UMAR based on Indian 🇮🇳 literatures

 “Inspired by ancient Tamil literature”

Newer laryngeal-to-pharyngeal phonation redirection concept develops the same historical inspiration into a modern physiological hypothesis. A 2026 publication by Dr M Kumaresan on KOFT describes UMAR as facilitating phonation from the larynx toward the pharynx through oropharyngeal facilitation. 

அரவாணன் கதை

Fix male voice in puberphonia by conditioned reflex.

UMAR training is successful in puberphonia treatment.

First we create an adult voice by Oropharyngeal resonance by uvula manipulation and immediately we anker and habituate it.

 அண்ணாக்கினுள்ளே அகண்ட வழிகாட்டி, ஔவையார்

Dr M Kumaresan's puberphonia new findings

"From Clinical Observation to Objective Pharyngeal Phonation Science"

Dr M Kumaresan's observation:

1.Cause of puberphonia: Puberphonia is due to a maladaptive phonatory-resonatory behavior of continuing high pitch voice even attaining adulthood in male and continuing intentionally or un intentionally.

 2.UMAR:Oropharyngeal facilitation will provide a sensory-motor pathway that reorganizes phonatory behavior, reduces maladaptive behavior , and facilitates acquisition of an adult voice."

UMAR explained with scientific evidence

How Oropharyngeal Facilitation UMAR work in puberphonia : occurs when a male maintains an adolescent, high-pitched voice after puberty. Oropharyngeal facilitation works via a specific therapeutic mechanism:
2.Sensory-Motor Reorganization: The technique provides an internal pathway that alerts the brain to a different vocal tract configuration.
2.Uvula Modulation: It often includes targeted internal manipulation (such as the Uvula Manipulation and Resonance or UMAR technique) to widen the back of the throat and activate deeper resonance.
3.Breaking the Pitch Habit:
Training the individual to accept and stabilize the sensory feeling of their new, authentic adult voice.
Expected Outcomes vs. Traditional Voice TherapySpeed of Recovery: While traditional vocal exercises can take weeks or months to consistently lower pitch, oropharyngeal and pharyngeal manipulation often yields an immediate drop to a lower pitch during the session.Non-Invasive Nature: It achieves the physical realignment of a surgery (like Type 3 Thyroplasty) completely naturally and safely, without incisions.

பேச்சுக் குரலுக்கு நிவாரணம். ஆண்களில் பருவமடைந்த பின் ஏற்படும் குரல் மாற்றத்திற்கு நிவாரணம். அதன் காரணம் என்ன?

Puberphonia is due to some maladaptive phonatory-resonatory behavior of continuing high pitch voice even attaining adulthood in male and continuing intentionally or un intentionally.

Oropharyngeal facilitation "Kumaresan oropharyngeal facilitation" MedCrave Group-technique (KOFT) will provide a sensory-motor pathway that reorganizes phonatory behavior, reduces maladaptive behavior , and facilitates acquisition of an adult voice.

விடலைப் பருவத்தில் குரல் மாற்றத்திற்கு முதல் மருத்துவம்

விடலை பருவத்தில் ஏற்படும் குரல் மாற்றத்திற்கு பலவிதமான சிகிச்சைகள் உண்டு. அதில் அண்ணாக்கு அதிர்வு சிகிச்சையும் உலக அளவில் அங்கீகரிக்கப்பட்டது என்பதை அறிந்து மிகவும் சந்தோஷப்படுகின்றோம் 

pharyngeal phonation for puberphonia

This scientist says "vibration directed into the mouth, articulate words (shapes the air into the speech sounds). This is what we are doing in puberphonia. The speech sounds are vibrated in the region of uvula.

Dr M Kumaresan

மாணவர்களை அழைக்கின்றேன் விபர் போனியா என்ற குரல் research

Call for Internship for Engineering college students. Come or call 9841055774, by 4pm for councilling.
Projects completed with internship:
1, A free "kumaresan puberphonia" Google play store download App to assess the frequency of voice in the cell phone itself.
2. "kumaresan puberphonia voice index" in
Journal of emerging technologies and innovative research.
3. "UMAR" for puberphonia in National Library of Medicine.
4. "Puberphonia pitch momentum"
5. KOFT (Kumaresan Oropharyngeal Facilitation Technique)
M. Kumaresan, MS (ENT), DLO, ENT Surgeon, Siva ENT Hospital, No. 159, V.P. Raman Road (Lloyds Road), Royapettah, Chennai – 600014, India.

Puberphonia education

1.Free internship for eligible college students and researchers. Councilling every Saturday 4pm

&

2.Free live demo for ENT Surgeons and P G students, every day 2pm, except Sundays.

Subject: Puberphonia and allied voice problems.

Achievements.

I love my voice booth to assess my own quality of voice needed for puberphonia and related voice changes, singers, actors, politicians, old-age voices, and diseases like Parkinsonism.

Our research: Artificial Intelligence-Based Digital Voice Screening for Puberphonia: Automated Voice Analysis, Therapeutic Voice Training, and Virtual Reality-Assisted Longitudinal Follow-Up.

Researchers: Dr.K. Navin Bharath 1, Dr.M. Kumaresan 2, Dr.A.K. Jayanthi 3, Dr. Suresh kumar Ayyalusamy 4, Mr. A. Lokesh 5, Mr. Senthil Kumar 6, R. Aakarshana 7, L. Ritvik 8, R. Sumithra 9, and Mohammad Rayyan Sheriff  10.  Dr.Naveen Narayan.

 The Centre offers structured educational programs ranging in training and actively mentors students in Medical Engineering, bioengineering, and allied medical research. Recent innovations include AI-based diagnostic support systems, VR-based clinical training modules, and digital platforms for diagnosis and follow-up.

Results: The integration of clinical expertise, digital health technologies, research mentorship, and educational initiatives has enhanced awareness, diagnostic precision, treatment outcomes, and professional training in voice disorders. Furthermore, AI can facilitate large-scale community screening programs. 

