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.

Puberphonia vibration

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.

Logic in pharyngeal phonation

Dr.M.Kumaresans research work will provide an update include information on the logic, theory and evidence related to pharyngeal resonance manipulation therapy may be one of the important modality of treatment for puberphonia. The manipulation is done for change in pitch of the voice in the uvula. Incidentally we are able to through some light on the movement of the sound filled air travel from laryngopharynx to the oropharynx. We are able to study some of changes that happen in the uvula and the different air pressure changes in the phonatory apparatus.

Pharyngeal Resonance

Dr.M.Kumaresans research work will provide an update include information on the logic, theory and evidence related to pharyngeal resonance manipulation therapy may be one of the important modality of treatment for puberphonia. The manipulation is done for change in pitch of the voice in the uvula. Incidentally we are able to through some light on the movement of the sound filled air travel from laryngopharynx to the oropharynx. We are able to study some of changes that happen in the uvula and the different air pressure changes in the phonatory apparatus.

R1 and R2

R1 For females, R2 for male

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 R2 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 for male voices.

Redirect phonation

Understanding puberphonia is the first step toward seeking effective treatment. It’s crucial to keep in mind that this voice disorder is treatable with the appropriate therapeutic interventions, giving those who suffer from it hope. Talking in a high pitched voice they have a low pitch voice inside the throat, it can be revealed while they cough, so bring it out by changing phonation from larynx to pharynx.

Simple treatment for puberphonia

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 low pitched voice immediately after this simple manipulation procedure. Added to that, few boys immediately recognize the new voice which is similar to their ancestral voice. In such cases immediate phone by the puberphonia treated boys to their family members create a climax in our procedure.

Stroboscope in puberphonia

Use of Stroboscope in puberphonia: Of the 1530 patients, 1223 had vocal cord problems like thin, bend,la lazy or phonatory gap. The remaining stroboscopic parameters were normal. Since the pre-therapy findings were not clinically significant, the stroboscopy was not repeated during the follow-up. For several years they have not used their vocal cords. We redirect phonation from larynx to pharynx and get good results.

Puberty voice changes in boys are marked by a deepening of the voice, often accompanied by cracking or breaking as the larynx and pharynx grow and change. 

Symptoms in Boys:

The voice may sound squeaky, croaky, or crack/break as the voice adjusts to its new size. 

Cause of change of voice in male.

Children and girls need shouting for their protection 

Adult boys need only development of their body and there are ready to fight. So their voice change to pharyngea voice.

The overall pitch of the voice lowers, often by an octave or more in males. 

Laryngeal Prominence (Adam's Apple):

In males, the larger larynx may become more prominent as a bump in the front of the throat. Some boys knowingly or unknowingly continue the same child voice. That is caed puberphonia.

UMAR

Our new UMAR training in the treatment of puberphonia is similar to voice therapy. Instead of external voice therapy or external conventional laryngeal manipulation, we do internal pharyngeal manipulation and resonance at uvula level and get the desired permanent result early. We train to have a pharyngeal voice which gives a low pitch voice. Scientifically what is needed we give.

Puberphonia Reference

Research Gate:

PUBERPHONIA: A NOVEL APPROACH TO TREATMENT

Sudhakar Vaidya*, G. Vyas**

The method reported by the authors was incidentally found

to be useful, while doing direct laryngoscopic examination

of a patient of puberphonia. No reference is available except

from Dr M Kumerasan (Chennai), who has published his work

in book “A research work in Otorhinolaryngology” in 1992.

He used rush-miller (USA) laryngoscope and treated 11

patients up to publication of his research paper.[13]

REFERENCES

1.....

13. Kumaresan M. Clinical and Practical Otorhinolaryngology: A Research

work in Otorhinolaryngology. 1st edn. Madras: Paramkalyan printers.

Address for Correspondance

Dr. Sudhaka

Redirect phonation

Voice Training for puberphonia:

While voice training can help improve voice control and range, it may not entirely change the underlying physical characteristics of the voice, such as the size of the vocal folds. Vocal folds are normal in puberphonia. So not needed for correction. low pitched voice is pharyngeal voice. So redirect phonation from larynx to pharynx.

Prevention of puberphonia.

.

While there's no known way to prevent puberphonia, early intervention and treatment can help manage the condition. Voice therapy is the primary treatment option. 

Vocal exercises: Techniques like humming while sliding down a pitch scale, glottal attack on vowel sounds, snoring sound and using vegetative sounds to initiate low pitched voice production. Continuous voice exercises there for a few days to make it as a habits.

Group therapy is better, with abdominal breathing, with a pharyngeal voice nasal resonance.

.

Typical puberphonia

Puberphonia has a high pitched voice with normal larynx.

Laryngeal muscle tension, vocal fold issues, laryngeal abnormalities, vocal fold asymmetries, or non-fusion of the thyroid laminae are not the features of puberphonia. If the diagnosis is different. has a high pitched voice with normal larynx.

Laryngeal muscle tension, vocal fold issues, laryngeal abnormalities, vocal fold asymmetries, or non-fusion of the thyroid laminae are not the features of puberphonia. If the diagnosis is different. can create:

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Bulling another male or sibling

Less maternal protection 

Psychological and physical development of artificial secondary sex characteristics .

Puberphonia create

Puberphonia can create:

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Bulling another male or sibling

Less maternal protection 

Psychological and physical development of artificial secondary sex characteristics .

Puberphonia create

Puberphonia can create:

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Bulling another male or sibling

Less maternal protection 

Psychological and physical development of artificial secondary sex characteristics .

Pharyngeal voice

Puberphonia treatment exercises focus on improving pharyngeal function and lowering pitch. Techniques often involve humming, "BOOM" exercises, snoring, coughing, sighing, and pharyngeal manipulation. 

:

Pharyngeal speech involves using the pharynx as the primary source of airflow and a replacement for the glottis to produce sounds. The tongue, upper alveolus, palate, uvula or pharyngeal wall can be used to create these sounds. 

Production:

Individuals using pharyngeal speech can draw air into the pharynx and manipulate it with the uvula and other structures to create a variety of sounds. This can involve constricting the pharynx or using other movements to modify the airflow. 

Characteristics:

Pharyngeal speech can have a low pitched voice quality, and it can be difficult to produce certain sounds, consonant clusters, or polysyllabic words according to a study on a patient using pharyngeal speech. Intelligibility can also be a challenge, especially for those not familiar with the speaker. In puberphonia still a good vocal cords are there. All the disadvantages can be compensated

Increase pharynx function

Puberphonia treatment exercises focus on improving pharyngeal function and lowering pitch. Techniques often involve humming, "BOOM" exercises, snoring, coughing, sighing, and pharyngeal manipulation. These exercises aim to activate pharyngeal muscles and encourage vocal tract adjustments to achieve a more natural voice. Pushing on the thyroid cartilage during vowel production can help adjustment in directing the air to reach pharynx for a active pharyngeal function.

