chest. Sing one note and hold it as long as possible with your chest raised. Press on your chest halfway through the note (press kind of hard and raise your chest to meet the pressure). Relax the back of your neck and keep your jaw open as you’re singing “ahhh.” Imagine the air spinning around in your mouth while keeping your chin tucked down a bit and your chest raised. Keep in mind, overuse of vibrato is not a good thing in contemporary singing (pop, rock and R&B). At the same time, no vibrato is also not a good thing. So, try ending phrases with straight tone, then into a little bit of vibrato. The bottom line is to do what’s best for you

 "Fire of Breathing," or Breath of Fire, is a breathing technique, also known as Kapalabhati, that involves fast, sharp, active exhalations through the nose with passive inhalations, creating a rhythmic, pumping action in the lower belly. While it's a powerful tool for core strength and confidence in general yoga practices, it's also used as a component in certain voice therapies for puberphonia, which is a condition where an adult male maintains a high-pitched voice. The technique in puberphonia treatment, such as in Dr. M. Kumaresan's method, focuses on activating the breath to manipulate the pharyngeal resonance and stimulate the upper vocal tract, helping patients to lower their voice and establish a new, deeper vocal habit.

OM for puberphonia

Uvula movement by doing specific vocal exercises for puberphonia

Making an "ah" sound, or by practicing exercises that strengthen throat muscles, such as sticking your tongue out to the side or gargling. Yawning &snoring also helps raise your soft palate and move the uvula. These exercises can be helpful for speech,  by improving the movement of the soft palate, which includes the uvula. By simply bending the head and saying "OM" uvula vibration can be felt and it vibrates the body and siul.

Puberphonia

*Dr. M. Kumaresan is researched and innovated a new  voice training that changes "1650 boys talking in child tone worldwide into normal voice".*

Dr. Kumaresan. "When you lean forward and speak, you can feel the vibration of the uvula, similar to how you feel the movement of your stomach when you breathe while leaning forward. This demonstrates the role of the uvula in speech clarity."

Puberphonia

A world record

An innovative research 

Male talking in a female tone.

Treat puberphoniaLaryngeal Manipulation:This involves a doctor digitally compressing the thyroid cartilage to lower the voice. Patients are taught to repeat this procedure to sustain the male voice. Direct Pharyngeal Manipulation:This technique, reported by Indian doctors, involves direct manipulation of the uvula to achieve a lower pitch and has shown high success rates. Uvula Manipulation and Resonance (UMAR):This method aims for immediate voice change by manipulating the uvula to achieve a lower, more resonant voice, which is then maintained through practice.

Indian treatment for puberphonia focuses primarily on voice therapy with techniques like direct laryngeal manipulation and uvula manipulation and resonance (UMAR), as well as phonosurgery for resistant cases. Voice therapy involves structured vocal exercises and speech techniques to naturally lower voice pitch, while direct pharyngeal/ uvula manipulation involves internal pressure on the air flow to achieve a male voice. Phonosurgery, such as relaxation thyroplasty, is a surgical option to shorten the vocal folds if voice therapy is ineffective or delayed which indirectly result in pharyngeal phonation..

UMAR, Indian treatment for puberphonia

Puberphonia is a global voice disorder, and while there's  evidence of Indian influvance for the condition itself, Indian researchers and clinicians have significantly contributed to understanding and treating it. Notable contributions include, Avvai desicribed about "pedu", studies on the incidence of puberphonia in India, which show a prevalence of about 1 in 900,000, (now the incidence is more) and the development of specific techniques like Uvula Manipulation and Resonance (UMAR) for treatment. 

Treat puberphonia early & in 5 days.

Call 9841055774

Vocal tract length and width:The entire system of the mouth and throat, known as the vocal tract, the sound produced by the vocal cords. The shape of the sound is produced by vocal rract structures. Longer and wider vocal tracts typically create a richer, darker tone.

Manly pharyngeal phonation

A "manly" voice is typically characterized by a lower pitch, richer resonance, and breathier texture, often perceived as confident and authoritative. These qualities are primarily influenced by the pharyngeal phonation  and the size of their vocal tract. Relax the Larynx: Yawning, snoring or humming exercises can help relax and lower your larynx (voice box), no work to the larynx, which is a key component for creating a deeper sound in the pharynx.

Increase Chest and nasal/ sinus eesonance: Practice humming, vibrating uvula,deeply and feel the vibrations in your chest. Speaking from this place of resonance can help create a richer, fuller tone.

Vowel sounds are low pitched voicePractice lower-pitched voice, practice deep, diaphragmatic breathing for better breath support and resonance, keep good posture, relax your jaw and tongue, and gently lower the larynx by relaxing your throat muscles, as if you are humming, yawning or snoring. Vowel sounds can help to relax the vocal cords - not much sound from vocal cord allowing for a deeper, more resonant sound from pharyngeal and sinuses.

Fire of breathing in UMAR -aid to energize the body and mind. The yoga practice involves forceful, active exhales driven by the diaphragm and belly, with passive inhales.

What are the benefits of abdominal breathing in UMAR?Abdominal breathing offers several benefits to your body including:Helping you larynx relax.Improving pharyngeal muscles function during speaking and prevent strain of vocal cords.Increasing how much oxygen is in your blood.Making it easier for your body to release gas waste from your lungs.Reducing blood pressure.Reducing heart rate.

What are the benefits of abdominal breathing in UMAR?

Abdominal breathing offers several benefits to your body including:

Helping you larynx relax.

Improving pharyngeal muscles function during speaking and prevent strain of vocal cords.

Increasing how much oxygen is in your blood.

Making it easier for your body to release gas waste from your lungs.

Reducing blood pressure.

Reducing heart rate.

Siva UMAR training Step 2.Abdominal breathing.Sit on a bench with a table in front. Lean forward while keeping the head in the table. Feel the abdominal breathing. Practice abdominal breathing throughout the day: As you become more proficient, you can practice abdominal breathing while standing, sitting, or even driving.

Tips followed in Siva to treat puberphonia 

-------------

Practice for puberphonia with UMAR

It is tough. Ordinary ways of voice training will not work. Follow "fire of breathing"

1st step.

 When you work to lower your voice, it takes more air to produce the same volume as you normally would. Practice is the best way of doing this, abdomen breathing- no collar or chest breathing - sufficiently have a great amount of expiratory speaking voice with sinuses air way clear for resonance.

Tips followed in Siva to treat puberphonia 

-------------

Practice for puberphonia with UMAR

It is tough. Ordinary ways of voice training will not work. Follow "fire of breathing"

1st step.

 When you work to lower your voice, it takes more air to produce the same volume as you normally would. Practice is the best way of doing this, abdomen breathing- no collar or chest breathing - sufficiently have a great amount of expiratory speaking voice with sinuses air way clear for resonance.

Tips followed in Siva

Tips followed in Siva to treat puberphonia 

-------------

Practice for puberphonia with UMAR

It is tough. Ordinary ways of voice training will not work. Follow "fire of breathing"

1st step.

 When you work to lower your voice, it takes more air to produce the same volume as you normally would. Practice is the best way of doing this, abdomen breathing- no collar or chest breathing - sufficiently have a great amount of expiratory speaking voice with sinuses air way clear for resonance.

Males get masculine voice

My experience with treating 1650 cases of puberphonia most often people consider a low pitch and rather loud voice to be more masculine while people consider a high pitch and soft or timid voice to be more feminine.

Get masculine voice, Call 9841055774

Female voice in puberphonia

Puberphonia are mostly concern a female voice on the phone. This causing a misconception about the disorder. Puberphonia primarily affects adolescent males whose voices remain at a high, pre-pubescent pitch, which can be mistaken for a female or younger voice, especially over the phone. 

Treat puberphonia, Call, 9841055774

Futurist in puberphonia

Futurist in puberphonia

As a functional voice disorder, puberphonia does not involve any anatomical abnormalities, so future treatment will focus on enhancing therapeutic techniques rather than on developing new physiological procedures. Futurists expect advances in technology, particularly artificial intelligence (AI), to revolutionize voice therapy by offering more accessible, personalized, and engaging treatment options. Virtual reality (VR) and augmented reality (AR): Immersive AR and VR applications will be used to create interactive environments for speech exercises, providing dynamic and engaging ways to practice vocal skills. This could also help patients confront difficult speaking situations in a controlled virtual space.Futurists predict that less invasive and more immediate interventions will also gain traction for certain cases. 