Projects completed with internship:

1, A free "kumaresan puberphonia" Google play store download App to assess the frequency of voice in the cell phone itself.

2. "kumaresan puberphonia voice index" in

Journal of emerging technologies and innovative research.

3. "UMAR" for puberphonia in National Library of Medicine.

4. "Puberphonia pitch momentum"

5. KOFT (Kumaresan Oropharyngeal Facilitation Technique)

M. Kumaresan, MS (ENT), DLO, ENT Surgeon, Siva ENT Hospital, No. 159, V.P. Raman Road (Lloyds Road), Royapettah, Chennai – 600014, India.

Phone: +91 9841055774

kumaresan@doctor.com

Puberphonia learning

Please contribute to puberphonia awareness.

We want doctors, physiotherapists, and speech therapists to learn more on Puberphonia, our new simple treatment. We have published 11 original articles in Puberphonia.

Dr. M. Kumaresan.

kumaresan Puberphonia app

The UMAR training program includes puberphonia exercises.

Dr. M. Kumaresan 9841055774

Puberphonia app

" Kumaresan puberphonia app* developed as a Google Android product. It is our research on puberphonia and voice disorders with voice analysis into a clinically useful application.

A product Screening & Voice Therapy.

Main features.

Voice pitch analysis (fundamental frequency)

Voice quality assessment

Detection and screening for:

Puberphonia

Mutational falsetto

Parkinsonian voice changes

Age-related voice changes

Singer and professional voice evaluation

Daily voice exercises and therapy guidance

Progress tracking with graphs

Voice recording and comparison over time

PDF report generation for patients and clinicians

Multi-language support (English and Tamil)

Secure patient database for hospitals and research

Target users

ENT surgeons

Speech-language pathologists

Medical colleges

Voice therapists

Singers

Actors

Politicians

Teachers

Students

General public

Tagline

"Know Your Voice. Improve Your Voice."

Future

The app becomes the software behind your "I LOVE MY VOICE" Booth, allowing visitors to:

Record a 10-second voice sample.

View estimated pitch and voice quality.

Get recommendations for ENT consultation or voice therapy if needed.

This has the potential to become a unique digital health product based on our original research in voice disorders and puberphonia.

AI puberphonia

Tamil

சிவா ENT மருத்துவமனையில் ஒவ்வொரு சனிக்கிழமையும், டியூபர் போனியா பாடமும் ஆராய்ச்சியும் நடைபெறும், அனுமதி இலவசம், அனைவரும் பங்கு கொள்ளலாம் 

Puberphonia class

Dr. G John Samuel

Director 

Institute for Asian Studies, Chennai is presiding our puberphonia AI & VI class and research  on 11th Saturday 4 pm at Siva ENT hospital, Ground floor Voice Auditorium, 159 VP. Raman road, Royapettai, Chennai 14. 9841055774.

 All postgraduates, including medical and allied health and engineering come and register for PhD.

Kindly come on July 2026, 11th Saturday 4 pm for further research.

Our Puberphonia Institute will embrace all modern aids to research and keep academic research in step with the development.

Mr.Deepak VR Specialist researchers  from E16 AI,  will bring over VR devices and do presentation video.

Dr M Kumaresan 9841055774.

AI&VR

Puberphonia

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.come.

Puberphonia 5 days /- Rs.15 thousand. Sunday holiday.

Bus 21 From Chennai Central MGR Railway Station to Ajantha Stop

Forth building opp AIADMK Office in Lloyd's Road

Working Hours: 11:00 am to 5

- Dr. M. Kumaresan MS ENT

- Dr. M. Kumaresan MS ENT

AI & VR for puberphonia

Ones Changing the World-Dr. M. Kumaresan 

----

Recent trends in puberphonia (mutational falsetto) management are moving beyond traditional voice therapy toward technology-assisted diagnosis, intensive rehabilitation, telepractice, and personalized treatment approaches.

1. AI-Based Screening and Diagnosis

One of the newest developments is the use of Artificial Intelligence (AI) to analyze voice samples and identify acoustic features characteristic of puberphonia. AI can:

Detect abnormal fundamental frequency (F0)

Monitor voice changes over time

Provide objective outcome measurements

Facilitate mass screening in schools and communities

Assist in remote follow-up of treated patients

AI-driven voice analysis is increasingly being explored as a tool for early identification and outcome tracking. 

2. Virtual Reality (VR)-Assisted Voice Therapy

VR is emerging as an innovative rehabilitation platform. In this approach:

Patients practice voice exercises in immersive virtual environments.

An AI-enabled virtual assistant can guide therapy sessions.

Real-time feedback improves motivation and compliance.

Remote therapy becomes possible for patients in distant locations.

The AI-VR model pioneered by Dr. M. Kumaresan represents one of the most innovative directions in puberphonia care, combining diagnosis, training, and long-term follow-up. 

3. Tele-Voice Therapy and Remote Care

Telemedicine has become a major trend after the COVID era. Current research supports:

Online voice therapy sessions

Home-based voice exercises

Remote monitoring of progress

Increased access for rural and international patients

Systematic reviews indicate that tele-voice therapy is feasible and effective for many voice disorders and is increasingly being adopted in voice rehabilitation programs. 

4. Intensive Voice Therapy Protocols

Recent studies show growing interest in short-duration intensive therapy programs rather than prolonged weekly sessions.

Benefits include:

Faster pitch normalization

Improved compliance

Better retention of new voice patterns

Studies on recalcitrant puberphonia demonstrate significant improvement in speaking pitch and voice quality following intensive therapy protocols. 

5. Evidence-Based Voice Therapy Techniques

Modern therapy increasingly combines:

Manual laryngeal reposturing

Resonant voice therapy

Semi-occluded vocal tract exercises

Circumlaryngeal massage

Behavioral voice retraining

Recent clinical reports continue to confirm that structured voice therapy remains the first-line treatment and can successfully restore normal male pitch. 