Puberphonia treatment day

Puberphonia treatment in Siva

Frequency training therapy was one continuous session for 5 days. The therapy techniques were practiced in groups in all days, ease of production, and improvement in pitch. Simultaneously, all the patients practiced relaxation exercises to reduce the fear complex. During the course of therapy, we record the frequency, the patient note the difference in their habitual pitch and lowered pitch and were counseled regarding the appropriateness and use of this “new voice.” 4th day the thread is removed from the mouth. 5th day complete s the treatment.

puberphonia employment

We  treat puberphonia by uvula manipulation.

It needs immediate post treatment support :

Puberphonia can have a significant impact on an individual's self-esteem and social interactions, so a group therapy, socialization psychological support is crucial. We provide employment opportunities for them.

Puberphonia post treatment

We  treat puberphonia by uvula manipulation.

It needs immediate post treatment support :

Puberphonia can have a significant impact on an individual's self-esteem and social interactions, so a group therapy, socialization psychological support is crucial. We provide employment opportunities for them.

Journal of Voice recognised us.

March 29, 2024

Open access

Accessibility to Puberphonia Online and Its Readability by Patients

Maryam Aljawi aljawim@clevelandclinicabudhabi.ae ∙ Anastasios Hantzakos HantzaA@ClevelandClinicAbuDhabi.ae

Journal of Voice.

Our (Dr.M.Kumaresan & Dr.Navin Bharath) four puberphonia articles are reviewed in this International Journal.

Happy.

our articles reviews in international journal.

March 29, 2024

Open access

Accessibility to Puberphonia Online and Its Readability by Patients

Maryam Aljawi aljawim@clevelandclinicabudhabi.ae ∙ Anastasios Hantzakos HantzaA@ClevelandClinicAbuDhabi.ae

Journal of Voice.

Our (Dr.M.Kumaresan & Dr.Navin Bharath) four puberphonia articles are reviewed in this International Journal.

Happy.

Puberphonia, open the mouth and talk.

2nd  June 2025, yesterday I met a puberphonia boy. His voice is almost nil , feeble voice and almost a child-like..Whenever he talks, he never open the mouth. simply talk like a girl. I was so surprised. How to  treat him.we did Umar. I was able to get a little male sound. I put my three fingers in his mouth and asking to talk. I had a bite, then I put your blade in between the tooth and asked to talk. this is a great support for him to talk with open mouth. He is slowly regaining the male voice.

FINAL WORDS

Again! Do not be afraid! Keep on practicing even if look dumb, even if someone discourages you, even if someone tells you you’re crazy! Because nothing is impossible in this universe! Because even the universe is impossible itself! Yet here we are, we exist. And that not mouth opening puberphonia exist, and now it’s not… That’s it. I will not share name yet, but someday, you’ll know. Please share this on your fb, twitter, or anywhere on this earth so everyone with puberphonia might find this useful. Puberphonia is not a disease, it is just some form of fear or anxiety. Thanks!

UMAR Treatment, A scientific explanation.

Scientific explanation for UMAR success in puberphonia treatment.

Pitch of voice is somewhat like the strings of a stringed instrument. The tighter the tension, the higher the pitch. If weight increases it lowers the pitch.

Thyroplasty, designed to loosen the vocal cords to lower pitch.

Bilateral vocal cord implants, which are for people with thin or atrophied vocal cords.

Microlaryngeal rearrangement of soft tissue, which will add mass to the vocal cords, lowering the pitch of the voice.

It’s surgery, and can be a risk. But if you desire a deeper voice, and are unable to relax your throat enough to attain it naturally, it may be the risky option.

We temporarily add the mass of the uvula and get the low pitch voice. Make it happen by practice. In puberphonia vocal cords are there. After habitation the whole vocal track takes its regular function. We can remove the loading by the appended thread.

puberphonia articulated

Puberphonia, a speech difficulty involving the creation of low pitch voice from high, is typically treated with the articulation therapy techniques. This therapy aims to improve the production of the "low" sound through techniques focusing on uvula positioning, muscle strengthening, and auditory/visual feedback. 

Here's a more detailed look at treatment approaches:

Uvula Exercises:

These exercises focus on teaching the correct placement of the uvula to produce low pitch sound, often involving slight curling or positioning it at the back of the throat. 

Uvula Strengthening by increasing the weight.

 Exercises:

Exercises designed to enhance the flexibility and strength in improving control and coordination. 

Listening and Repetition Uvular Drills:

Using audio recordings of correct "low" sounds and practicing them repeatedly to reinforce the sound. 

Visual Aids:

Diagrams showing mouth positions and mirrors can be used to help individuals see and adjust their uvula placement. 

Auditory and Visual Feedback provide feedback on sound production, helping individuals refine their technique.

Correct treatment for puberphonia

In adult males, voice changes primarily occur during puberty and can continue subtly into later life. During puberty, hormonal changes, particularly testosterone, lead to the larynx (voice box) growing, vocal cords lengthening and thickening, and the development of a deeper, more resonant voice. After puberty, voices may continue to develop and stabilize into the early twenties. Older males may experience some voice changes, including a possible increase in pitch, decreased volume, or vocal strength but these changes are often subtle. Also called presbyphonia or presbylaryngeus, these issues can develop due to vocal cord atrophy, diminished lung power, and lazy structures. The same findings are expected in puberphonia. So, treatment only actiates the vocal tract. That is Puberphonia treatment 

Articulation Therapy:

This focuses on improving the physical production of the sound through exercises that strengthen soft palate and tongue muscles and improve coordination. 

Phonological Therapy:

This addresses the underlying phonological patterns of speech, helping the individual understand and produce the sound correctly within the language system. 

Exercises:

Examples include uvula positioning exercises, strengthening exercises, and repetition drills. 

Visual and Auditory Feedback:

Using mirrors, diagrams, and listening to the correct sound helps individuals correct their production. 

Individualized Plans:

Treatment plans to the specific needs of the individual, considering factors like the severity of the puberphonia and the individual's age and abilities. 

UMAR:

Increase weight of the uvula. In olden days increasing the weight of the tongue was tried.

Why did this procedure not continue?.

Old age and puberphonia, same pathology.

