Wednesday, 5 August 2020

Puberphonia treatment

Puberphonia/boys talking in female tone treated in 1 day with 21 days home-care habituation 
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Dr.Muthiah Kumaresan M S (ENT ); DLO
 Siva ENT Hospital, 295, Triplicane  High road, Triplicane, Chennai 600004.
E-Mail:  kumaresan@doctor.com
       Cell;  09 9841055774
Dr.Navin Bharath M S ( ENT )
 Department of  Otorhino Laryngology , Saveetha Medical College, Kuthambakkam, Chennai 600124. 
Introduction
We noticed low pitch voice in puberphonia while doing endoscope to examine larynx and while patient is asked to say few words with protrusion of tongue, cough, yarn or snore. This results in the change in the air flow and resonance, which is the physiological mechanism that reduces pitch (1). We followed this direct voice change method by manipulating the uvula.We maintained the same required low pitch voice by resonating with breath of fire breathing practice in 400 puberphonia males in our small center. 50% of the reported puberphonia cases had given the history of attempted suicide. 
Method
  The selected case is taken to the minor operation theatre. Under xylocaine (10% w/v) spray surface anesthesia a silk thread is placed in the uvula by suturing or knots, followed by breath of fire of breath training in the theatre itself ( ENT surgeon ). On the first instance it-self 90% many resume lower pitch voice.
 Result
 The treatment is done without any surgery in the vocal tract most of the clients get the ancestral voice that makes them and us happy! Enrich puberphonia patients life with ancestral voice by an innovative, noninvasive, successful uvula, the accessory speech organ, resonance manipulation treatment. Our experience reveals that the puberphonia is not a disease, but it is a life experience.  5% patients resist changing their voice in spite of the effort we put, even after review, probably, we think, due to some other unknown lifestyle or pathology.
Conclusion
Importance of uvula as an accessory organ for speech, as uvular trill, uvular consonant is brought out and its manipulated resonance treat puberphonia. First line of treatment is by Otorhino Laryngologist to fight puberphonia devastation.
Take home message
1. Puberphonia is a very common problem. 2. It needs treatment and treatment available. 3. It is not a hormonal disease and physiological disease. 4. Puberphonia boys are smart and intelligent. 5. Bad parenting is not the etiology for puberphonia and. 6. Curable. 7. Patient get back the ancestral tone speech.

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