Internal manipulation and resonance: Newer methods, such as "uvula manipulation and resonance training," show promise in achieving rapid and permanent results. This approach, which focuses on manipulating the vocal tract to change resonance, could be further refined.

Join with puberphonia research

We are going to  record the sound and waveform for each word or frequency in puberphonia.

1. Recording Equipment: Use a high-quality microphone to capture the sound accurately.

2. Audio Recording Software: Software like Audacity or Adobe Audition can record and analyze the waveform.

3. Analysis: You can visualize the waveform for each word or frequency and analyze the characteristics.

This method can help Dr. M. Kumaresan to document and study the changes in phonation when redirecting the voice from the larynx to the pharynx.

Interested individuals can join with us, call 9841055774.

Puberphonia treatment

Siva ENT Head & Neck Hospital in Chennai, led by Dr. M. Kumaresan, is known for treating puberphonia. The hospital claims to have a high success rate using a non-invasive treatment method. 

Treatment methodology at Siva ENT

The treatment for puberphonia at Siva ENT Head & Neck Hospital is a multi-step, non-surgical process developed by Dr. M. Kumaresan. 

Uvula Manipulation and Resonance (UMAR) Therapy: This is the core of the treatment.

Using a technique inspired by a ancient Tamil text on grammar, the doctor manipulates the uvula—an accessory speech organ—to trigger a lower, more resonant voice.

The hospital reports that 90% of patients immediately achieve a lower-pitched voice during this initial procedure.

Group Therapy: Patients undergo several days of continuous "breath of fire" breathing training in a group setting.

UMAR treat puberphonia

Univerasl accepted the theory of low pitched voice.

Using Vegetative Sounds: Techniques like coughing, snoring or throat clearing are used to initiate voice production. Tis is pharyngeal phonation. These sounds are easier to produce at a lower pitch. Continue the same pitch in treatment for puberphonia by UMAR.

Redirected phonation treat puberphonia

High-pitched voice after puberty:

Puberphonia is when a male continues to speak with a high-pitched voice that is not typical for his age or gender after going through puberty. 

Vocal cord tension:

This high pitch is often due to the body tightening the vocal cords as a habit or defense mechanism, even though the vocal cords themselves are normal. 

How Treatment Works ("Redirected Phonation")

Voice therapy and physical exercises:

The main treatment for puberphonia involves speech therapy to modify the voice production. 

Techniques like humming, coughing, and even gentle digital pressure on the Adam's apple are used to help lower the larynx, relax the vocal cords, and achieve a lower pitch. 

Pharyngeal phonation:

The concept of "pharyngeal phonation" or "redirected phonation" refers to the outcome of these exercises, where the voice production is shifted from the high-tension state in the larynx to a lower, more relaxed state and pharyngeal system create a low pitched voice.

Predictive Puberphonia Analytics: Developing models that can predict the onset of conditions before they manifest clinically, allowing for preventive measures.

Dr. M. Kumaresan's invention

Dr. M. Kumaresan researches and treats puberphonia, a voice disorder, through his unique Uvula Manipulation and Resonance (UMAR) method. His research includes identifying the need for a comprehensive approach encompassing awareness, diagnosis, data collection, treatment, and follow-up to eradicate the condition. He has published extensively on the topic, including the book "A Research On Umar For Puberphonia," and has conducted workshops and published articles with fellow researchers, according to this information from Siva ENT Head & Neck Hospital and Prowess Publishing. 

Puberphonia Dr. M. Kumaresan

Dr. M. Kumaresan is a Chennai-based ENT surgeon known for his innovative, non-surgical treatment of puberphonia, a condition where a male retains a high-pitched, childlike voice after puberty. His method, called Uvula Manipulation and Resonance (UMAR), is offered at the Siva ENT Head & Neck Hospital. 

Kumaresan's treatment for puberphonia

Methodology: Dr. Kumaresan's treatment involves the following key steps, with an emphasis on shifting voice production from the larynx to the pharynx:

Diagnosis: A voice pitch analyzer is used to measure the high pitch and confirm the diagnosis.

Uvula Manipulation: The uvula is physically manipulated to trigger a low-pitched, adult male voice. This provides the patient with an immediate sensation of their "ancestral" voice.

Resonance Training: The patient is trained to sustain the low pitch by creating resonance using their uvula and soft palate, with forceful airflow from the diaphragm.

Habituation: The patient practices the technique and undergoes breathing training, often referred to as "breath of fire" exercises, to normalize the new voice. This training is typically conducted over several days and reinforced with follow-up home care.

Patient profile: According to research co-authored by Dr. Kumaresan, patients with puberphonia often experience significant psychological distress, including anxiety, depression, and social rejection, and some have attempted suicide. Treatment is presented as a way to resolve not just the voice issue but also these social and emotional challenges.

Published research: Dr. Kumaresan has published articles in various journals detailing his methodology and its success rates. His work highlights the efficacy of UMAR therapy in providing "fast-track" results for puberphonia patients. 

Clinic and contact information

Name: Siva ENT Head & Neck Hospital

Location: First Floor, 94, Lloyd's Road, Royapettah, Chennai, Tamil Nadu 600014

Contact numbers: +91 98410 55774 (English) and +91 74416 34743 (Hindi)

Appointment: No prior appointment is required for puberphonia treatment. 

Dr. Kumaresan's background

Professional focus: He is an experienced ENT surgeon who, after retiring from his post at Stanley Medical College, shifted his focus to voice care and research.

Inspiration for his work: Dr. Kumaresan was inspired to specialize in puberphonia after encountering the devastating psychological and social effects of the condition on young men.

Awards and recognition: He has received several awards for his contributions to otolaryngology and acoustics, including the Life Time Achievement Award from Tamil Nadu Dr. M.G.R. Medical University.

AI in puberphonia

AI in puberphonia, we do.

 AI can assist in diagnosing laryngeal (voice box) problems by analyzing various data, including voice recordings and images from endoscopies. AI models, such as those using Octave Frequency Spectrum Energy (OFSE) or Convolutional Neural Networks (CNNs), can detect subtle acoustic changes to identify conditions like laryngeal cancer, benign vocal fold lesions, and dysphonia with high accuracy. While AI shows promise for objective, non-invasive diagnosis, it serves as a tool to complement, not replace, the expertise of healthcare professionals.

Puberphonia book in Amazon

Books in Amazon- puberphonia by DrM. Kumaresan

 overview

The content of this book is mainly research work, personally discovered for the first time in the whole history of the world, and is completely new. The use of sophisticated measurement systems based on scientific concepts and other such technologies has greatly improved understanding of the generation of speech and the treatment of puberphonia, giving rise to new scientific theories and concepts. Science ideas are subject to change. Ideas about voice boxes have changed, which led to the development of puberphonia voice correction.

How is Redirecting Phonation (RPTP) Used to Treat Puberphonia?1. Speech Therapy:This is the primary treatment for puberphonia.1. A puberphonia therapist guides the patient through exercises to modify vocalization, that's how is Redirecting Phonation Used to Treat Puberphonia (RPTP) 2. Indirect Treatment:The SLP may provide counselling to help patients understand psychological factors contributing to the disorder and educate them on voice care. 3. Direct Treatment:Uvula Manipulation: ENT Surgeon or SLP may place a tongue depressor in the patient's throat and have them say words, vegetative words with cough or snore which can lead to immediate voice pitch changes. Continue the same pitch while speaking. That is "breath of fire"- our technique.

Puberphonia 

treat puberphonia early

Puberphonia stigma refers to the negative societal and personal consequences faced by individuals, primarily young males, due to the high-pitched voice associated with the condition. This stigma manifests as feelings of shame, embarrassment, isolation, and a lower perceived self-esteem, leading to psychological distress, social withdrawal, and difficulties in romantic relationships. Society often links a deeper male voice with maturity and masculinity, making puberphonia a source of ridicule and bullying, thus creating a significant social stigma for the affected individuals. 

Treat confidently in five days. Call9841055774

Need puberphonia treatment

: Hi Sir

+91 87789 55534: My Name is xxxxxhan 

Iam from Tiruvannamalai 

I have a problem of Puberponia

: My age is 19

+91 87789 55534: Pls can you replay: Iam facing more problems in my life by voice

[8/28, 8:58 PM] Dr. M. Kumaresan MS(ENT): Dr.M.Kumaresan MS ENT

Siva ENT Head & Neck Hospital

First Floor, 159, V. P. Raman Road, Royapettah, Chennai.

Opp: ADMK Office

Mobile: 98410 55774

https://maps.app.goo.gl/rxBJrr8Yw7yTdzs86

No Appointment Required

Puberphonia 5 days ₹10,000/- Accommodation in the hospital Rs.300/day. Food outside the hotel.