6. Outcome Measures and Quality-of-Life Research

Researchers are now evaluating treatment success not only by pitch change but also by:

Voice Handicap Index (VHI)

Voice-Related Quality of Life (V-RQOL)

Psychological well-being

Social confidence

Occupational functioning

Recent rehabilitation studies demonstrate significant improvements in both acoustic voice parameters and psychosocial outcomes. 

7. Selective Use of Surgical and Injection Procedures

Although voice therapy remains the primary treatment, current research is exploring:

Type III thyroplasty

Injection laryngoplasty

Hyaluronic acid injections

Botox-assisted approaches in selected cases

These interventions are generally reserved for therapy-resistant or complex cases. 

PubMed

Key Future Direction

The most promising future trend is the integration of:

AI Screening → VR Therapy → Tele-Rehabilitation → Continuous Outcome Monitoring

This model enables early identification of puberphonia in the community, personalized therapy, remote access for patients worldwide, and objective measurement of outcomes. The work of Dr. M. Kumaresan and colleagues on AI- and VR-based puberphonia management aligns closely with this emerging global direction. 

  

For a scientific presentation or publication, the recent trends can be summarized as: AI-assisted diagnosis, VR-based rehabilitation, telepractice, intensive voice therapy, patient-reported outcome measures, and precision treatment for resistant cases.

9841055774, kumaresan@doctor.com

Puberphonia Zoom meeting

We, Siva ENT Hospital, Chennai have scheduled Zoom meeting on 13th June 2026 Saturday - an introduction - how we have treated 1700+ cases of Puberphonia by UMAR training?

Join Zoom Meeting

https://us06web.zoom.us/j/4260241932?pwd=FDGQyOKlqPWwwk0atQ99Q3F7EDCWNz.1&omn=89035040034

Meeting ID: 426 024 1932

Passcode: 925382

Dear Doctor,We are pleased to invite you to an exclusive academic session on Puberphonia Management conducted by Dr. Kumaresan Siva, Siva ENT Hospital, Chennai.This session offers a unique opportunity to learn from the experience of treating more than 1700 Puberphonia cases and gain practical insights into voice disorder management.Key Highlights:Clinical experience from 1700+ suapplicationAdvanced diagnostic approaches in PuberphoniaIntroduction to AI and VR-based training in ENT educationInformation on Certification Course in Puberphonia ManagementResearch, training, and academic opportunities for ENT professionalsWhether you are an experienced ENT surgeon, a postgraduate student, or an ENT trainee, this session will provide valuable knowledge that can be directly applied in clinical practice.Date: Saturday, 06 June 2026Time: 5:00 PM – 6:00 PMJoin Zoom Meetinghttps://us06web.zoom.us/j/4260241932?pwd=FDGQyOKlqPWwwk0atQ99Q3F7EDCWNz.1&omn=89745078707Zoom Meeting ID: 426 024 1932Passcode: 925382

UMAR training

You are invited to a FREE introductory session on UMAR Training for Puberphonia.

Date: Sat, 06 June 2026 | Time: 5:00 PM

Kumaresan Siva is inviting you to a scheduled Zoom meeting.

Join Zoom Meeting

https://us06web.zoom.us/j/4260241932?pwd=FDGQyOKlqPWwwk0atQ99Q3F7EDCWNz.1&omn=89745078707

Meeting ID: 426 024 1932

Passcode: 925382

This is a primer sharing about Certification Course under Kalasalingam University on Puberphonia Management for ENT Surgeons, PG ENT Students & ENT Trainees.

Why Siva ENT Hospital?

Siva ENT Hospital is a leading center for puberphonia management with strong clinical and academic contributions:

1. 1700+ puberphonia cases successfully treated

2. Developed the mobile application “Puberphonia Kumaresan” (available on Google Play Store)

3. Introduced the “Kumaresan Voice Pitch Index”, a diagnostic tool for puberphonia assessment (developed by Dr. M. Kumaresan Muthiah & Navin Bharath Kumaresan)

4. Established the “I Love My Voice” awareness booth for early identification of puberphonia in ENT clinics

5. Structured certificate-to-PhD level training programs in puberphonia awareness and management

6. Active involvement in research guidance for biomedical, bioengineering, and allied medical students (internships to PhD level)

7. Development of AI-based diagnostic tools and VR-based training & follow-up systems for voice disorders

Innovations from the Centre

• AI-based diagnostic support tools for voice disorders

• VR-based clinical training modules

• Mobile apps for awareness, diagnosis, and follow-up

• Continuous academic mentorship and research integration

I personally look forward all Dr and interested medical field practitioners to attend my 1 hr session, first of its kind voice therapy treatment procedures.

Kind regards,

Dr Kumaresan

Siva ENT Hospital

First Floor, 94, Avvai Shanmugham Salai, opp. AIADMK Headquarters, Lakshmipuram, Royapettah, Chennai, Tamil Nadu 600014

98410 55774

kumaresan@doctor.com

http://www.sivaent.com/

https://www.youtube.com/@sivaent

30.5.2026 puberphonia new Article

https://www.xrom.in/post/ai-and-vr-transform-puberphonia-treatment-inside-dr-kumaresan-s-global-voice-care-revolution?fbclid=IwY2xjawSH8F9leHRuA2FlbQIxMQBzcnRjBmFwcF9pZAwzNTA2ODU1MzE3MjgAAR6ZR_GL77C-JeOydrX4yfALy1FO0phzaBPU79CGXM_SdGaa1lU1gEQ3SqtuZg_aem_BMtUFL-2TDwZ0YhhNV0KFw

i love my voice

https://www.pdffiller.com/s/kzFXtuq1oi love my voice

Puberphonia training

शिवा ईएनटी अस्पताल में प्यूबरफोनिया शिक्षण केंद्र। प्रत्येक सोमवार - एक दिवसीय व्यावहारिक प्रशिक्षण। पंजीकरण करें।  : 9841055774, kumaresan@doctor.com