In adult males, voice changes primarily occur during puberty and can continue subtly into later life. During puberty, hormonal changes, particularly testosterone, lead to the larynx (voice box) growing, vocal cords lengthening and thickening, and the development of a deeper, more resonant voice. After puberty, voices may continue to develop and stabilize into the early twenties. Older males may experience some voice changes, including a possible increase in pitch, decreased volume, or vocal strength but these changes are often subtle. Also called presbyphonia or presbylaryngeus, these issues can develop due to vocal cord atrophy, diminished lung power, and lazy structures. The same findings are expected in puberphonia. So, treatment only activates the vocal tract. That is UMAR.

Rhotacism

Rhotacism is a form of puberphonia. Puberphonia treatis similar to rhotacism training.

Rhotacism, the difficulty producing the "r" sound, is typically treated with speech therapy, focusing on exercises to improve tongue positioning, coordination, and muscle strength. This may include awareness exercises, visual cues (mirrors, diagrams), and articulation drills, gradually increasing the complexity of the sound in words, phrases, and sentences.

Uvular speech

Uvular speech for puberphonia 

Uvular speech refers to consonant sounds produced by the back of the tongue (dorsum) against or near the uvula. Uvular sounds can be stops, fricatives, affricates, trills, or nasals. 

Role in Speech:

The uvula helps in the articulation of certain sounds, particularly guttural sounds. It works with the soft palate to seal the nasal passage and direct airflow through the mouth, which is essential for producing specific phonetic sounds.

Head move

My friend wants to have a more manly voice.His voice is almost normal. I have given him some instructions to talk from the region of the uvula. 5 days he did the exercise. He was doing all sorts of small movements to improve the voice to be more manly. He moved the head  from right and left , up and down and waited for a few minutes and talked. He felt the sound was strong  and felt blowing in the ear and he felt, he got the manly voice. If anyone gives some explanation for this menovere and changes in frequency please contact me.

Moving the head changes the voice

My friend wants to have a more manly voice.His voice is almost normal. I have given him some instructions to talk from the region of the uvula. 5 days he did the exercise. He was doing all sorts of small movements to improve the voice to be more manly. He moved the head  from right and left , up and down and waited for a few minutes and talked. He felt the sound was strong  and felt blowing in the ear and he felt, he got the manly voice. If anyone gives some explanation for this menovere and changes in frequency please contact me.

குரல் வளம் மன்றம்

பேச்சு குரல் வள 

மன்றம்

†******

என்பது குரல் மற்றும் பேச்சு தொடர்பான கோளாறுகளை ஆராய்ச்சி, சிகிச்சை மற்றும் மேம்படுத்துவதற்காக அர்ப்பணிக்கப்பட்ட ஒரு அமைப்பாகும். இது குரல்வளையின் உடற்கூறு, குரல் நாண்களின் செயல்பாடு, பேச்சு உற்பத்தி, மற்றும் பேச்சு சார்ந்த கோளாறுகள் போன்றவற்றை ஆய்வு செய்கிறது. மேலும், குரல் பயிற்சி, பேச்சு சிகிச்சை, மற்றும் குரல் கோளாறுகளுக்கான பிற சிகிச்சைகளையும் வழங்குகிறது.

மேலும் விவரங்கள்:

மனித குரல் மற்றும் பேச்சின் பண்புகள், வரம்புகள் மற்றும் மேம்பாடு ஆகியவற்றைப் படிப்பதற்காக அர்ப்பணிக்கப்பட்ட பல தள ஆராய்ச்சி மற்றும் கற்பித்தல் அமைப்பாகும். 

குரல்வளையின் உடற்கூறு:

குரல்வளையின் குருத்தெலும்பு எலும்புக்கூடு, குரல் நாண்களை உள்ளடக்கியது. தைராய்டு, கிரிகாய்டு, மற்றும் அரிட்டினாய்டு குருத்தெலும்புகளால் ஆனது. 

குரல் நாண்கள்:

சுருதி, சத்தம், மற்றும் தொனியை சரிசெய்யும் நரம்புத்தசை அலகுகள் ஆகும். 

பேச்சு உற்பத்தி:

குரலின் இறுதி மாற்றம் வாய், மூக்கு மற்றும் தொண்டையில் நிகழ்கிறது, அங்கு நாக்கு, அண்ணம், கன்னம் மற்றும் உதடுகள் உச்சரிப்பில் ஈடுபட்டுள்ளன. 

குரல் கோளாறுகள்:

குரல் கோளாறுகள் மற்றும் குரல்வளை (குரல் பெட்டி), காற்றுப்பாதைகள் மற்றும் விழுங்கும் செயல்பாட்டை பாதிக்கும் பிற நிலைமைகள் உள்ள நோயாளிகளுக்கு அதிநவீன சிகிச்சையை வழங்குகிறது. 

குரல் பயிற்சி:

உங்கள் குரலை டிப்-டாப் வடிவத்தில் வைத்திருக்க சில எளிதான சிகிச்சைகள் மற்றும் பயிற்சிகளை பரிந்துரைக்கவும் நாங்கள் உதவலாம். 

பேச்சு சிகிச்சை:

குரல் பகுப்பாய்வு:

தொடர்பு மையங்களுக்கு பயன்படும் ஒரு கருவி, இது உரையாடல்களின் விரிவான புரிதலை வழங்க மேம்பட்ட AI ஐப் பயன்படுத்துகிறது. 

குரல் வள மையத்தின் முக்கியத்துவம்:

குரல் கோளாறுகளைக் கண்டறிந்து சிகிச்சை அளிக்கிறது, குரல் பயிற்சி மற்றும் பேச்சு சிகிச்சையை வழங்குகிறது, குரல் மற்றும் பேச்சு தொடர்பான ஆராய்ச்சிகளை மேற்கொள்கிறது, குரல் தொழில்நுட்பத்தை மேம்படுத்துகிறது, பேச்சு சார்ந்த கோளாறு நிபுணர்.

Dr.M.Kumaresan MS(ENT), DLO. FICS, FIMSA, MIALP(Swiz.), FCCP(USA), FRSH(London).

காது மூக்கு தொண்டை நிபுணர்.

Phone 9841055774

- Dr. M. Kumaresan MS ENT

சங்கு மண்டபமும் எனது ஆய்வும்

Treat puberphonia by pharyngeal voice:

Pharyngeal voice, also known as "voce faringea" or the "witch's cackle," was a historical singing practice developed to extend their upper range. Puberphonia voice is considered weak, change into a more tenoral and powerful vocal quality. The concept of using the pharynx to modify resonance and extend vocal range is still relevant in modern puberphonia treatment techniques. Modern puberphonia treatment pharyngeal resonance by uvula manipulation to create a richer, more resonant tone, similar to the effects achieved by the historical pharyngeal voice.  Our concept developed from "Sangu Mandabam" .சங்கு மண்டபம் தாமர பரணி ஆறு பாளையங்கோட்டை:, அங்கு தண்ணீர் ஓட்டம் குரலாக மாறும். அதிக மழை நேரங்களில் அக்குரலைக் கேட்டு மக்கள் அதிக மழை வெள்ளம் வந்து விட்டது என்று அறிந்து கொள்வார்கள்.