Bus 21 From Chennai Central MGR Railway Station to Ajantha Stop

Forth building opp AIADMK Office in Lloyd's Road

Working Hours: 11:00 am to 6:00 pm except Sunday

Redirected phonation in voice therapy is a technique where Dr. M. Kumaresan uses a patient's natural, non-speaking voice sounds, like a cough, laugh, snoring or a gargle, and redirects them into a speaking voice. This technique helps establish an easier, more efficient, and less strained method of vocalizing for people with voice disorders like puberphonia by starting with a familiar sound and then transitioning it to intentional speaking.

Redirected phonation 

Redirected phonation Puberphonia treatment involves speech therapy using techniques like humming and yawning to lower the larynx, relaxing the vocal cords, and result in pharyngeal phonation for a low pitch. In cases where therapy fails, surgery, such as relaxation thyroplasty, is an option to shorten or reposition the vocal cords to achieve a lower voice all result in redirected phonation from larynx to pharynx.

Puberphonia treatment involves speech therapy using techniques like humming and yawning to lower the larynx, relaxing the vocal cords, and result in pharyngeal phonation for a low pitch. In cases where therapy fails, surgery, such as relaxation thyroplasty, is an option to shorten or reposition the vocal cords to achieve a lower voice all result in redirected phonation from larynx to pharynx.

Puberphonia is a voice disorder that can be treated with professional voice therapy, and it can contribute to feelings of inferiority, so seeking help for both is important. An inferiority complex often stems from a lack of self-worth or attachment issues from childhood and is treated by building self-confidence, practicing positive self-talk, and surrounding yourself with positive influences. Consulting with a psychologist or mental health professional is recommended for managing an inferiority complex, and a speech-language pathologist is crucial for treating puberphonia,.According to information from UMAR research, the peer, socity still remember the puberphonia voice. Better leave the present people and a new life in a new place.

New life after puberphonia treatment 

Puberphonia

Puberphonia is not a rare disorder as the world believe, an inappropriate use of high-pitched voice beyond pubertal age in males. It is usually seen in the immediate post-pubescent period when the male vocal mechanism has undergone significant changes in size and function caused by hormonal changes. We have identified and treated in one day by our new research method 1700 cases of puberphonia in a short span, in a small city in the world, Chennai.In male boys talking with high frequency like female folk,as a result could make them to ashame of the situation. So they psychologically affected with depression. Negative social reactions commonly occur and it overall affects social and vocational goals of them.We treat puberphonia in five days.

There are no proven at-home treatments for puberphonia; effective treatment requires voice therapy under the guidance of a puberphonia treatment experience ENT department who can teach you exercises to habituate a lower, adult-sounding voice. Attempting to change your voice at home without professional supervision risks vocal cord damage because the problem not only in vocal cord. While some techniques like glottal fry and digital manipulation might be used in therapy, they should only be performed as instructed by a qualified therapist to ensure safety and effectiveness. Very soon we will try try to findout the home treatment, because it's not a disease.

Puberphonia home treatment 

Dr. M. Kumaresan 's 42nd book ready.

Dr. M. Kumaresan developed a non-surgical, rapid voice therapy method using uvula manipulation and "breath of fire" training for puberphonia, an inability for males to achieve a normal voice after puberty. This technique, performed by the Siva ENT Head & Neck Hospital, reportedly achieves immediate and permanent low-pitch voice results for over 90% of cases, with some international ENT doctors expressing interest and requesting further information on the technique. Dr. M. Kumaresan completed another, his, 24th book on puberphonia. Now he is planning for a text book on puberphonia.

Puberphonia treatment costs vary depending on the chosen therapy; voice therapy can range from ₹1,000 to ₹3,000 per session, potentially costing thousands overall, while non-surgical UMAR treatment is a cost-effective alternative, total Rs. 10thousand or less. Treatment plans for only five days, are not individualized, only group training from morning to late evening and costs often include initial consultations, diagnostic tests, therapy, and stay Rs. 300/daily. Food outside hotel as you like.

UMAR treat puberphonia 

UMAR must for puberphonia

Puberphonia can be treated by Kumaresan and his colleagues using techniques like Voice Therapy and Uvula Manipulation and Resonance (UMAR). Voice therapy involves vocal exercises performed with a therapist to lower the larynx and relax vocal folds, while UMAR is a specific technique that involves manipulating resonance to achieve a lower pitch. In cases where other methods are ineffective, UMAR should be considered.

Dr. M. Kumaresan was able to treat a high number of puberphonia cases by using a novel technique involving direct uvula manipulation and pharyngeal resonance, coupled with breath-of-fire breathing exercises and patient education to establish a permanent low-pitched voice. This "internal" method focuses on the upper vocal tract and is effective because the larynx is anatomically normal in puberphonia patients, allowing for immediate results and long-term habit formation.

We treated more than 1700 puberphonia 

UMAR accepted

Dr. M. Kumaresan, working at the Siva ENT Head & Neck Hospital, presented his uvula manipulation technique for puberphonia at the International Voice Association (IALP 2019) Congress in Taipei, Taiwan, with presentations at other international forums. His research on this functional voice disorder, detailed in publications like Acta Scientific and the National Institutes of Health (NIH) https://actascientific.com/ASOL/ASOL-02-0139.php,, proposed a method of direct uvula manipulation combined with breath training to achieve a "fast track" treatment with rapid and permanent voice pitch changes. While specific reviews by international ENT doctors aren't detailed, his research indicates his work was well-received by the international medical community and presented at major global conferences. 

Dr. M. Kumaresan, at Siva ENT Head & Neck Hospital in Chennai, treats puberphonia with a direct voice therapy technique involving uvula manipulation and pharyngeal resonance to achieve a lower, male voice. The treatment, described as a social service, involves a short, in-hospital procedure and follow-up group therapy, sometimes combined with group training from the first day of treatment.

Treat puberphonia 

Puberphonia treatment

,,Treatment of puberphonia, in which laryngeal massage, outside the neck, is consistently highlighted as being an effective therapy technique for treating it. In addition, there have been several individual studies conducted to examine the effectiveness of  pharyngeal manipulation inside the vocal tract, which also yielded positive results. A basic review of UMAR techniques and this partnership with yoga breathing trainers is presented which give almost immediate low pitch speech and give a good follow up.

Why Choose Siva puberphonia treatment?The Siva ENT Center offers voice and communication training with our team of highly skilled specialists. All new clients begin with an initial evaluation only. No multidisciplinary team, which includes an examination of your overall vocal health and a discussion about your personal communication goals. For some, mild underlying vocal differences (raspiness, strain, fatigue) can be achived by group training as whole training process.

treat puberphonia

The treatment of choice for puberphonia is voice train with a convert to pharyngeal phonation. Goals are based on each patient's individual need onpy convertions. Your doctor will give you the tools to master change in vocal pitch, inflection or prosody, resonance, rate, articulation, language, and non-verbal communication by uvular voice. Training sessions will focus on using these tools in a healthy, sustainable manner. The number of sessions only 5 days.

Treat puberphonia

Puberphonia can create both psychological and physiological changes.

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Excessive admiration of another male or sibling

Excessive maternal protection Psychological upset.

Treat early.

Call 9841055774.

I live with puberphonia treatment.

There are two types of people! We were born, we worked, we ate, we died, and we are one type!

The second type is that we were born, worked, ate, lived and died with a goal!

Those who live with a single goal and disappear, go on to achieve many achievements and establish their name in the world!

I have no great ambitions, goals, or aspirations to accomplish great things!

There have been two desires within me since I can remember.

It's good to be ambitious! It's not good to be greedy!

- Dr. M. Kumaresan MS ENT

UMAR proves uvula a speech organ.

Dr. M. Kumaresan's research on puberphonia, a voice disorder where males speak in a high-pitched voice after puberty, concludes that his "pharyngeal resonance manipulation" technique is a successful and efficient treatment method. This approach is converting laryngeal phonation to pharyngeal phonation.

Key aspects of Dr. Kumaresan's research and treatment approach:

Pharyngeal Resonance Manipulation:

Fast-Track Rehabilitation:

Non-Surgical and Non-Pharmacological:

 

Addressing Emotional and Social Impact:

Focus on Confidence and Self-Esteem:

"Puberphonia Eradication Clinics":

New Voice Index:

Final remark.