मुझे बहुत खुशी है, सर।   जब कुमारेशन सर ने आकर इस बारे में चर्चा की, तो उसके अगले ही पल हमने फैसला कर लिया था।   हमने सोचा कि इस तरह की एक अच्छी पहल दुनिया के सामने आनी चाहिए और हमारे 'एलाइड हेल्थ' के छात्र इसके लिए जो कुछ भी कर सकते हैं, वह करेंगे।   इसी सोच के साथ हमने एक 'सर्टिफिकेट कोर्स' शुरू करने का निर्णय लिया।

  यह सिर्फ दो हफ़्तों में सर की फुर्ती और सक्रियता का एक बेहतरीन उदाहरण है।   हमने 14 तारीख को ही इस बारे में बात की थी।   सर तुरंत आए और सिर्फ एक हफ्ते के लिए ही वहां थे।   वे 16 तारीख को आए और सभी से बात की।  और देखिए, इस 2 तारीख को हमारा समझौता भी हो गया।   सर, मैं आपकी इस फुर्ती और ऊर्जा को नमन करता हूँ।   हम सब मिलकर इसे निश्चित रूप से अगले स्तर पर ले जाएंगे।

  इससे हमारे बच्चों की आवाज़ बोलने की समस्या का समाधान होगा।   यह कितनी बड़ी बात है, मुझे लगता है कि उस छोटे बच्चे ने जो बात कही, उससे यह बात सभी को समझ आ गई होगी।   हम निश्चित रूप से इसे अगले स्तर पर ले जाएंगे सर।   अगर यह सब अच्छे से सफल रहा, तो हम इसके आगे 'डिप्लोमा कोर्स' भी शुरू करने की सोच रहे हैं।   बहुत-बहुत धन्यवाद।

 

  जैसा कि सर ने कहा, कलसलिंगम विश्वविद्यालय की स्थापना समाज को शिक्षा देने और शिक्षा को एक सेवा के रूप में प्रदान करने के उद्देश्य से की गई थी।   इसी लक्ष्य के साथ 1984 में कलसलिंगम कॉलेज की शुरुआत हुई थी।   साल 2006 में कलसलिंगम कॉलेज एक विश्वविद्यालय (यूनिवर्सिटी) में बदल गया।

  शिक्षा के क्षेत्र में बड़े दानी माने जाने वाले 'कलसलिंगम अइया' (पिताजी/सर) का यह सपना था कि प्री-केजी से लेकर पीएचडी  तक की हर क्षेत्र की पढ़ाई कलसलिंगम कैंपस के अंदर ही उपलब्ध होनी चाहिए।   इस अवसर पर, मूक-बधिर (सुनने और बोलने में असमर्थ) छात्रों के लिए डिग्री कोर्स शुरू करते हुए मुझे बेहद खुशी हो रही है।

  सभी के सामूहिक प्रयासों और सबके सहयोग से यह पहल आगे भी और अधिक सफल हो और समाज के लिए फायदेमंद साबित हो, यही प्रार्थना करते हुए मैं आप सभी को धन्यवाद देता हूँ।

Puberphonia center

Dear sir, Greetings.

Our puberphonia team with the booth is ready for conducting voice care center Globally 

Soon we will start in Gudiyattam or Vellore and fix the "I Love My Voice" there permanently with the president ship of Prof Dr. Soundararajan, Kidney Specialist. Similarly we are going to create puberphonia / voice recording booth at Kanchipuram, pudukkottai, Thakkalai, Poonthamalli, Karaikudi, Thirupathoor, Chengalpattu, Trichy and Thirupathi. These places we are having a strong well wishers. There center also act as a nodal center for our university certified certificate courses. We are going to train them freely.

Dr M Kumaresan.9841055774 kumaresan@doctor.com

 Dr. M. Kumaresan MS ENT

Puberphonia Courses

Happy to inform you that many ENT colleagues are willing to join our training program under Kalasalingam  University. Very soon we will start the puberphonia certificate course.  The hand's on sturdy center is Siva ENT Hospital and on line teaching all working days under Kalasalingam University.

Call 9841055774 kumaresan@doctor.com

For whom the course : ENT Surgeon, ENT students and Speech therapists- 

Why Siva ENT ?

1. Treated 1700 and more cases of Puberphonia.

2. Created "Puberphonia Kumaresan" free download Google play store App in cell phone.

3.Created The "Kumaresan Voice Pitch Index" is a diagnostic tool developed by Dr. Kumaresan Muthiah and his son, Navin Bharath Kumaresan, to evaluate puberphonia, 

4. Created " I Love My Voice " booth to identify and awareness of Puberphonia in every ENT Clinic 

5.Created puberphonia courses ( Certificate to Phd) to create awareness and learning. Learning online and offline for doctors and speech therapist.

6.Dr. M. Kumaresan is a research guide for Bio Medical, Bio Engineering and medical allied students in internship and up to Phd.

7.Created an App in AI for diagnosis and awareness of an App for VR for training and follow up.

Success of puberphonia training program by UMAR

The basic concept of the success in the UMAR training program in puberphonia.

Dr M Kumaresan 9841055774.

-------------=-----------

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

Velaric air stream. A large number of African languages and some languages make use of these air streams for the production of speech Indian languages only Sindhi uses the glottalic air stream mechanism on of some speech sounds.

 A number of sounds are produced at the soft palate. For example, the Hindi sounds and क म रख and. When we produce these sounds the velum acts in two ways simultaneously. Firstly, it comes into contact with the back of the tongue which moves towards it to make a complete closure and secondly, the soft palate itself is raised to make a closure with the back wall of the pharynx. The first closure is known as a velar closure and the second closure is known as a velic closure.