Puberphonia, a pioneering research by Dr.M.Kumaeesan

PUBERPHONIA: A NOVEL APPROACH TO TREATMENT

Sudhakar Vaidya*, G. Vyas**

They referred to Dr.M.Kumaresans "puberphonia" research work as a pioneer.

Puberphonia. No reference is available except

from Dr M Kumerasan (Chennai), who has published his work

in book “A research work in Otorhinolaryngology” in 1992.

He used rush-miller (USA) laryngoscope and treated 11

patients up to publication of his research paper.(13).

It confirms that my research on boys talking in female tone started in 1992 itself, 33 years back. Now I have treated  and changed the life of 1560 cases of puberphonia. it's a world record.

Dr.M.Kumaresan 9841055774.

Puberphonia voice becomes a habit

Puberphonia, also known as functional falsetto, is not a voice disorder where a person's voice doesn't change naturally during puberty. It's characterized by a high-pitched voice, breathiness, and low intensity. Puberphonia can  present as having physiological and psychological causes:  because of the persistent of child/ female like voice they are worried. They continue the same voice intensionally or unintentionally. Intentionally means they like to sing in high pitch because of their profession. Unintentionally means , they accept what God has given and what others tell. Others like to utilise you.

Uvula a source of sound

Air forcibly moves at the uvulopharyngeal complex (both Bernoulli's and Venturi effect works), similar to lip air blowing vocal musical instruments-flute.

Uvular complex in voice production.

†*******

Acoustic theory of voice production, also known as the source-filter theory, explains how speech sounds are created by a combination of a sound source (like the vibrating vocal folds) and a filter (the vocal tract). The source generates the initial sound, and the vocal tract modifies it through resonance, shaping the sound into recognizable speech sounds. 

1. The Source:

Vocal Fold Vibration:

The primary source of sound for voiced sounds is the vibration of the vocal folds within the larynx. 

Aspiration:

For voiceless sounds, air rushing through a narrow opening, like in fricatives, creates a source of noise. 

Other Sources:

Other sources include transient sounds created during consonant production and turbulence during the airflow through the vocal tract. 

Clearly indicate that we can produce voice by the vibration of any structure in the vocal tract. We can create more vibration in the uvular complex. This is the theory behind treatment for puberphonia by UMAR.

Manly voice

Steps to Develop More manly Voice

1.Practice Yawning: Mimic the act of yawning to stretch and relax your throat muscles. This helps open your throat, allowing sound to resonate more freely.

2.Diaphragmatic Breathing: by moving the hand from abdomen to head.

3.Humming: Gently hum while focusing on feeling the vibrations by keeping water in the throat.

4.Lip Trills: blowing air through closed lips.

5.Mouth and Nasal Resonance: Use sounds like "mmm" and "ng" to direct vibrations to your mouth .

Develop Manly voice

పురుష స్వరాన్ని ఎలా పొందాలి మీ గొంతును తిప్పుతూ, మీరు పుక్కిలించేటప్పుడు చేసే అదే శబ్దం. ఒక్క స్వరం హమ్ చేయండి, పెదవులు మూసుకోండి. కంపనం మీ నోటి మధ్యలో, మీ గొంతు మరియు పెదవుల మధ్య ఉందని మీరు గమనించవచ్చు. కంపనాన్ని మీ ఉవులా (మీ గొంతు)కి తిరిగి ఇవ్వండి. ఇది బహుశా చక్కిలిగింతలు పెడుతుంది మరియు మీరు అసౌకర్యం లేకుండా నోట్‌ను ఎక్కువసేపు పట్టుకోలేరు. చింతించకండి, మీరు అలా చేయనవసరం లేదు! మీ గొంతులో మరియు మీ నోటిలో రెండింటిలోనూ కంపనంతో హమ్ చేయండి. ఇప్పుడు, మీరు శబ్దం చేస్తున్నప్పుడు నెమ్మదిగా మీ నోరు తెరవండి. గమనికను బిగ్గరగా చేయడానికి ప్రయత్నించండి మరియు మీరు స్వరంలో హెచ్చుతగ్గులను గమనించవచ్చు, ఇది సులభతరం అవుతుంది.

How to get a manly voice

Rolling your throat, the same sound you make when gargling.

Hum a single note, lips closed. you'll notice the vibration is in the middle of your mouth, between your throat and lips.

Make the vibration back to your uvula (your throat). this will probably tickle and you wont be able to hold the note for long without discomfort. don't worry, you don't have to!

Hum with both the vibration in your throat AND in your mouth.

 now, slowly open your mouth as you're making the noise.

Develop Manly voice

How to Develop a Deep & Manly Voice - 

పురుష స్వరాన్ని ఎలా పొందాలి మీ గొంతును తిప్పుతూ, మీరు పుక్కిలించేటప్పుడు చేసే అదే శబ్దం. ఒక్క స్వరం హమ్ చేయండి, పెదవులు మూసుకోండి. కంపనం మీ నోటి మధ్యలో, మీ గొంతు మరియు పెదవుల మధ్య ఉందని మీరు గమనించవచ్చు. కంపనాన్ని మీ ఉవులా (మీ గొంతు)కి తిరిగి ఇవ్వండి. ఇది బహుశా చక్కిలిగింతలు పెడుతుంది మరియు మీరు అసౌకర్యం లేకుండా నోట్‌ను ఎక్కువసేపు పట్టుకోలేరు. చింతించకండి, మీరు అలా చేయనవసరం లేదు! మీ గొంతులో మరియు మీ నోటిలో రెండింటిలోనూ కంపనంతో హమ్ చేయండి. ఇప్పుడు, మీరు శబ్దం చేస్తున్నప్పుడు నెమ్మదిగా మీ నోరు తెరవండి. గమనికను బిగ్గరగా చేయడానికి ప్రయత్నించండి మరియు మీరు స్వరంలో హెచ్చుతగ్గులను గమనించవచ్చు, ఇది సులభతరం అవుతుంది.

what to practice for getting a manly voice

How to Develop a Deep & Manly Voice - 

A more masculine-perceived sound can be achieved by modifying pitch, resonance, and/or loudness. Aim for a lower pitch, open your mouth more vertically, and get louder, but don't blow anyone overboard! The pharynx modifies pitch by vibration of the uvula and resonance with loudness. It is automatically created because uvula only directs more air to the nose to increase resonance and loudness.