Uvula a speech organ

Dear Sir/ Madam, NEW BOOK on puberphoniaGreetings,I am doing a small treatment for puberphonia/boys talking in female tone. The treatment is based on uvula manipulation. Our own research in puberphonia and treated 1600 cases of puberphonia. -kindly see my published articles and the you tube- AHaktHeOEk0 - live recording, done by me.

Puberphonia 

sexual behavior of puberphonia

sexual behavior of puberphonia 

The brain works the same way for s

ex and for the sensation of breast sucking in male homosexuals. It

is misunderstood by the brain. It has the feeling of having sex. The brain does not know the difference between 

action and intention. It is well known that the brain can be tricked. This is virtual reality. Pavlov's theory of classical conditioning also states the same. This study aims to revisit the studies reported in the area of peer

influence with reference to health behaviour. Peer groups are social groups that consist of people of the same age  who have similar interests and are usually equal in terms of education and social class. Peer groups are important as they tend to provide a space to make friends. They also help provide social and emotional support 

as well as an identity and a sense of belongingness to a social group, especially during adolescence. The authors

have found that sexual behaviour is one of the many areas in which teens are influenced by their best friends and peers.

Ballari puberphonia

Sir

My self 

Cxxxxxi M

From Ballari city 

karnataka state

I am working as a supervisor in contract basis

Jindal steel works torangallu

So I just wanted to know how many days the treatment will take

As a worker I won't get 5 days leave from our company, so please be kind & clarify my doubt.

I am 28 years old & I am suffering from puberphonia since 14 years.

I used to watch ur videos on YouTube about ur approach towards patients & the way u treat them & boost their self-confidence.

Replay 

Dr.M.Kumaresan MS ENT

Siva ENT Head & Neck Hospital

First Floor, 159, V. P. Raman Road, Royapettah, Chennai.

Opp: ADMK Office

Mobile: 98410 55774

https://maps.app.goo.gl/rxBJrr8Yw7yTdzs86

No Appointment Required

Puberphonia 5 days ₹10,000/- Accommodation in the hospital Rs.300/day. Food outside the hotel.

Bus 21 From Chennai Central MGR Railway Station to Ajantha Stop

Forth building opp AIADMK Office in Lloyd's Road

Working Hours: 11:00 am to 6:00 pm except Sunday

- Dr. M. Kumaresan MS ENT

Kumaresan's work focuses on treating puberphonia through techniques like uvula manipulation and pharyngeal resonance manipulation. He emphasizes that puberphonia is not a disease but a voice disorder that can be effectively treated with non-invasive methods. His research has been recognized and cited by other ENT specialists and researchers, including: Dr. Sudhakar Vaidya: An ENT surgeon in an article cited Dr. Kumaresan's research.Anjana A Mohite: In her research published in MedPulse, cited his work.CME organized by Dr. Roche: A CME on puberphonia in Chicago where Dr. Kumaresan was a faculty member.Meng-Ju Tsai, PhD: As a faculty member in the 31st World Congress of the IALP,Dr. Kumaresan's work cited.

Life Cycle Of Puberphonia Boys

Puberphonia boy changed his profession to earn his livelihood. He performs singing and dancingLike ladies and does physical gymnastics easily because he is aboy (this boy lives in Tamil Nadu; his activities are 

similar to those of lady boys in Thai Land). Very shy character boy having, consuming, and – having addictiveMaterials in hand.Two puberphonia boys reported trimming and correction of their eye brows,and five boys reported

exaggerated movement of the gluteal region while walking.

Lire cycle of puberphonia

Life Cycle Of Puberphonia Boys

Puberphonia boy changed his profession to earn his livelihood. He performs singing and dancingLike ladies and does physical gymnastics easily because he is aboy (this boy lives in Tamil Nadu; his activities are 

similar to those of lady boys in Thai Land). Very shy character boy having, consuming, and – having addictiveMaterials in hand.Two puberphonia boys reported trimming and correction of their eye brows,and five boys reported

exaggerated movement of the gluteal region while walking.

Pharyngeal voice can be used across various pitches, it is particularly well-suited for puberphonia, low-pitched sounds due to its ability to enhance vocal power and clarity. The pharyngeal voice, which involves specific coordination of the vocal tract and pharyngeal walls, can create a louder, brighter sound with the helpful uvular movements. This technique is achieved by shaping the vocal tract to emphasize certain overtones, which can be advantageous for projecting sound, including low pitches. UMAR treat puberphonia

A positive history of taking psychiatric medicine for an unknown cause of depression is available, with

fifty puberphonia boys in 1600 cases reported. Puberphonias stigma is defined as an undesirable attribute in a 

person that is viewed as setting that person apart from the rest of society. Shame is an intense negative emotion 

that results from a puberphonia person experiencing failure in relation to personal or other people’s standards, 

feeling responsible for that failure, and believing that the failure reflects an inadequate self. Puberphonia,

sometimes referred to as "self-stigmatisation," is a reflection of a person’s acceptance of the negative aspects of 

stigma. Although puberphonia can occur privately, shame has also been described as an affective reaction that

follows public exposure of some deviation from accepted norms.

Treat puberphonia. Call 9841055774

Snore sound treat puberphonia

One of the treatments for puberphonia is direct voice therapy. Techniques used include: (1) Cough: 

The patient is asked to apply pressure to the Adam's apple and cough. (2) Put a tongue depressor on and examine

the throat; the patient is asked to say a few words. (3) While doing an endoscope, the patient is asked to say a few

words. (4) When a patient is asked to snore, many parents report that their children are snoring like an adult male.

This results in a change in the air flow and resonance, which is the physiological mechanism that reduces pitch.

The patient can practice continuously through uvula resonance with forcible air flow from the stomach or

diaphragm.

The voicing can be practiced at the level of the uvula by using a lower pitch continuously. Yes, we can

create and give an immediate result in puberphonia voice change, but we have to maintain it and make it a habit

All articles in puberphonia focus on understanding the condition, its various treatment approaches, including voice therapy and surgery in laryngeal structures. In puberphonia larynx is normal. What is the need for a treatment in larynx ?Treatment needed is " redirected phonation.Dr. M. Kumaresan 9841055774

Isolated life, then you are probably suffering from Puberphonia. Do 

not panic, as it can be cured completely.Give yourself confidence and treat it immediately. With an 

attractive voice, which everyone would love to hear? There is no problem with sexual activity, family life, or

getting married. Confidently confirm that they will have children.  Recently, there has been a dramatic 

change in the approach to treating this condition. While older concepts were almost synonymous with vocal 

therapy, recent trends are prone to surgical correction. Watkinson actually says that surgery is 

contraindicated in the treatment of puberphonia. Nevertheless, surgical correction of puberphonia is now

successfully performed, which has been confirmed through many studies and case reports around the world. 

Our treatment is not in the larynx, but in the pharynx, mainly concentrating on uvula movement.

The surgeons and assistants can recognise the change from high pitch to low pitch immediately after the

first manipulation in the theatre and the improvement in voice quality. The patient himself recognises his new

voice, and that makes him happy.

The patient feels and hears their normal low-pitched voice.

Puberphonia is treatable

Isolated life, then you are probably suffering from Puberphonia. Do 

not panic, as it can be cured completely.Give yourself confidence and treat it immediately. With an 

attractive voice, which everyone would love to hear? There is no problem with sexual activity, family life, or

getting married. Confidently confirm that they will have children.  Recently, there has been a dramatic 

change in the approach to treating this condition. While older concepts were almost synonymous with vocal 

therapy, recent trends are prone to surgical correction. Watkinson actually says that surgery is 

contraindicated in the treatment of puberphonia. Nevertheless, surgical correction of puberphonia is now

successfully performed, which has been confirmed through many studies and case reports around the world. 

Our treatment is not in the larynx, but in the pharynx, mainly concentrating on uvula movement.

The surgeons and assistants can recognise the change from high pitch to low pitch immediately after the

first manipulation in the theatre and the improvement in voice quality. The patient himself recognises his new

voice, and that makes him happy.

The patient feels and hears their normal low-pitched voice.

Treat puberphonia

Puberphonia can produce a lower-pitched voice with difficulty, but he felt physically comfortable in high pitch voice. I asked what his friends thought about his higher pitch voice, and

They said that that he was used to his higher pitch voice. He considers this voice 

tone a symbol of his being recognised by others.

We humans tend to be most comfortable with what we are used to, even if what we are used to is

inappropriate or limiting for us. Have you ever come across a person, especially a male person, who has a female￾like or childish voice? Worse yet, have you ever been bullied or made a bad joke about his having such a 

mismatched adolescent voice?  This is peer influence. The person might be suffering from a more serious 

medical mental inferiority complex. Don’t make it so difficult for the person; he is already having a hard life

with depression! And if you are seeing and hearing that you are the one suffering from such a voice disorder treat puberphonia.