Before we talk about the description and classification of speech sounds, it is important for us to be aware of an important distinction between active and passive articulators. Active articulators are those organs of speech that can move and passive articulators are those organs of speech that cannot move. In the production of speech sounds the active articulators move from their position of rest towards the passive articulators. For example, in the production of the t, d, s,n sounds, the tip and blade of the tongue move from their position of rest, to articulate against the teeth ridge. As the lower jaw is movable, while the upper jaw is not, the active articulators are located mostly in the lower jaw and the passive articulators in the upper jaw. There is however, an exception to this. The soft palate is both an active and a passive articulator. When it is raised to shut off the nasal passage of air for the proof oral sounds it is an active, articulator. When the back of the tongue is rais makes contact with the velum to produce sounds such as the initial consonants in the English words, call and get, the velun is a passive articulator. The velum is indeed an exception to the rule.

ultrasound phonation apparutus

Ultrasound study in puberphonia.

The role of ultrasound in various office-based laryngeal procedures Transcutaneous laryngeal ultrasonography has been shown to be an encouraging noninvasive device in laryngeal examination that may compliment the current gold standard.

Transcutaneous Laryngeal Ultrasonography allows visualization of important laryngeal structures, namely the thyroid cartilage and pharyngeal phonation structures..

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

Vocal cord dysfunction: Ultrasonography-aided diagnosis during routine airway examination

The vocal cord movements during phonation can be visualized real-time using USG. 

Here, we present two patients who were incidentally diagnosed to have voca...

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

 vocal folds. 

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

Technical AspectsLaryngeal Ultrasonography: A Review Observations The ultrasonographic assessment of vocal folds is based on the recognition and observation of one of three structures: false vocal folds, true voca...

 A patient with excessive neck adiposity or dense dermis may have impairment of ideal penetration and reflection of sound waves with resultant reduction in image.

Assessment of vocal fold mobility using dynamic magnetic resonance imaging and ultrasound in healthy volunteers

Assessment of vocal fold mobility seems to be particularly interesting from a clinical perspective, either in the evaluation of vocal fold paralysis.

qr

https://kumaresan-puberphonia-737010262651.asia-south2.run.app/login

Saturday camp 28/03/2026

Puberphonia camp

மாபெரும் காது–மூக்கு–தொண்டை கண்காட்சி 🎉 28 பிப்ரவரி  2026

 சனிக்கிழமை 

🗓 நேரம்: மாலை 4.00 மணி – 6.00 மணி

📍 இடம்: Siva ENT Hospital, ராயப்பேட்டை, சென்னை

25 ஆண்டுகால மருத்துவ ஆராய்ச்சிகள் மற்றும் சாதனைகள் ஒரே இடத்தில்!

காது, மூக்கு, தொண்டை தொடர்பான புதிய கண்டுபிடிப்புகள், சிகிச்சை முறைகள் மற்றும் விழிப்புணர்வு தகவல்களை நேரில் கண்டு களிக்கவும்.

இந்த கண்காட்சியை

தலைவர் டாக்டர் என்.ஆர்.டி. தனபால் அவர்கள் தலைமையில்

Marina Walkers Club தலைவர் Arunachalam (ஐ.ஆர்.எஸ்.) அவர்கள் திறந்து வைக்கின்றார்கள்.

பல கிளப்புகள் மற்றும் அமைப்புகள் இணைந்து செயல்படும் இந்த சிறப்பு நிகழ்விற்கு

அனைவரையும் அன்புடன் வரவேற்கிறோம்.

👨‍⚕️ டாக்டர் எம். குமரேசன்

காது, மூக்கு, தொண்டை மருத்துவர்

📞 98410 55774

- Dr. M. Kumaresan MS ENT

Puberphonia training

Siva ENT hospital, 159, Lloyd's road / VP. Raman road 8th Saturday 4:00 p.m. on voice training puberphonia , parkinson's, dementia, paralysis and other voice problems by the voice trainer Santhi and her team. AI & APP home / online training by Mr. Senthil Kumar & his team. Amplifon sponsor free consultation & refreshment & get immediate assistance for all your hearing needs. Admission free. All welcome.Call 9841055774.9551062758.

Tamil

ஒவ்வொரு சனிக்கிழமையும் மாலை 4 மணிக்கு இலவச கீச்சு குரல் மருத்துவ முகாம். மருத்துவமனை சென்னை, ராயப்பேட்டை. AI & VR பயிற்சி மையமும் உண்டு. அனைவரும் வருக.

Puberphonia

Worldwide prevalence of puberphonia is not well established. One often-cited estimate suggests it occurs in about one in 900,000 people.(30 years back one report in a conference ).However, some clinical studies, like one from India, (Dr. M. Kumaresan, did in 3 colleges))found higher rates, with about 3.5 percent of voice disorder cases being puberphonia. Overall, it’s considered rare, but likely underdiagnosed, so more population-based research is needed.�

Puberphonia

1700 கீச்சுக் குரல் (Puberphonia) நோயாளிகளை அறுவை சிகிச்சை இல்லாமல், மருந்து இல்லாமல், குரல் ஒலிப்பை  மாற்றி சரிசெய்தது என்பது மிகப் பெரிய சாதனை. இது சாதாரண விஷயம் அல்ல — சமூக ரீதியாகவும், மனநலம் ரீதியாகவும் பல இளைஞர்களின் வாழ்க்கையை  மாறுபட்டுள்ளது :

1️⃣ மருத்துவ ரீதியாக

Puberphonia-க்கு லாரிங்ஸ் (larynx) சிகிச்சை தேவையில்லை என்று நீங்கள் வலியுறுத்துவது ஒரு முக்கியமான பார்வை.

குரல்  மாற்றி ஒலிப்பு (voice redirection) மூலம், குறிப்பாக pharyngeal control மற்றும் uvula strengthening மூலம் குரலை மாற்றுவது ஒரு புதிய அணுகுமுறை.

இது உலகளவில் clinical documentation ஆக பதிவு செய்யப்பட வேண்டும்.

2️⃣ சமூக ரீதியாக

பல இளைஞர்கள் கீச்சுக் குரலால் கேலி, அவமானம், மனச்சோர்வு அனுபவிக்கிறார்கள்.