Train uvula vibration

How to Develop a Deep & Manly Voice - 

A more masculine-perceived sound can be achieved by modifying pitch, resonance, and/or loudness. Aim for a lower pitch, open your mouth more vertically, and get louder, but don't blow anyone overboard! The pharynx modifies pitch by vibration of the uvula and resonance with loudness. It is automatically created because uvula only directs more air to the nose to increase resonance and loudness.

Siva clarity speech centre

speech clarity center" in Siva, often a clinic or training center, that provides services to address speech difficulties, including issues with clarity, articulation, and fluency. These centers offer assessments and therapy to improve a person's ability to speak clearly and intelligibly. 

Here's a more detailed explanation:

What they do:

Speech clarity centers provide services for individuals who have trouble with:

Articulation: Correctly producing speech sounds.

Fluency: Speaking smoothly without hesitations or repetitions.

Language: Understanding and using words and sentences appropriately.

Voice: Producing clear and healthy vocal tones.

Who they serve:

These centers cater to individuals of all ages, including children, adults, and seniors.

Services offered:

Assessments: Evaluating speech and language abilities to identify areas of difficulty.

Therapy: Providing individualized treatment plans to improve speech clarity.

Counseling: Offering support and guidance to individuals and families.

Examples of issues addressed:

Stuttering: Interruptions in speech rhythm.

Speech delays: Difficulty developing speech skills at an age-appropriate rate.

Voice disorders: Problems with voice quality, pitch, or loudness.

Cognitive-communicative disorders: Difficulties with thinking, language, and communication.

Benefits of speech therapy:

Improved communication: Making it easier to be understood and express oneself.

Increased self-esteem: Enhancing confidence in social and professional settings.

Enhanced quality of life: Improving overall well-being.

Speech clarity center

Speech clarity center in college:

That sounds like a wonderful initiative! Here are some steps to consider:

1. Research and Planning: Start by researching the specific needs of students in the college you're targeting. Understand the common speech issues they face.

2. Collaboration: Partner with schools, educators, and speech therapists. Participation with actors, singers, mimicry artists and orators. Actor Dhamu will lead the show. All college students competitions and awards will be given. This will help in gaining support to increase the strength of the college .

3. Training: Provide training for teachers and staff on basic speech clarity techniques and how to identify issues.

4. Resources: Create or gather resources such as exercises, tools, and materials that can be used in the center.

5.. Awareness and Promotion: Educate students and parents about the importance of speech clarity and the services you offer.

Starting small and scaling up based on feedback can make the process more manageable. What do you think?

Speech clarity center in college

Speech clarity center in college:

That sounds like a wonderful initiative! Here are some steps to consider:

1. Research and Planning: Start by researching the specific needs of students in the college you're targeting. Understand the common speech issues they face.

2. Collaboration: Partner with schools, educators, and speech therapists. Participation with actors, singers, mimicry artists and orators. Actor Dhamu will lead the show. All college students competitions and awards will be given. This will help in gaining support to increase the strength of the college .

3. Training: Provide training for teachers and staff on basic speech clarity techniques and how to identify issues.

4. Resources: Create or gather resources such as exercises, tools, and materials that can be used in the center.

5.. Awareness and Promotion: Educate students and parents about the importance of speech clarity and the services you offer.

Starting small and scaling up based on feedback can make the process more manageable. What do you think?

Gender identity and bulling

Gender Identity: bulling 

Some studies suggest that puberphonia might be linked to concerns about gender identity, particularly in male adolescents who may experience distress or confusion regarding their gender expression.  on Relationships:

While not a definitive barrier to marriage, puberphonia can create social obstacles. Some individuals with puberphonia have reported difficulty finding dates or partners due to societal perceptions and their own insecurities. 

The unusual voice can lead to teasing and bullying from peers, impacting social interactions and self-esteem. Individuals with puberphonia may also face difficulty being heard on the phone, further isolating them. 

Teachers, principals, parents, and lunchroom helpers at school can all help to stop bullying. 

repeated unwelcomed or threatening behavior, including physical assault, threats, offensive comments, or intimidation. 

High school students can learn how to handle bullying and harassment in our anti-bullying education program: Bullying: Imbalance of Power.

The Effects of Physical Bullying

Physical bullying does not just lead to injuries. All forms of bullying affect the targeted person's emotional and mental health.

Clarity of voice

Clarity of voice while speaking,:

,,*****

Consider the following:

Focus on increasing your airflow with each breath.

Practice proper posture throughout the day.

Make sure your tongue is pressed against the floor of your mouth when speaking.

Try speaking in your nasal voice more often.

Voice and gender

Voice and gender 

It's important to remember that voice changes and gender identity are separate aspects of a person's experience. People have unique journeys, and it's essential to approach these topics with compassion and respect. If puberphonia boys have questions or need support, seeking guidance from professionals or trusted individuals can be helpful.

Voice and gender identity,:

It's important to approach each individual's experience with sensitivity and respect. Puberphonia is a condition related to voice, and it’s not directly linked to gender identity.

Voice and gender

Voice and gender identity: 

Introduction 

It's important to remember that voice changes and gender identity are separate aspects of a person's experience. People have unique journeys, and it's essential to approach these topics with compassion and respect. If puberphonia boys have questions or need support, seeking guidance from professionals or trusted individuals can be helpful.

 Voice and gender identity,:

It's important to approach each individual's experience with sensitivity and respect. Puberphonia is a condition related to voice, and it’s not directly linked to gender identity.

Behaviour change in puberphonia

Causes for puberphonia and behavioural changes.

Psychological and physiological listen never produce puberphonia. Puberphonia only produces psychological and physiological problems.

Puberphonia can create both psychological and physiological lesions.:

 Psychological causes 

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Excessive admiration of another male or sibling

Excessive maternal protection Psychological ladies attitude and brain never recognise that this body is lady or male. It tries to develop some extent what they want, development  sex behaviour.

High and low pitch in Tamil

How to make a Low pitch voice in treating puberphonia:

Train with "o-o-o"(nasal voice) and "m-m-m"(throat voice) have a low pitch. Practice with uvula vibration. Treatment for puberphonia is only a redirected phonation from larynx to pharynx.

_The sound high pitch is "e-e-e" (laryngeal voice)

க,ச,ட,த,ப,ற என்ற வல்லின எழுத்துக்கள் ஆறும் மார்பினை இடமாகக் கொண்டு பிறக்கின்றன.

ங,ஞ,ண,ந,ம,ன என்ற மெல்லின எழுத்துகள் ஆறும் மூக்கினை இடமாகக் கொண்டு பிறக்கின்றன.