Puberphonia never cure automatically

Why are more men not taking treatment for puberphonia?

Recently, I saw a young man, 25 years old, who presented with a very high-pitched voice. Unlike most 

puberphonics, he was not particularly embarrassed about his voice, but he was aware that the pitch was high, 

that his voice fatigued easily, and that he could not project his voice. As with many handicaps, there are some

misconceptions about puberphonia.           A common myth is that it’s simply a result of somebody being overly 

nervous and shy. While having puberphonia may cause someone considerable anxiety in social situations, such

anxiety itself does not cause puberphonia; puberphonia results in anxiety. A particularly reserved type of person

may be puberphonic because they never want to exhibit their voice. Additionally, it is usually not the result of

childhood trauma, as some believe, or bad parenting.

He had not opted for treatment for puberphonia because elders and highly learned peoples told him to live with your voice and in due course it will be automatically corrected.

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.

1600 puberphonia treated

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.

Inspiration

Inspiration for developing a new training, uvula manipulation, and resonance for puberphonia 29 years 

ago, one boy committed suicide for making fun of his female voice in North Madras. I was employed at 

Government Stanley Medical College. We provide counselling for social voice changes. We conducted many 

"voice care" programmes for all the BT training colleges. We conducted seminars and conferences for the

public. More puberphonia patients are coming in for counselling. One day, a mother brought her 10-year-old son 

for snoring treatment. Mother informed me that the boy snores like an adult male [6]. Boys usually have a 

childish female voice. Intense vibrations that occur during severe snoring may cause the uvula to get longer and

thicker over time. In a small percentage of patients, the cause of snoring is a long and/or thick uvula alone. From 

that day on, we tried various snoring techniques for air flow to treat puberphonia. Since 1992 itself, I have

published 11 cases of my own method of treating puberphnia without surgery in my "Clinical and Practical ORL.

Puberphonia PreventionThere's no known way to prevent puberphonia, early intervention and treatment can help manage the condition. Voice therapy, not speech therapy is the primary treatment option. Therapy goals are tailored to each patient's needs and may include: Vocal exercises: Techniques like humming while sliding down a pitch scale, glottal attack on vowel sounds, and using vegetative sounds to initiate voice production : These can be achieved only by redirecting laryngeal phonation to pharyngeal phonation.

Puberphonia character.

One of the most common is extreme worry about sexual orientation. For example, a 

teenage boy might be obsessed with the idea that he could be a girl. Puberphonia boys might be unable to focus 

in class or socialise normally because of the relentless nature of their thoughts. But with sexual thoughts, there is

an added element of shame.

Why do some people prefer to diagnose themselves on the Internet with puberphonia instead of going

to the doctor? Why is this trust more important thanprofessional knowledge?

Puberphonia stigma

Puberphonia character.

One of the most common is extreme worry about sexual orientation. For example, a 

teenage boy might be obsessed with the idea that he could be a girl. Puberphonia boys might be unable to focus 

in class or socialise normally because of the relentless nature of their thoughts. But with sexual thoughts, there is

an added element of shame.

Why do some people prefer to diagnose themselves on the Internet with puberphonia instead of going

to the doctor? Why is this trust more important thanprofessional knowledge?

Puberphonia is inappropriate use of high-pitched voice beyond pubertal age in males. It is usually seen in the immediate post-pubescent period when the male vocal mechanism has undergone significant changes in size and function caused by hormonal changes. That is why all causes for puberphonia are contemplated to hormonal changes. But it is not. Hormone development will be normal. Physical activity will be normal. Because of your phone your voice is not able to associate with normal people. The surrounding people will try to avoid him or make fun of him. This creates further puberphonia life problems.

Puberphonias stigma is defined as an undesirable attribute in a person that is viewed as different personality (male having 

a lady's voice) setting that person apart from the rest of society. Shame is an intense negative emotion that 

results from a puberphonia person experiencing failure in relation to personal or other people’s standards,

feeling responsible for that failure, and believing that the failure reflects an inadequate self. Puberphonia,

sometimes referred to as "self-stigmatisation," is a reflection of a person’s acceptance of the negative aspects of stigma. Although puberphonia can occur privately, shame has also been described as an affective reaction that

follows public exposure of some deviation from accepted norms.

Puberphonia is observed in males in the pre puberent stage - around 14 th year.Psychological impact: The condition can cause embarrassment, anxiety, and social withdrawal. Treatment available: Puberphonia is a treatable condition with pharyngeal voice therapy. Social isolation: Individuals with puberphonia may isolate themselves due to the stigma associated with their voice.

Little is known about the measurement of health-related quality of life (HRQoL) in puberphonia

population and the extent to which puberphonia  affect humamanbeing is not yet studied. All the concepts about changing voice in the adolescent period in males are falsely understood and believed by society. Our main object is to create awareness and puberphonia care by parents and the medical profession.

Attitudes about puberphonia disclosure and perceptions of stigma and shame research has focused with the 1600 puberphonia treated.

Why do people avoid seeking medical care, even when they suspect they have puberphonia? May not be 

aware of whom to consult for adult non-surgical voice problems. If they had the impression that it is congenital,

they and their family would boldly leave it to nature and believe that it is incurable.

Puberphonia boys accept the high-pitched voice and live with it with an isolated life.

Treat puberphonia

Little is known about the measurement of health-related quality of life (HRQoL) in puberphonia

population and the extent to which puberphonia  affect humamanbeing is not yet studied. All the concepts about changing voice in the adolescent period in males are falsely understood and believed by society. Our main object is to create awareness and puberphonia care by parents and the medical profession.

Attitudes about puberphonia disclosure and perceptions of stigma and shame research has focused with the 1600 puberphonia treated.

Why do people avoid seeking medical care, even when they suspect they have puberphonia? May not be 

aware of whom to consult for adult non-surgical voice problems. If they had the impression that it is congenital,

they and their family would boldly leave it to nature and believe that it is incurable.

Puberphonia boys accept the high-pitched voice and live with it with an isolated life.

Quality of life and the impact of puberphonia in boys are important because it is a specific, relevant, commoncondition of unknown aetiology. The perception of puberphonia (male talking in female voice disorder) bymedical professionals and the public is the same all over the world. We are the pioneers in bringing out the truenature of puberphonia, treating it, and introducing a new concept of puberphonia. The puberphonia requires nobreach of confidentiality. Because it is not a disease. Don't keep the puberphonia voice secret and suffer. Moreintensive study is done for 30 years to address clinical issues related to puberphonia. It reveals the problems of puberphonia: depression, loneliness, cowardice, low self-esteem, inferiority complex, psychological feelings, and thoughts of suicide, all of which will disappear after treatment. Untreated puberphonia can have long-term effects on a person's reproductive and physical health.Keywords: Puberphoia, Devastation, Female voice, Homosexual-------------------------------------------------------------------------------------------------------------------

Hello sir

[7/28, 2:26 AM] +91 63818 90369: I am disturbed sir My voice no change 

And I will come sir traning....

[7/28, 2:27 AM] +91 63818 90369: Kindly request sir mentally disturbed sir 🙏

[7/28, 2:29 AM] +91 63818 90369: Female voice issue, Stop studying.

Disturbed.

This is the feeling of the puberphonia.boys.

We have to treat immediately. Dr. M. Kumaresan..

Man low pitched voice.It could be due to: Genetics — your pharynx take's the function of the voicebox, pharynx could be shaped in a way to produce softer sounds. State of mind — stress, anxiety, and lack of confidence can lower the sound of your voice. Culture — male- some cultures promote a softer tone of voice as a sign of modesty and respect.Redirected phonation treat puberphonia.

Vibrating Fold Characteristics:

The size and thickness of the vibrating folds play a significant role. Longer, thicker folds in the pharyngeal tissues vibrate more slowly, producing a lower pitch, while shorter, thinner laryngeal folds vibrate faster, producing a higher pitch.

Redirect phonation to treat puberphonia.

Redirected phonation treat puberphonia

Vibrating Fold Characteristics:

The size and thickness of the vibrating folds play a significant role. Longer, thicker folds in the pharyngeal tissues vibrate more slowly, producing a lower pitch, while shorter, thinner laryngeal folds vibrate faster, producing a higher pitch.

Redirect phonation to treat puberphonia.

Importance of pharyngeal voice for puberphonia

Treat puberphonia only with pharyngeal voice.