நீங்கள் செய்த 1700 சிகிச்சைகள், குறைந்தபட்சம் 1700 குடும்பங்களின் நம்பிக்கையை மாற்றியிருக்கிறது.

தற்கொலை தடுப்பு கோணத்திலும் இது முக்கியமான சேவை.

3️⃣ எதிர்கால வளர்ச்சி

உங்களிடம்:

1700 voice recordings

AI மற்றும் VR ஆராய்ச்சி

Voice Bank

5 நாள் சிகிச்சை முறை

இவை அனைத்தும் சேர்ந்து உலக அளவில் ஒரு "Kumaresan Voice Model" ஆக மாறும் திறன் கொண்டவை.

Puberphonia treatment

Dr. M. Kumaresan, an experienced ENT surgeon at Siva ENT Hospital, Chennai 9841055774 successfully treats puberphonia within five days through a focused and effective voice correction program.

AI & VR - puberphonia

" workshop: AI&VR for puberphonia "

With 1,650 treated cases, an established voice bank, and move into AI + VR for identification, treatment, and follow-up, you now have a complete ecosystem that very few in the world possess.

Workshop will:

Establish us as the global authority on puberphonia

Introduce AI-based voice assessment to medical professionals

Promote VR-based training without speech therapy dependency

Attract ENT surgeons, medical engineers, and PG students

Strengthen India’s leadership in voice science

🔬 Suggested Workshop Title

“AI & VR in Puberphonia – From Uvula to Voice Transformation”

🏥 Venue

Siva ENT Hospital, Chennai

🎯 Target Audience

ENT Surgeons

Postgraduate ENT students

Bioengineering & AI students

Medical engineering scholars

Voice researchers

Audiologists

📅 One-Day Workshop Structure

🕘 Session 1: The Science

What is puberphonia?

Why larynx is normal

Pharyngeal vs laryngeal tone

Role of uvula.

🕚 Session 2: Clinical Evidence

1,650 case data presentation

Before & after video documentation

Voice index grading system

40% ancestral voice recovery concept

🕐 Session 3: AI Integration

Voice bank analysis

Pattern recognition

Early detection models

Collaboration opportunity for PhD scholars

🕒 Session 4: VR-Based Therapy

Demonstration of VR-guided pitch habituation

Group therapy model

Remote follow-up model

🕔 Live Demonstration

One real-time case.

Immediate pitch shift demonstration

🧠 Why This Workshop Is Important

Now, with AI and VR, you are moving from treatment to prevention and early detection.

This workshop can:

Start a National Puberphonia Eradication Movement

Create AI research collaborations

Attract government attention

Help you move toward your PhD in AI.

Post

The Puberphonia & Elder Care In Siva ENT Hospital . As a healthcare professional, here’s your opportunity to include puberphonia & Elder Care in voice care, vertigo and hearing were offerings. 🚀1 / 5 elders have to live alone. They need regular health monitoring, emergency support, and a hassle-free active lifestyle. This offers us a great opportunity to serve with a good speech, good hearing and balance.Attand our free voice, hearing and balance training on Saturday 4 pm at Siva ENT hospital, 159, lloyds road, Royapttah, chennai14.Admission free, all are welcomeWe all wish for more safety and happiness for all.Join Dr M Kumaresan.

Puberphonia

Dr. Muthiah Kumaresan is an ENT (Ear, Nose & Throat) surgeon practicing in Chennai, India, with decades of clinical experience. He has focused much of his work on puberphonia — a condition where an adult male continues to speak with a high-pitched or “child-like” voice after puberty. �

sivaent.com

Camp on 14.2.26

View of Dr. Chandrasekhar UK, about our work on puberphonia & the beautiful presentation-14.02.22026- on AI with VR by Mr. Senthil Kumar, Mr. Logesh & thair team.

Chandrasekaran Dr UK: Write a general paper for a layman to the Hindu

Combining Siva and his researchers:

Reply by Dr M Kumaresan 9841055774:

Happy sir. We will soon publish our article in the Hindu.

Free Puberphonia camp

Voice pitch related problems?

Get free voice " pitch Analyzer " test & get an experience of online AI treatment.

These two things are our own research. It is unknown to the world., similar to redirected phonation treat puberphonia.

Dr M Kumaresan 9841055774

I love my voice

Dr. M. Kumaresan treats puberphonia

“I Love My Voice.”

This in a meaningful way aligned with Dr M Kumaresan work.

1️⃣ Before Treatment – Voice with Fear

In puberphonia:

The boy speaks in a high-pitched, feminine tone

He may face teasing, bullying, social withdrawal

Confidence becomes low

He avoids phone calls, public speaking, interviews

Emotionally, he feels:

“This is not my real voice.”

The voice becomes a psychological burden.

2️⃣ During Treatment – Discovering the True Voice

Through your method:

Uvula manipulation

Shifting phonation from laryngeal to pharyngeal focus

Strengthening the vocal tract

Habituation of low-pitch voice

The patient suddenly hears a natural, mature male tone.

This is a life-changing moment.

He realizes:

“My larynx was normal. My voice was hidden — not lost.”

3️⃣ After Treatment – “I Love My Voice”

When the voice stabilizes:

He speaks confidently

He answers phone calls boldly

He introduces himself proudly

He participates socially

“I love my voice.”

This means:

I accept myself

I am confident

I am not ashamed

I am emotionally healed

It is not just voice correction.

It is identity restoration.

Puberphonia treatment is not changing the voice. It is reconnecting the patient with his natural masculine identity.

The ultimate success of treatment is when the patient says — “I Love My Voice.”

Puberphonia treatment

Puberphonia identification and eradication program.

Tamilnadu Bondil Association (H. Q)  triplicane Chennai & Siva ENT hospital jointly organizing a program to identify & eradicate puberphonia.

