Puberphonia innovations by Dr. M. Kumaresan

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

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

Key aspects of Dr. Kumaresan's work:

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

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

Fast track puberphonia

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

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

Treat puberphonia. Call 9841055774

Kumaresan method

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

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Development of puberphonia

Development of puberphonia.

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

Puberphonia can create both psychological and physiological changes: Psychological causes 

Emotional stress

Psychological imbalances

Resistance to pubertal changes

Self-consciousness

Excessive admiration of another male or sibling

Excessive maternal protection Psychological causes

Delayed development of secondary sex characteristics.

Treat puberphonia before it creates a social problem.

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Puberphonia treatment

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

UMAR help

There are a lot of changes that come with puberty.

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

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

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

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

One cause of this is a condition called puberphonia..

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

Call 9841055774, Chennai.

மாறுபட்ட குரலுக்கு மருத்துவம்

Puberphonia அறிகுறிகள்?

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

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

Puberphonia need awareness and research

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

Puberphonia need awareness and research

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

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

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

2.Unintentionally need voice rehabilitation with UMAR training.

3.Forced voices need small adjustments with UMAR.

4.Emotional exhaust needs UMAR with group therapy.

Puberphonia intentionally or unintentionally

Prefered therapy for Puberphonia.

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

2.Unintentionally need voice rehabilitation with UMAR training.

3.Forced voices need small adjustments with UMAR.

4.Emotional exhaust needs UMAR with group therapy.

Our puberphonia work recognised

Journal of Voice

(Available online 29 March 2024) 

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

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

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

Uvula Manipulation and Resonance (UMAR) Treatment for Puberphonia

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

View at publisher

View in ScopusGoogle Scholar

19.

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

Google Scholar

20.

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

Google Scholar

21

K. Muthiah

An Immediate and Permanent Cure for Puberphonia

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

Accessed July 2023

View at publisher Google Scholar

Internationally 4 of articles are selected for review by

Accessibility to Puberphonia Online and Its Readability by Patients

Author links open overlay panel

Maryam Aljawi, 

Anastasios Hantzakos, 

Cite

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

To assess the readability of online materials related to puberphonia.

Study design

Online material review.

Method

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

Thanks for the selection committee.

Dr.M.Kumaresan.

Frequency change

Laryngeal frequently is converted to pharyngeal frequently.

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

Medium Properties:

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

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

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

Frequency conversion in the vocal track.

Laryngeal frequently is converted to pharyngeal frequently.

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

Medium Properties:

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

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

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

Success of UMAR

Scientific evidence for success of UMAR.

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

That is UMAR.

UMAR success

Puberphonia treatment by UMAR:

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

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

Pharyngeal voice

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

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

Uvula vibration products sound.

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

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

Power and Clarity:

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

Bridging Registers:

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

Balancing Sound:

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

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

Wood voices

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

Pharyngeal voice

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

kumaresan voice pitch index

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

Project air flow to treat puberphonia

How Uvula Manipulation Works:

Why we are targeting the Pharynx:

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

Inspirational Tamil

 Learning’s:

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

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

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

தொல்காப்பியம் ஒரு விரிவான  உச்சரிப்பு  ஒலிப்பை  விளக்குகிறது,  கொடுக்கிறது

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

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

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

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

விநாயகர் அகவல் -முழுக்க முழுக்க இருப்பது குரல் வழ முறைகள்

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

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

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

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

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

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

UMAR

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

More than 1550 puberphonia successfully treated.

Treat puberphonia

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

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

Siva ENT Head & Neck Hospital

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

Opp: ADMK Office

Mobile: 98410 55774

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

No Appointment Required: Rs.10 thousand,

Puberphonia 5 days /-

Bus 21 From Chennai Central MGR Railway Station to Ajantha Stop

Forth building opp AIADMK Office in Lloyd's Road

Working Hours: 11:00 am,except Sunday.

- Dr. M. Kumaresan MS ENT

Voice by 3 boxes

Three boxes produce a voice.

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

What is R1?

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

R2 is a pharyngeal box.

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

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