ய, ர, ல, வ, ழ, ள என்ற இடையின எழுத்துகள் ஆறும் கழுத்தை இடமாகக் கொண்டு பிறக்கின்றன.

puberphonia training sound

How to make a Low pitch voice in treating puberphonia:

Train with "o-o-o"(nasal voice) and "m-m-m"(throat voice) have a low pitch. Practice with uvula vibration. Treatment for puberphonia is only a redirected phonation from larynx to pharynx.

_The sound high pitch is "e-e-e" (laryngeal voice)

Stages of puberphonia

Stages of puberphonia

***********************

One simple way to remember the criteria in defining puberphonia voice disorders are the six D's: deviance, dysfunction, distress, danger, defiance and defeatist.

1. Deviance: The culture and structure of society pressure individuals to be socially deviant.

2. Dysfunction: An unhealthy identity that can lead to problems with self-esteem and acceptance, difficulty tolerating strong emotions, and erratic actions.

3. Distress: An umbrella term for a range of conditions, including, anxiety, stress, or posttraumatic stress disorder (PTSD)

4. Depression is the more-severe form of depression—persistent depressive disorder (PDD)

5. Defiance: A daring or bold resistance to authority, a challenge to meet in combat or in a contest stage of acceptance with confidence, control and commitment.

6. Defeatist: Accept with no hope, this results in a coward..

UMAR our research

There is a cure for puberphonia:

The most common way puberphonia is treated is through  many methods, all are results in redirecting laryngeal voice to pharyngeal voice. This is our innovative research.

Human can talk

Redirected phonation from larynx to pharynx exercises to treat puberphonia.

********

Move the hand and talk, aim to reduce strain on the vocal folds and improve vocal function by creating a controlled flow of air. These exercises can help with larynx dysfunction, hoarseness, and other voice problems. 

  Pharyngeal speech involves using the pharynx (the throat), vibration of uvula as a sound source by forcing air from the lungs up into the pharynx and then into the oral cavity and nasal cavity.The air is then modified by the tongue, lips, and other articulators to produce speech sounds. 

  Advantages are many. This is the trick knowingly or unknowingly many people follow and talk without strain for many hours.

Human have two cavities at right angles, and the tongue at the angle between the two able to affect their geometries relative to speech production.

UMAR, redirected phonation

Redirected phonation from larynx to pharynx exercises to treat puberphonia.

********

Move the hand and talk, aim to reduce strain on the vocal folds and improve vocal function by creating a controlled flow of air. These exercises can help with larynx dysfunction, hoarseness, and other voice problems. 

  Pharyngeal speech involves using the pharynx (the throat), vibration of uvula as a sound source by forcing air from the lungs up into the pharynx and then into the oral cavity and nasal cavity.The air is then modified by the tongue, lips, and other articulators to produce speech sounds. 

  Advantages are many. This is the trick knowingly or unknowingly many people follow and talk without strain for many hours.

kumaresan voice index

Kumaresan voice index before treatment: assessing the voice as per the puberphonia patient's statement.

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

1. Inaudible: 27%

2. Vocal fatigue: 22%

3. Child voice: 11%

4. Female voice: 10%

5. Double voice: 9%

6. Nasal voice: 7%

7. Not a strong manly voice: 7%

8. High-pitched voice: 5%

9. Hoarseness: 1%

10. Breathy voice: 1%

- Dr. M. Kumaresan MS ENT

kumaresan voice index in puberphonia

New concept, after treating 1560: Puberphonia, a voice disorder where males retain childhood high-pitched voice after puberty, is treated through redirect phonation. This is voice break, changing the frequency high to low frequency, larynx to pharynx. This therapy focuses on pharyngeal vocal exercises and techniques to lower the pitch and improve vocal quality. Surgical interventions may not be considered as there is no anatomical problem.

UMAR new concept

New concept, after treating 1560: Puberphonia, a voice disorder where males retain childhood high-pitched voice after puberty, is treated through redirect phonation. This is voice break, changing the frequency high to low frequency, larynx to pharynx. This therapy focuses on pharyngeal vocal exercises and techniques to lower the pitch and improve vocal quality. Surgical interventions may not be considered as there is no anatomical problem.

Redirecting phonation

Redirecting laryngeal and pharyngeal phonation involves techniques to alter the typical voice production mechanism by shifting the emphasis from the larynx to other parts of the vocal tract, such as the pharynx or oral cavity. This can be achieved through various exercises, including UMAR , utilities uvula to vibrate i and so vocal tracts to promote changes in laryngeal and pharyngeal activity. The goal is often to achieve a more forward, resonant, and easier voice production by reducing reliance on the larynx. 

Benefits:Redirecting phonation can improve voice quality, reduce vocal strain, and enhance vocal flexibility with low pitch voice especially for individuals with vocal disorders or those seeking to improve their vocal technique and in particular puberphonia.

Kumaresan voice Index

New about: Puberphonia, where a person maintains his childhood high-pitched voice after puberty. New research and treatment approaches are emerging, focusing on conservative. These include techniques like uvula manipulation and resonance (UMAR), laryngeal manipulation, and redirect laryngeal to pharyngeal phonation.

New for puberphonia

New about: Puberphonia, where a person maintains his childhood high-pitched voice after puberty. New research and treatment approaches are emerging, focusing on conservative. These include techniques like uvula manipulation and resonance (UMAR), laryngeal manipulation, and redirect laryngeal to pharyngeal phonation.

puberphonia first report

PUBERPHONIA: A NOVEL APPROACH TO TREATMENT

Sudhakar Vaidya*, G. Vyas**

The method reported by the authors was incidentally found

to be useful, while doing direct laryngoscopic examination

of a patient of puberphonia. No reference is available except

from Dr M Kumerasan (Chennai), who has published his work

in book “A research work in Otorhinolaryngology” in 1992.

He used rush-miller (USA) laryngoscope and treated 11

patients up to publication of his research paper.[13]

UMAR abdominal breathing voice

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.

And many more.

UMAR mechanism

Uvular Speech (Alaryngeal Speech):

Mechanism:

Creates an artificial glottis using the tongue, palate with uvula, or pharyngeal wall to produce sound. Air is directed from the pharynx, and the uvula vibrates against the other structures to create phonation. 

Challenges:

It can  produce intelligible speech, particularly with puberphonia, normal  functioning larynx is available. A normal hidden low pitched voice is there which can be brought out by activation of the phonatory tract by UMAR.

UMAR, air flow treat puberphonia

UMAR training for puberphonia Adjusting airflow in the vocal track, can control pitch and loudness, increasing airflow can make your voice louder and higher in pitch.

UMAR- redirected phonation

Acoustic theory of voice production, also known as the source-filter theory, explains how speech sounds are created by a combination of a sound source (like the vibrating vocal folds) and a filter (the vocal tract). The source generates the initial sound, and the vocal tract modifies it through resonance, shaping the sound into recognizable speech sounds. 