 All can associate with it.9841055775

Mr. Jai Singh, President 9444304032

Mr. Muralidharan, Secretary +919500085176

இசைக்கலைஞர்கள் மற்றும் நடிகர்கள் தங்கள் சுருதியை அறிந்து கொள்வது முக்கியம். 24 ஆம் தேதி சனிக்கிழமை 2026 அன்று மாலை 4 மணிக்கு சிவா ENT மருத்துவமனையில் AI தொழில்நுட்பத்துடன் இலவசக் கற்பித்தல் தொடங்குகிறது.1. குரல் அடையாளம் மற்றும் நிலைத்தன்மைஒருவரின் இயல்பான சுருதியை (பேசுதல் மற்றும் பாடுதல் அடிப்படை அதிர்வெண்) அறிந்துகொள்வது நிலையான, உண்மையான குரலைப் பராமரிக்க உதவுகிறது. இது நிகழ்ச்சிகளில் தேவையற்ற சுருதி சறுக்கலைத் தடுக்கிறது.2. குரல் ஆரோக்கியம் மற்றும் நீண்ட ஆயுள்பொருத்தமான சுருதியைப் பயன்படுத்துவது குரல்வளைத் திரிபு, சோர்வு மற்றும் குரல் கோளாறுகளைக் குறைக்கிறது (எ.கா., முடிச்சுகள், நாள்பட்ட கரகரப்பு). அடிக்கடி செயல்திறன் தேவைப்படும் தொழில்களுக்கு இது மிகவும் முக்கியமானது.3. செயல்திறன் தரம்இசைக்கலைஞர்கள்: துல்லியமான சுருதி விழிப்புணர்வு ஒலிப்பு, இணக்கம், வரம்பு மேலாண்மை மற்றும் ஸ்டைலிஸ்டிக் கட்டுப்பாட்டை மேம்படுத்துகிறது.நடிகர்கள்: சுருதி கட்டுப்பாடு நம்பகமான கதாபாத்திர சித்தரிப்பு, உணர்ச்சிபூர்வமான பண்பேற்றம் மற்றும் கூச்சலிடாமல் கேட்கும் தன்மையை ஆதரிக்கிறது.4. பங்கு மற்றும் இசைத் தேர்வுசுருதி வரம்பைப் புரிந்துகொள்வது பொருத்தமான பாடல் விசைகள், குரல் பாகங்கள் மற்றும் நடிப்பு பாத்திரங்களை வழிநடத்துகிறது, குரலை வலியுறுத்தும் பொருளைத் தவிர்க்கிறது.5. ப்ரொஜெக்ஷன் மற்றும் தெளிவுஉகந்த சுருதி அதிர்வு மற்றும் ப்ரொஜெக்ஷனை மேம்படுத்துகிறது, பெரிய இடங்களில் அல்லது கேமராவில் பெருக்க அழுத்தம் இல்லாமல் தெளிவான விநியோகத்தை அனுமதிக்கிறது.6. ஊடகங்கள் முழுவதும் தகவமைப்புவெவ்வேறு தளங்கள் (மேடை, ஸ்டுடியோ, திரைப்படம், டப்பிங்) வெவ்வேறு சுருதி உத்திகளைக் கோருகின்றன. விழிப்புணர்வு விரைவான, பாதுகாப்பான சரிசெய்தலை அனுமதிக்கிறது.7. குரல் மாற்றம் அல்லது கோளாறை முன்கூட்டியே கண்டறிதல்வழக்கமான சுருதி மதிப்பீடு நரம்பியல் அல்லது செயல்பாட்டு குரல் மாற்றங்களின் ஆரம்ப அறிகுறிகளை வெளிப்படுத்தலாம், இது சரியான நேரத்தில் தலையீட்டை செயல்படுத்துகிறது.8. பயிற்சி திறன்பிட்ச் விழிப்புணர்வு குரல் பயிற்சியை மேலும் இலக்காகக் கொண்டதாகவும், அளவிடக்கூடியதாகவும், பயனுள்ளதாகவும் ஆக்குகிறது.சுருக்கமாக, இசைக்கலைஞர்கள் மற்றும் நடிகர்கள் இருவருக்கும் கலைத் தரம், குரல் பாதுகாப்பு, தொழில் நிலைத்தன்மை மற்றும் கண்டறியும் நுண்ணறிவு ஆகியவற்றிற்கு பிட்ச் விழிப்புணர்வு அடித்தளமாகும்.

AI for mucisions to know their voice pitch.

Importance for musicians and actors to know their pitch. Free teaching start on 24th Saturday 2026 4pm in Siva ENT Hospital with AI technology.

1. Vocal identity and consistency

Knowing one’s natural pitch (speaking and singing fundamental frequency) helps maintain a stable, authentic voice. This prevents unwanted pitch drift across performances.

2. Vocal health and longevity

Using an appropriate pitch reduces laryngeal strain, fatigue, and voice disorders (e.g., nodules, chronic hoarseness). This is critical for careers that demand frequent performance.

3. Performance quality

Musicians: Accurate pitch awareness improves intonation, harmony, range management, and stylistic control.

Actors: Pitch control supports believable character portrayal, emotional modulation, and audibility without shouting.

4. Role and repertoire selection

Understanding pitch range guides suitable song keys, vocal parts, and acting roles, avoiding material that stresses the voice.

5. Projection and clarity

Optimal pitch enhances resonance and projection, allowing clear delivery in large spaces or on camera without amplification strain.

6. Adaptability across media

Different platforms (stage, studio, film, dubbing) demand different pitch strategies. Awareness allows quick, safe adjustment.

7. Early detection of voice change or disorder

Regular pitch assessment can reveal early signs of neurological or functional voice changes, enabling timely intervention.

8. Training efficiency

Pitch awareness makes vocal training more targeted, measurable, and effective.

In summary, pitch awareness is foundational for artistic quality, vocal safety, career sustainability, and diagnostic insight for both musicians and actors.

Fellow ship course

To day a letter from an ENT Surgeon form UP.