Puberphonia, also known as functional or adolescent falsetto, is a voice disorder where an individual continues to use a high-pitched voice after puberty, despite the vocal cords having physically matured. Pharyngeal voice, in the context of puberphonia, refers to a voice that is perceived as resonating in the pharynx (the throat) rather than primarily in the chest or head. This can be a symptom of puberphonia, and techniques to address it often involve manipulating the pharyngeal space and resonance to achieve a more natural, lower-pitched voice.

Pharyngeal pharyngeal voice- passaggio

pharyngeal voice is generally better for low pitch sounds. It is typically associated with higher notes and a brighter, more piercing vocal quality. Pharyngeal voice is often described as a vocal register that helps singers navigate the passaggio (the transition between vocal registers) and achieve a more stable and focused sound in the upper range. While it can be used in No Fatigue:

Pushing pharyngeal voice even too hard in the lower range can never lead to vocal fatigue and potentially it never uses the vocal folds. ..

1600 puberphonia treated

How Dr. M. Kumaresan treated 1600 puberphonia.Dr. M. Kumaresan treated puberphonia, a condition where a male voice remains high-pitched after puberty, by using pharyngeal resonance manipulation and breath-of-fire voice techniques. This approach involves manipulating the uvula, soft palate, and other structures to improve vocal resonance and coordination between respiration, phonation, and resonation.

Air movement treat puberphonia

Puberphonia treatment.

Changing the airflow can indeed alter the sound of your voice. By manipulating your uvula and the way you project your voice, you can achieve different vocal qualities. This involves vibrating, how much air is used, where the air resonates in your vocal and how it's released. 

Deep breaths using your diaphragm (the muscle below your lungs) provide a solid foundation for your voice. Next is uvula vibration.

Puberphonia

Puberphonia is more common in the society. 

The vocal cords are usually normal upon examination, and the issue is often related to a failure to adapt pharyngeal voice, the changing voice during puberty. 

Social and emotional factors, such as embarrassment or a reluctance to accept the new voice, can play a role in the after effect puberphonia. 

UMAR is often an effective treatment for puberphonia.

Puberphonia innovations by Dr. M. Kumaresan

Dr. M. Kumaresan followed an innovative, important and relevant method of manipulating the uvula which had given the required low pitch voice in 1600 puberphonia males. 10% of the reported cases had given the history of attempted suicide. The gravity of the problem and the number is so much which is under recognized, less estimated and ignored.  We assess the pitch and confirm the diagnosis and no other test is required. We show them the frequency expected to achieve which gives confidence to the patient at the first consultation

Dr. M. Kumaresan, an ENT surgeon from Chennai, India, has published research on puberphonia, a condition where males maintain a high-pitched, childlike voice beyond puberty. His work focuses on uvula manipulation and resonance (UMAR) as a treatment approach. According to Siva ENT Head & Neck Hospital, he has treated a large number of patients with this method. 

Key aspects of Dr. Kumaresan's work:

Dr. Kumaresan's approach, Uvula Manipulation and Resonance, aims to retrain the vocal apparatus by manipulating the uvula to achieve a more natural voice. 

Dr. Kumaresan has published his research on puberphonia, including articles in Acta Scientific Otolaryngology and other publications. He also presented his work at various forums and has been featured in online publications about voice disorders.

Fast track puberphonia

Puberphonia is not a disorder that is likely to go away on its own. Without treatment, the changes in the patient's voice can become permanent.

 A deep voice is often considered attractive, especially in men. Research suggests that low-pitched voices are associated with traits like dominance, strength, and sexual allure, and can lead to a "halo effect" where people are perceived as more attractive overall. 

Treat puberphonia. Call 9841055774

Kumaresan method

The Kumaresan method, developed by Dr. M. Kumaresan, is a treatment approach for puberphonia, a condition where males speak in a high-pitched voice despite having a physically normal larynx. The method involves a combination of techniques, including pharyngeal resonance manipulation, breath of fire breathing training, and feedback home training. It also utilizes the Kumaresan Voice Pitch Index to assess the voice before and after treatment. 

Call 098410 55774

Development of puberphonia

Development of puberphonia.

Puberphonia has normal grown larynx  but the voice continue the same child voice. The voice is continued intentionally or unintentionally.

Puberphonia can create both psychological and physiological changes: Psychological causes 

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Excessive admiration of another male or sibling

Excessive maternal protection Psychological causes

Delayed development of secondary sex characteristics.

Treat puberphonia before it creates a social problem.

Call 9841055774

Puberphonia treatment

PUBERPHONIA. Puberty time for boys voice break to get male, low pitch voice. We correct it at any age. Siva ENT Hospital 159, V. P. Raman, Royapettai. Chennai 600014.No appointment needed for this treatment because it is my special interest.5 days treatment .Rs.10 thousand or as you like.1600 cases of puberphonia treated. Whatever you can afford, we still be able to provide the complete treatment. This service,we provide as an individual basis as a social service.

UMAR help

There are a lot of changes that come with puberty.

You start to develop secondary sex characteristics, hair growth where it wasn’t before, and stronger emotions, to name a few.

Another typical change is your voice getting deeper,  more for young boys.

When this doesn’t happen, it can be concerning, it’s different for teen boys.

Not having your voice drop can be psychologically troubling for teen boys.

One cause of this is a condition called puberphonia..

If you find yourself experiencing this, or are worried about your teenage son, UMAR training can help.

Call 9841055774, Chennai.

மாறுபட்ட குரலுக்கு மருத்துவம்

Puberphonia அறிகுறிகள்?

வயதுவந்த காலத்தில் குறைந்த தொனியில் ஒலிக்கும் குரலாக மாறத் தவறுவதே புபர்ஃபோனியாவின் சிறப்பியல்பு. வழக்கத்திற்கு மாறாக உயர்ந்த தொனியுடன் இணைந்து, பொதுவான அறிகுறிகளில் பலவீனமான, மூச்சுத் திணறல் அல்லது கரகரப்பான குரல், குறைந்த குரல் தீவிரம், தொனி உடைப்புகள் மற்றும் ஆழமற்ற சுவாசம் ஆகியவை அடங்கும்.

 இக்குரல் தானாக சரியாகாது. சிவா மருத்துவமனையில் ஐந்து நாளில் எவ்வித அறுவை சிகிச்சையும் இல்லாமல் சரி செய்ய வேண்டும்.

Puberphonia need awareness and research

Puberphonia primarily affects males but can occur in females less frequently. Although not life-threatening, puberphonia can significantly impact an individual's quality of life, leading to challenges in social interactions, self-perception, emotional well-being, and even professional and social interactions.
Need for awareness
Understanding and Empathy: Raising awareness can help the general public better understand puberphonia and its effects on individuals, fostering empathy and reducing teasing, bullying, and judgmental attitudes that can lead to social anxiety and isolation.
Early Intervention: Increased awareness among parents, educators, and healthcare professionals can facilitate early identification and intervention, improving treatment outcomes and potentially preventing long-term psychological impacts.
Seeking Help: Many individuals might not be aware that puberphonia is a treatable condition. They might delay or avoid seeking help due to shame, stigma, or a misconception that the condition is untreatable or linked to negative traits.
Importance of Scientific Research
Understanding the Causes: Puberphonia is often functional, meaning there's no structural damage to the vocal cords. Research is crucial to gain a deeper understanding of the interplay of psychological, neurological, and physiological factors that contribute to the development of puberphonia in some individuals.
Improving Treatment Methods: Research is vital to refine existing voice therapy techniques and develop new approaches to treating puberphonia effectively and efficiently.
Enhancing Accessibility: Research focusing on the readability and understandability of information about puberphonia is important to ensure that online resources are accessible to individuals of various educational backgrounds, enabling them to make informed decisions about their healthcare.
In conclusion, a greater understanding and awareness of puberphonia are crucial to destigmatize the condition, encourage individuals to seek timely help, and provide the necessary support for their overall well-being. Continued scientific research is vital to unravel the complex etiology of this disorder and develop increasingly effective and accessible treatment options

Puberphonia need awareness and research

Puberphonia need for awareness and research.
Understanding and Empathy: Raising awareness can help the general public better understand puberphonia and its effects on individuals, fostering empathy and reducing teasing, bullying, and judgmental attitudes that can lead to social anxiety and isolation.
Early Intervention: Increased awareness among parents, educators, and healthcare professionals can facilitate early identification and intervention, improving treatment outcomes and potentially preventing long-term psychological impacts.
Seeking Help: Many individuals might not be aware that puberphonia is a treatable condition. They might delay or avoid seeking help due to shame, stigma, or a misconception that the condition is untreatable or linked to negative traits.
Importance of Scientific Research
Understanding the Causes: Puberphonia is often functional, meaning there's no structural damage to the vocal cords. Research is crucial to gain a deeper understanding of the interplay of psychological, neurological, and physiological factors that contribute to the development of puberphonia in some individuals.
Improving Treatment Methods: Research is vital to refine existing voice therapy techniques and develop new approaches to treating puberphonia effectively and efficiently.
Enhancing Accessibility: Research focusing on the readability and understandability of information about puberphonia is important to ensure that online resources are accessible to individuals of various educational backgrounds, enabling them to make informed decisions about their healthcare.

