Voice in classical language

Vocal fold, epiglottis, uvula, tongue and lips can vibrate to produce sound energy. Going back to the origin of the word Voice, in its root it means speech (voc, in old Sanskrit, "to say”: Vox, in Latin, "to speak"); and has been associated, since its origin, with the qualification of a sound uttered by the mouth in the form of speech or song. The real essence, therefore, of the physical product of the vocal apparatus-the voice as speech was established since the birth of civilization by means of the old classic languages.

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Oro pharyngeal facilitation, Procedure by Dr M Kumaresan in puberphonia treatment:

Ask the patient to relax the jaw, tongue, and neck.

Begin with gentle humming, such as /  ஆ mʌ or other comfortable syllables.

Encourage an easy transition from humming to speech.

Avoid excessive laryngeal constriction or deliberate throat tightening.

The voice should come from the throat.

Relax larynx and activate pharynx.

Puberphonia treatment is converting laryngeal voice to pharyngeal voice

  Puberphonia treatment primarily involves shifting from a high-pitched laryngeal phonation (using tense true vocal cords in the larynx) to a normal modal male voice, or in specialized methods like Uvula Manipulation and Resonance (UMAR), utilizing pharyngeal phonation where the pharyngeal walls, soft palate, and uvular region contribute to lower, stable resonance.

Laryngeal vs. Pharyngeal Phonation

• Laryngeal Phonation (Standard Voice The

• How treatment works: Speech-language pathologists use techniques like manual laryngeal depression (gently pushing down on the thyroid cartilage/Adam's apple), coughing, humming, or Y-sigh exercises to drop the larynx and relax the vocal cords.

• Pharyngeal Phonation (e.g., UMAR Method):

• Primary structures: Pharyngeal walls, soft palate, and uvula.

Specialized approaches like Uvula Manipulation and Resonance (UMAR) shift resonance and acoustic coupling away from tight laryngeal tension toward the pharynx to achieve a deep, natural male pitch.

• Voice Therapy (First-Line Treatment):

• Non-surgical and usually curative within days to a few weeks.

• Involves pitch correction exercises, diaphragmatic breathing, vegetative vocalisations (coughing, throat-clearing, laughing to trigger the modal register), and laryngeal repositioning.

• Surgical Options (Rare Cases):

• Considered only if voice therapy fails.

• Procedures like Ishak Type 3 Thyroplasty or UMAR interventions physically alter or relax the laryngeal uvular framework to permanently low pitched voice.

Puberphonia treatment

pharyngeal voice is a standard treatment technique for puberphonia in UMAR.1)

Establish a comfortable lower pitch: Use gentle humming or resonant voice exercises. 2)A gentle snoring followed by sustained vowel production, when clinically appropriate.3)Reduce excessive laryngeal tension.

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Dr M Kumaresan