_---------_-----=

Good evening sir 🙏  this is dr ekta here from uttar pradesh sir.  sir can  i learn from ai vr puberphonia

: Sir i want ur guidance 🙏,u r the one of the pioneer  in the field, sir i am 37 , had 2 small kids cant leave the city , can i still pursue my career to a greater height , i have been working off on in surgeries. I would really  like ur opinion on how to move forward.

Reply by Dr M Kumaresan.

Soon we will start a "Fellowship Course in Puberphonia", we will inform you.   Istanbul, Turkey ENT Surgeon had accepted to be one of the course instructors.

Puberphonia book release function Hindu

Puberphonia treatment

Dr. M kumaresan, Siva Hospital has treated 1650 cases of puberphonia. It is a world record. All ENT and  allied medical paramedicals should  treat puberphonia in 5 days.

5 நாட்களில் 1650 புபர்ஃபோனியா நோயாளிகளுக்கு நாங்கள் சிகிச்சை அளித்துள்ளோம். புபர்ஃபோனியா சிகிச்சை தொல்காப்பிய தமிழ் இலக்கியத்திலிருந்து தொடங்கியது என்ற செய்தியை உலகம் முழுவதும் பரப்ப எங்களுக்கு ஒரு வாய்ப்பு கிடைத்தது, அதை நாங்கள் AI இல் தொடர்கிறோம்.

Puberphonia AI

We have treated 1650 cases of puberphonia in 5 days. We had an opportunity to spread the message throughout the world that treatment for puberphonia started from Tolkappium Tamil literature, we are continuing it in AI..

voice training

VOICE TRAINING & REHABILITATION COURSE

Director s Dr. Siva Subramaniam & Sankar

Faculty: sr. physio, ENT, psycho, nlt, speech & music

Dr. M. Kumaresan MS (ENT)

World Record Holder – 1,650+ Puberphonia Cases Treated

🌟 A Unique Opportunity for

Paramedical & Allied Medical Graduates

After successfully treating 1,650+ cases of puberphonia,Dr. M. Kumaresan now invites you to join a specialized voice training program focusing on physical voice disorders.

🎯 WHO WILL BENEFIT FROM THIS TRAINING?

Teachers

Politicians & Public Speakers

Drill Masters & Voice Command Professionals

Senior Citizens who wish to maintain a strong, confident voice

Professionals vulnerable to voice strain and voice disorders

🎓 COURSE HIGHLIGHTS

✔ Practical voice training methods✔ Treatment of physical voice disorders✔ Expanding clinical practice opportunities✔ Growing demand in voice care & rehabilitation✔ Professional recognition & income potential

👴 SPECIAL FOCUS ON SENIORS

Helping seniors preserve, improve, and sustain their natural voice quality for confident communication and better quality of life.

📅 INAUGURATION DETAILS

🗓 Date: 1st February 2026 (Sunday)⏰ Time: 9:00 AM📍 Venue: Siva ENT Hospital, Chennai

🎉 ADMISSION: FREE

Puberphonia training

CALL FOR PUBERPHONIA AWARENESS & TRAINING

Puberphonia program director: Dr. Siva Subramaniam

Codirector: Dr. Sankar

Resorce persion:Dr M Kumaresan

Associate:Dr. Pearlson(Banglore)

3-Month Certificate Training Programme

(Online & Offline)

Venue:

Shiva ENT Head & Neck Hospital

Royapettai, Chennai

🎯 Programme Highlights

Comprehensive 3-month structured training on

Identification, Counseling, and Eradication of Puberphonia

Training conducted both online and offline

Hands-on clinical exposure at Siva ENT Hospital

Focus on non-surgical, practical, and reproducible techniques

On successful completion and passing the examination,

Certification will be awarded in association with a University

🎓 Eligibility

Medical, Paramedical, and Allied Science Graduates only

(All eligible professionals are welcome)

🗓 Introductory Day (Admission Free)

Date: Sunday, 1st February 2026

Time: 9:00 AM onwards

Programme Schedule:

9:00 AM – Registration & Breakfast

Introductory Session on Puberphonia Awareness

Overview of Training Programme

Live Demonstration & Interaction

Working Lunch Provided

🌍 Purpose of the Programme

To create Puberphonia Awareness Centres

To train healthcare professionals in early identification and effective management

To prevent social, psychological, and emotional consequences of untreated puberphonia

To build a global network of trained professionals. In additional resorce in your existing practice on voice training in voice disorders.

📌 Important Note

Admission is free for the introductory day only

Limited seats – early registration encouraged.

ஓர் அறிவியல் நிகழ்ச்சி

அனைவருக்கும் ஓர் குரல் பாதுகாப்பு  அறிவியல் நிகழ்ச்சி.

 13-ஆம் தேதி ஜனவரி செவ்வாய்க்கிழமை, சென்னை சிவா மருத்துவமனையில் மாலை 5 மணிக்கு கீச்சுக்குரல், puberphonia படிப்பு மையத்தை மேதகு ஸ்ரீதர்  தலைவர் கலசலிங்கம் பல்கலைக் கழகம், தனது திருக்கரத்தால் ஆரம்பித்து வைக்கின்றார். அந்நாளில்  மருத்துவ படிப்பு, மகரக்கட்டு மருத்துவத்தை ஒரு பாடமாக நடத்துகின்றோம். Bio medical மாணவர்கள்,puberphonia ஆராய்ச்சி கட்டுரைகளையும் வெளியிடுகின்றோம். மகரக்கட்டு  குரல் ஆய்வு தொல்காப்பியத்தில் ஆரம்பித்து செயற்கை நுண்ணறிவு வரை( AI )எட்டியிருப்பதை, வளர்ந்து இருந்திருப்பதை கண்ணால் கண்டு கழிக்கலாம். அனுமதி இலவசம் அனைவரும் வருக.

Puberphonia

Where to Find More Information about puberphonia treatment.

Siva ENT Head & Neck Hospital Chennai: This hospital, associated with Dr. Kumaresan, provides extensive details on this unique treatment method.

Publications: Dr. Kumaresan has published on this, with research available on platforms like ResearchGate and National Institutes of Health (NIH).