In conclusion, a greater understanding and awareness of puberphonia are crucial to destigmatize the condition, encourage individuals to seek timely help, and provide the necessary support for their overall well-being. Continued scientific research is vital to unravel the complex etiology of this disorder and develop increasingly effective and accessible treatment options therapy for Puberphonia.

1.Intentionally -puberphonia voice persist - want to sing in lady voice-psychology adjustment required. Thay continue the high pitched voice because of pressure from others. We have to bring them out.

2.Unintentionally need voice rehabilitation with UMAR training.

3.Forced voices need small adjustments with UMAR.

4.Emotional exhaust needs UMAR with group therapy.

Puberphonia intentionally or unintentionally

Prefered therapy for Puberphonia.

1.Intentionally -puberphonia voice persist - want to sing in lady voice-psychology adjustment required. Thay continue the high pitched voice because of pressure from others. We have to bring them out.

2.Unintentionally need voice rehabilitation with UMAR training.

3.Forced voices need small adjustments with UMAR.

4.Emotional exhaust needs UMAR with group therapy.

Our puberphonia work recognised

Journal of Voice

(Available online 29 March 2024) 

Four of our research are elected as best articles in Puberphonia - among 18 website selected for study.

A great honour for us, India. We are proud.

18.M. Kumaresan, N.B. Kumaresan, P.D. Elangovan

Uvula Manipulation and Resonance (UMAR) Treatment for Puberphonia

Indian J Otolaryngol Head Neck Surg, 74 (2022), pp. 4954-4961, 10.1007/s12070-021-02412-3

View at publisher

View in ScopusGoogle Scholar

19.

Kumaresan K, Bharath N. Fast track treatment for puberphonia; February 5, 2020. lupinepublishers.com. Available at: https://lupinepublishers.com/otolaryngology-journal/fulltext/fast-track-treatment-for-puberphonia.ID.000173.php. Accessed July 2023.

Google Scholar

20.

Muthiah K. Puberphonia. LinkedIn; January 4, 2019. Available at: https://www.linkedin.com/pulse/puberphonia-kumaresan-muthiah-1d. Accessed July 2023.

Google Scholar

21

K. Muthiah

An Immediate and Permanent Cure for Puberphonia

J Otolaryngol ENT Res, 10 (2018), 10.15406/joentr.2018.10.00351

Accessed July 2023

View at publisher Google Scholar

Internationally 4 of articles are selected for review by

Accessibility to Puberphonia Online and Its Readability by Patients

Author links open overlay panel

Maryam Aljawi, 

Anastasios Hantzakos, 

Cite

https://doi.org/10.1016/j.jvoice.2024.03.010

To assess the readability of online materials related to puberphonia.

Study design

Online material review.

Method

The study was conducted by performing a Google search using the specific keyword “puberphonia.” The selected websites underwent assessment utilizing three distinct readability metrics: Simple Measure of Gobbledygook (SMOG), Flesch Reading Ease Score (FRES), and Flesch-Kincaid Grade Level (FKGL).

Thanks for the selection committee.

Dr.M.Kumaresan.

Frequency change

Laryngeal frequently is converted to pharyngeal frequently.

The fundamental frequency of the vocal folds can be changed by altering the physical properties of the wave's source or medium. This can be achieved by changing the length, tension, or density of the medium or by adjusting the speed of the wave within the medium. 

Medium Properties:

For sound waves in the vocal react (like a pipe), the fundamental frequency depends on the speed of sound in the medium and the length of the tube. 

Changing the pharyngeal soft flexible tissue medium will affect the speed of sound and therefore the fundamental frequency. 

The length of the tube also plays a role. Open-ended tubes have a different relationship between length and frequency compared to closed-ended tubes.

Frequency conversion in the vocal track.

Laryngeal frequently is converted to pharyngeal frequently.

The fundamental frequency of the vocal folds can be changed by altering the physical properties of the wave's source or medium. This can be achieved by changing the length, tension, or density of the medium or by adjusting the speed of the wave within the medium. 

Medium Properties:

For sound waves in the vocal react (like a pipe), the fundamental frequency depends on the speed of sound in the medium and the length of the tube. 

Changing the pharyngeal soft flexible tissue medium will affect the speed of sound and therefore the fundamental frequency. 

The length of the tube also plays a role. Open-ended tubes have a different relationship between length and frequency compared to closed-ended tubes.

Success of UMAR

Scientific evidence for success of UMAR.

Natural frequencies produced by vocal folds are crucial for which can cause excessive vibrations and potentially damage the voice. By adjusting the mass, stiffness, or damping of machine components in the pharynx can shift the natural frequencies away by uvula from the frequencies of rotating parts or other sources of vibration.

That is UMAR.

UMAR success

Puberphonia treatment by UMAR:

In puberphonia, individuals, usually males, maintain a high-pitched voice despite their vocal cords having changed to a lower pitch during puberty. This is often due to psychological factors or learned vocal habits rather than physical limitations of the vocal cords. 

Unlike surgical interventions or external laryngeal manipulations, pharyngeal voice therapy focuses on retraining the vocal tract and optimizing natural resonance. It is a non-invasive, cost-effective, and potentially faster method for treating puberphonia.

Pharyngeal voice

The pharyngeal voice can be utilized across various pitches, it is particularly useful for creating low-pitched sounds in Puberphonia and can be a helpful technique for enhancing vocal power and clarity, especially in the lower registers. The pharyngeal voice involves shaping the vocal tract to emphasize certain overtones, which can be advantageous for projecting sound, including low pitches, and for achieving a more powerful and clear tone. 

Here's why the pharyngeal voice is often associated with low-pitched sounds: 

Uvula vibration products sound.

Resonance adjusted by uvula sending air to nose or mouth and Vocal Tract Shaping:

The pharyngeal voice utilizes the resonance of the pharynx (throat) to create a distinct tone. By shaping the vocal tract in a particular way, it can amplify certain frequencies, including those associated with lower pitches.

Power and Clarity:

This technique is known for adding power and clarity to the voice, making it useful for projecting sound in lower ranges without strain.

Bridging Registers:

The pharyngeal voice often acts as a bridge between the chest voice and head voice, enabling smoother transitions and a more connected vocal range.

Balancing Sound:

Pharyngeal resonance can help balance the voice, making it more stable and focused, which is particularly helpful for low notes where stability can sometimes be an issue.

In essence, the pharyngeal voice isn't just for low pitches, but its ability to create a powerful, clear, and connected sound, along with its resonance properties, makes it a valuable tool for treating Puberphonia boys while producing voice in the lower range.

Wood voices

Our treatment (Dr.M.K.umaresan,,)approach for puberphonia using Umar therapy and uvula manipulation is quite fascinating. Comparing this to the ancient practice of using a pharyngeal voice for a "wood voice" in singing, it seems there might be a historical connection between the concepts of pharyngeal resonance and voice quality. While the exact methods may differ, both approaches focus on modifying resonance to achieve a desired voice quality. The pharyngeal voice technique might have been used historically to produce a stronger, more resonant sound, which aligns with the goals of your therapy to shift the tone from a laryngeal to a pharyngeal resonance. It's interesting to see how ancient practices and modern treatments can have parallels.

Pharyngeal voice

pharyngeal voice can be used across a range of pitches, it is often associated with lower pitches and can be a valuable tool for enhancing vocal power and clarity in that register. The technique involves using the resonance of the pharynx (throat) with uvular vibration to create a distinct tone, which can be particularly helpful for puberphonia aiming for a powerful and clear sound in lower vocal ranges.

kumaresan voice pitch index

The Kumaresan Voice Pitch Index, developed by Dr. Kumaresan Muthiah and his son Navin Bharath Kumaresan, is a method for assessing puberphonia, a condition where males retain a high-pitched voice after puberty. It's a tool that evaluates various aspects of the voice, including pitch, vocal fatigue, and other vocal qualities, to determine the severity and characteristics of the puberphonia.