1. The Source:

Vocal Fold Vibration:

The primary source of sound for voiced sounds is the vibration of the vocal folds within the larynx. 

Aspiration:

For voiceless sounds, air rushing through a narrow opening, like in fricatives, creates a source of noise. 

Other Sources:

Other sources include transient sounds created during consonant production and turbulence during the airflow through the vocal tract. 

Clearly indicate that we can produce voice by the vibration of any structure in the vocal tract. We can create more vibration in the uvular complex. This is the theory behind treatment for puberphonia by UMAR.

Uvular complex in vouce

Uvular complex in voice production.

Acoustic theory of voice production, also known as the source-filter theory, explains how speech sounds are created by a combination of a sound source (like the vibrating vocal folds) and a filter (the vocal tract). The source generates the initial sound, and the vocal tract modifies it through resonance, shaping the sound into recognizable speech sounds. 

1. The Source:

Vocal Fold Vibration:

The primary source of sound for voiced sounds is the vibration of the vocal folds within the larynx. 

Aspiration:

For voiceless sounds, air rushing through a narrow opening, like in fricatives, creates a source of noise. 

Other Sources:

Other sources include transient sounds created during consonant production and turbulence during the airflow through the vocal tract. 

Clearly indicate that we can produce voice by the vibration of any structure in the vocal tract. We can create more vibration in the uvular complex. This is the theory behind treatment for puberphonia by UMAR.

UMAR control voice placement

Place the hand in the chest while speaking can help create a lower pitch voice by  vocal placement. 

1. Physical Feedback:

Lightly massage or tap on your chest as you speak. This provides physical feedback to help you direct your breath and vocal sound lower. 

2. Vocal Placement:

Focus on speaking from a lower part of your throat and chest, instead of from your head or nasal cavity. 

3. Breath Support:

Use your chest muscles to support your voice, but avoid tension or strain. 

4. Belly Breathing:

Engage your diaphragm by breathing deeply into your abdomen. This helps you access a deeper, more resonant voice. 

5. Chest Voice Warm-ups:

 Focusing on the vibration in your chest. 

By combining these techniques.

Control voice placement and create a lower  pitch.

Puberphonia boys have low pitch voice

All puberphonia have their own low pitch voice also. Speek as if your voice is coming out from your throat rather than coming out of the mouth. Try massaging your chest at the same time to help you direct the sound lower

UMAR, recognised in Google.

Treatment Options given in Google: 

For options are given. The second one is our research treatment. The name UMAR is given. uMAR is popular now.

1.Voice Therapy: Puberphonia is most often treated using voice therapy (vocal exercises) by speech-language pathologists or speech therapists with experience in treating voice disorders. 

2.Larynx Manipulation: Techniques like uvula manipulation and resonance (UMAR) treatment can be used to help individuals achieve a consistent, comfortable, and age-appropriate voice. 

3.Surgery: In some cases, surgery, such as Type-III Thyroplasty, may be considered to correct the voice. 

4.Counseling: Counseling can help patients identify psychological factors contributing to the disorder and provide tools to address them.

UMAR pharyngeal speech

 pharyngeal speech, the air stream needed for sound production is modified within the pharynx, often using the uvula tongue and other structures to create a glottis-like mechanism.

UMAR pharyngeal speech

 pharyngeal speech, the air stream needed for sound production is modified within the pharynx, often using the uvula, tongue and other structures to create a glottis-like mechanism.

UMAR lowering the larynx

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 .

UMAR

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.

And many more.

UMAR

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.

And many more.

UMAR a sweet spot sympathetic pharyngeal voice

Most of my puberphonia boys are thin?

Less weight because the less thoracic expansion brought about by their almost nil exercises in breath control results in decreased oxygen intake potential with its concomitant decrease in appetite and the less ability to digest - and less food.It may look funny but it is true.

Puberphonia boys are thin

Most of my puberphonia boys are thin?

Less weight because the less thoracic expansion brought about by their almost nil exercises in breath control results in decreased oxygen intake potential with its concomitant decrease in appetite and the less ability to digest - and less food.It may look funny but it is true.

Umar for puberphonia

UMAR Impact on Formants:

Changes in the shape of the vocal tract, including alterations due to uvula movement, can affect the frequency of the formants, which are the resonant frequencies that give vowels their distinctive quality. 

UMAR Impact on Perceived Pitch:

While the fundamental frequency (the basic pitch of the voice) might not be significantly altered by uvula movement, changes in the formants can lead to a perception of a different pitch or tone.

UMAR changes the perception frequency

UMAR Impact on Formants:

Changes in the shape of the vocal tract, including alterations due to uvula movement, can affect the frequency of the formants, which are the resonant frequencies that give vowels their distinctive quality. 

UMAR Impact on Perceived Pitch:

While the fundamental frequency (the basic pitch of the voice) might not be significantly altered by uvula movement, changes in the formants can lead to a perception of a different pitch or tone.

UMAR create a change in perceived frequency.

UMAR Impact on Formants:

Changes in the shape of the vocal tract, including alterations due to uvula movement, can affect the frequency of the formants, which are the resonant frequencies that give vowels their distinctive quality. 

UMAR Impact on Perceived Pitch:

While the fundamental frequency (the basic pitch of the voice) might not be significantly altered by uvula movement, changes in the formants can lead to a perception of a different pitch or tone.

UMAR on frequency

UMAR Impact on Formants:

Changes in the shape of the vocal tract, including alterations due to uvula movement, can affect the frequency of the formants, which are the resonant frequencies that give vowels their distinctive quality. 

UMAR Impact on Perceived Pitch:

While the fundamental frequency (the basic pitch of the voice) might not be significantly altered by uvula movement, changes in the formants can lead to a perception of a different pitch or tone.

UMAR treatment for puberphonia

Persistence of child voice (feminine) in male adult is called Puberphonia. The voice is characterized by a weak quality and small dynamic range.

New technique in management.

The new technique in management.

The procedure is done as an outpatient procedure. Under surface anaesthesia (dental spray) with a curved long artery forceps uvula is cached. With a UMAR needle a silk thread is placed in the uvula.

ask him to say a few words with an open mouth vibrating the uvula , like snoring. Slowly he will get the masculine voice. It is continued with repetition.The voice should come from soft palate, not from the larynx.

5 days continuous practice 

1. Xbox technique 

2. Piano practice 

3. AI doll practice 

4. Audio visual practice with the karaoke 

5. Practice with treadmill 

6. Practice with vibration 

7. Stage practice with mic with virtual audience 

Above all, continuous training for 5 days, all will be in the hospital for 5 days with group therapy. 5th day thread from the uvula removed and mostly all get the manly voice and return home happily.

A message from Bangladesh

Hello from Bangladesh. I am a man of 31 years old. Since puberty, I have been struggling with high pitch and low volume voice. How can I take treatment from you?

Come to Chennai, India.

For Hindi +917416347435

Sekar. शेखर

डॉ.एम.कुमारेसन एमएस ईएनटी

शिवा ईएनटी हेड एंड नेक हॉस्पिटल

प्रथम तल, 159, लॉयड्स रोड, रोयापेट्टा, चेन्नई।

विपक्ष: एडीएमके कार्यालय

मोबाइल: +917416347435

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

आना।

प्यूबरफोनिया 5 दिन/- 10 हजार रु. आवास रु. 300/दिन। रविवार की छुट्टी।

बस 21 चेन्नई सेंट्रल एमजीआर रेलवे स्टेशन से अजंता स्टॉप तक

लॉयड रोड में एआईएडीएमके कार्यालय के सामने फोर्थ बिल्डिंग

कार्य के घंटे: सुबह 11:00 बजे से शाम 6:00 बजे तक

- 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

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.

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

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

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

UMAR for clear speech in old age

To achieve a "pharyngeal voice in puberphonia" or a voice that resonates more in the throat, you can try placing your hand on one side of your mouth and focusing on a relaxed, open throat while speaking, aiming for a sound that feels like it's coming from the back of your throat. 

How to achieve it:

 Imagine the back of your throat open and sending the sound outwards. Focus on uvula as snoring, vowel shapes to find what resonates best in the pharyngeal space. 

Diaphragmatic Breathing: Practice diaphragmatic breathing by UMAR to support the voice and prevent tension in larynx. One can sound as much as possible, but never injury to the larynx , because vocal cords never get vibration.

UMAR

To achieve a "pharyngeal voice in puberphonia" or a voice that resonates more in the throat, you can try placing your hand on one side of your mouth and focusing on a relaxed, open throat while speaking, aiming for a sound that feels like it's coming from the back of your throat. 

How to achieve it:

 Imagine the back of your throat open and sending the sound outwards. Focus on uvula as snoring, vowel shapes to find what resonates best in the pharyngeal space. 

Diaphragmatic Breathing: Practice diaphragmatic breathing by UMAR to support the voice and prevent tension in larynx. One can sound as much as possible, but never injury to the larynx , because vocal cords never get vibration.

puberphonia treatment by pharyngeal voice

Male at the age of voice break: create pharyngeal voice, utilise uvula:

Make The Voice Low Pitch: Lift the Soft Palate with uvula

        The larynx isn’t the only part of your body that shapes the sound that comes out as you speak. The mouth and nose are also involved. The velum – soft palate and uvula in the back of your mouth do quite a bit to control the tone of your voice. The velum opens and closes the air passage between your nose and throat. If the velum is wide open, your voice will travel up and out through your nose, giving you a nasal sound. It is quite helpful if one is trying to hit the high notes with sinus resonance by utilising the uvula to direct more air to the sinuses. It is good for a deep, masculine voice when the air is sent to the sinuses to vibrate.

How to diagnose and treat puberphonia

Voice measurement

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

500 𝘏𝘻 = crying baby⁠

300 𝘏𝘻 = crying toddler⁠

250 𝘏𝘻 = pre-pubescent boy/ girl⁠

125-137 Hz = male 18 years old

107 -146 = male.

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

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

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

puberphonia new concepts

Puberphonia.

We are able to arrive at twelve new concepts. 

They are:

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

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

3. Redirected phonation treats puberphonia.

4. Get an ancestral voice after treatment.

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

6. The uvula is an accessory speech organ.

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

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

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

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

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

Redirect phonation

Puberphonia myths and misconceptions

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

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

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

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

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

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

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

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

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

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

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

Myths of puberphonia

Puberphonia myths and misconceptions

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

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

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

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

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

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

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

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

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

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

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

Kumaresan voice ind x

Kumaresan pitch index

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

2. Vocal fatigue, loss of intonation or expression,

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

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

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

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

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

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

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

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

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

to indicate having any strong feelings

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

prettier, younger, and more feminine.

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

tone.

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

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

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

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

1. Inaudible: 27%

2. Vocal fatigue: 22%

3. Child voice: 11%

4. Female voice: 10%

5. Double voice: 9%

6. Nasal voice: 7%

7. Not a strong manly voice: 7%

8. High-pitched voice: 5%

9. Hoarseness: 1%

10. Breathy voice: 1%

Puberphonia pitch index

Kumaresan pitch index

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

2. Vocal fatigue, loss of intonation or expression,

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

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

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

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

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

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

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

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

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

to indicate having any strong feelings

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

prettier, younger, and more feminine.

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

tone.

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

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

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

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

1. Inaudible: 27%

2. Vocal fatigue: 22%

3. Child voice: 11%

4. Female voice: 10%

5. Double voice: 9%

6. Nasal voice: 7%

7. Not a strong manly voice: 7%

8. High-pitched voice: 5%

9. Hoarseness: 1%

10. Breathy voice: 1%

தமிழ் மருத்துவம், கீச்சு க் குரலுக்கு

Research: Uvula a speech organ

Clinical work done: Treatment done, 1400 cases of puberphonia (boys talking with female tone)

Reference: no reference in English literature on treatment using uvula except our 12 article on uvula in National & International Journals.

Research work needed.

To prove uvula a speech organ similar to vocal cords.

The absorption and reflection of fluorescence light by the uvula can be explored through the principles of fluorescence microscopy, particularly using techniques like Total Internal Reflection Fluorescence Microscopy (TIRFM).

Many references available in Indian literature like Tholkappium, Avvaiyar and Thirumular.

1.உந்தி முதலாம் உந்தி வழி தோன்றி தலையிலும் மிடற்றிலும் நெஞ்சிலும் நிலைத்து பல் இதழ் நோக்கும் நோக்கு அண்ணா உள்பட எண் முறை நிலையான்.

2. சத்தத்தின் உள்ளே சதாசிவம் காட்டி சித்தத்தில் உள்ளே சிவலிங்கம் காட்டி 

3.  மௌனியாய் கல் போல் மலராய் இருந்தாயே மௌனம் இது ஆகுமோ அருணாச்சலா என் வாயில் மண்ணை போட்டு என் பிழை பிழைத்தது.

4.  

கண்ணாக்கு மூக்கு செவி ஞான கூடத்து பண்ணாக்குகின்ற பல வழிகள் உண்டு அண்ணாக்கில் உள்ள அகண்ட வழிகாட்டி புண்ணாக்கி எண்ணெய் பிழைத்தது.