Project air flow to treat puberphonia

How Uvula Manipulation Works:

Why we are targeting the Pharynx:

Puberphonia is not typically caused by structural abnormalities in the larynx (voice box). Instead, phonatory organs are not functioning properly. The issue where the individual continues to use a high-pitched voice despite normal physical changes associated with puberty. 100% phonatory organ function is initiated and maintained by air flow. We initiate and maintain air flow. That's UMAR.

Inspirational Tamil

 Learning’s:

1.  How to do UMAR treatment, (a) Fast track of achieving the low pitch from high voice.

(b) Training to habituate the usage of low pitch voice.

2. Biomechanical and physical process of the uvula in puberphonia treatment, the correct scene to  understand the whole mechanism

தொல்காப்பியம் ஒரு விரிவான  உச்சரிப்பு  ஒலிப்பை  விளக்குகிறது,  கொடுக்கிறது

3. How we discovered the importance of voice       modulation by knowing the importance of pharynx and its holes. The art of finding the target voice; help in developing and improving voice.

வாயில் புகுந்து காது வழியாக வெளியே  வரும் ஹனுமான் - அங்கணமாக விளங்கும் தொண்டையில் நிறைய துளைகள்

4. Our experience of sex identification of lady boys at Battaya beach at Thailand.

5.  Vinayagar  Agaval song by Avvaiyar and are all about practices for voice care

விநாயகர் அகவல் -முழுக்க முழுக்க இருப்பது குரல் வழ முறைகள்

6. Recognizing the importance of cone hall resonance       in river Thamaravarni at Thirunelveli Sanku Mandabam `

தாமிரபரணி ஆற்றின் நடுவே கல் மண்டபம் ஒன்று இருக்கிறது. புயல், வெள்ளத்த கண்டுபிடிக்க ஆற்றுக்கு தாமிரபரணி ஆற்றின் நடுவே கல் மண்டபம் ஒன்று இருக்கிறது. புயல், வெள்ளத்த கண்டுபிடிக்க ஆற்றுக்கு நடுவே கட்டப்பட்ட கல் மண்டபங்கள்).       நடுவே கட்டப்பட்ட கல் மண்டபங்கள்).

7. Successful life of puberphonia high pitch voice singer Mickel Jackson, Palam Kalyanasundaram, few rulers and polititions

8. Nerve to uvula preservation in cleft palate repair       surgery, causes no velopharyngeal dysfunction during speech and velopharyngeal insufficiency.

9. The mechanism of pitch change in the voice-       which organ to be treated in puberphonia?

‘ஓம்’ பிறக்கும் சொல் தொண்டைத் தீண்டாமல் நாக்கு மேல் வாயின் மூலமாய் பிறக்கும். (Open throat voice is “ om”word

UMAR

Dr. M. Kumaresan has achieved a successful non-invasive, fast-track treatment for puberphonia using a method called Uvula Manipulation and Resonance (UMAR) treatment. This technique focuses on manipulating the uvula and training resonance to help individuals with puberphonia achieve a more typical male voice. 

More than 1550 puberphonia successfully treated.

Treat puberphonia

[7/1, 10:50 PM] +91 76021 34089: I have been suffering from my voice for many years. I am in great trouble. I have a feminine voice. I have great difficulty in moving around in society. Sir, please help me. How can I go to your chamber or your clinic and be shown? I want to get well very soon.🙏

[7/2, 6:51 AM] Dr. M. Kumaresan MS(ENT): Dr.M.Kumaresan MS ENT

Siva ENT Head & Neck Hospital

First Floor, 159, V .P.Raman Road, Royapettah, Chennai.

Opp: ADMK Office

Mobile: 98410 55774

https://maps.app.goo.gl/rxBJrr8Yw7yTdzs86

No Appointment Required: Rs.10 thousand,

Puberphonia 5 days /-

Bus 21 From Chennai Central MGR Railway Station to Ajantha Stop

Forth building opp AIADMK Office in Lloyd's Road

Working Hours: 11:00 am,except Sunday.

- Dr. M. Kumaresan MS ENT

Voice by 3 boxes

Three boxes produce a voice.

What Are R1, R2, and R3 and How Do They Affect Your Voice Sound?

What is R1?

Within the vocal mechanism, there are different areas where the voice will resonate, or ‘vibrate.’ The term R1 refers to the resonance area containing the laryngeal space (located inside your neck where your voice box is) and the pharyngeal space (located in the back of the throat). R1 is often called the primary gender control knob, and it will be the most decisive factor in the feminization of the voice.

R2 is a pharyngeal box.

R2 can create the widest range of possible frequencies (low –sounding pitch). This means that R2 can produce a wide range of sounds, making it an important area to understand in mtf and ftm trans voice training.

R3 is primarily controlled in the area between the tongue apex (tip of the tongue) and the teeth and lips. While this resonance chamber will usually produce sounds in the high end of the frequency spectrum, it can drop much lower when the tongue is in retroflexion.

Voice box

Larynx & pharynx different sound boxes.

Larynx and pharynx are both parts of the throat, but they have distinct roles in sound production. The larynx, also known as the voice box, is the primary structure for sound generation in children and ladies, while the pharynx acts as a resonating chamber. 

Pharynx, muscular wide tube in male . Its tissue can vibrate and create sound, pharyngeal voice in male and also plays a role in speech by shaping and resonating the sound produced by the larynx. So in an adult male high pitched voice automatically vanishes.

Internal manuare

pharyngeal voice can be utilized across various pitches, it's better for low pitch sounds. It's a technique that can be used to enhance vocal power and clarity, and is particularly useful for puberphonia.. 

Here's why:

The pharyngeal voice involves a specific coordination of the vocal tract, including the pharyngeal walls, which can create a louder, brighter sound with the helpful uvular movements. This is achieved by shaping the vocal tract to emphasize certain overtones, which can be advantageous for projecting sound in various registers, including low pitches.

Uvula create pharyngeal speech

pharyngeal voice can be utilized across various pitches, it's better for low pitch sounds. It's a technique that can be used to enhance vocal power and clarity, and is particularly useful for puberphonia.. 

Here's why:

The pharyngeal voice involves a specific coordination of the vocal tract, including the pharyngeal walls, which can create a louder, brighter sound with the helpful uvular movements. This is achieved by shaping the vocal tract to emphasize certain overtones, which can be advantageous for projecting sound in various registers, including low pitches.

Uvula change the frequency

Uvula significantly impact voice pitch by altering the shape and size of the vocal tract and controlling airflow. The uvula, can be raised or lowered, affecting whether sound passes through the nasal or oral cavity. A raised soft palate  with the uvula creates more space in the vocal tract, allowing for a fuller, more resonant tone and potentially enabling higher notes

Training for puberphonia

Training for puberphonia.

Vowel sounds like “ee” and “ay” or "Amma" naturally engage pharyngeal resonance. Practise speech using these vowels, focusing on low pitch, keeping the sound clear and resonant.

Class on voice xare

How to improve low pitch voice?

Dr.M.Kumaresan class on Saturday evening 5 pm.

Use the following tips to loosen the vocal folds in your larynx, which in turn will help you hit lower notes.

First, understand your vocal cords. ...

Drop your jaw when you talk

&

Many more tips..

voice is associated with power and clarity, particularly in higher ranges, it's inherently better for low-pitched sounds. The pharyngeal voice is a vocal technique that utilizes the resonance of the pharynx (the throat) to create a distinct tone. It can be helpful for puberphonia training and adding a powerful quality to the voice,  It determine pitch.

pharyngeal voice

pharyngeal voice is associated with power and clarity, particularly in higher ranges, it's inherently better for low-pitched sounds. The pharyngeal voice is a vocal technique that utilizes the resonance of the pharynx (the throat) to create a distinct tone. It can be helpful for puberphonia training and adding a powerful quality to the voice,  It determine pitch.

Vibrating Objects produce sound:

Any object that vibrates, such as vocal cords, uvula, lips or even a piece of tissue, can produce a sound with a specific pitch based on the frequency of its vibration. 

 Voice:

The puberphonia voice is also produced by vibrating structures (vocal cords). The frequency at which the vocal cords vibrate determines the pitch of the voice. Puberphonia males have normal long, thicker vocal Cords, typically should have lower pitched voices (due to thicker and longer vocal cords) that vibrate slower. 

In puberphonia it creates a high pitched voice. Why?

Answer is UMAR.