Showing posts with label Siva ent hospital. Show all posts
Showing posts with label Siva ent hospital. Show all posts

Sunday 19 February 2023

A NEW IN PUBERPHONIA

A new concept of puberphonia treatment Part II
Dr.M.Kumaresan MS(ENT), DLO. & Dr.K.Navin Bharath MS(ENT)
Chapter 1. Puberphonia (non-mature voice)
The non-matured voice in males during puberty is called puberphonia. Puberphonia is also known as mutational falsetto, functional falsetto, incomplete mutation, adolescent falsetto, pubescent falsetto, juvenile voice, and childish voice. There are many myths and misconceptions about puberphonia. One percent of the population is born with a predisposition to speak in a different way; one such issue is puberphonia, or boys speaking in a female tone. This topic is important to the prospective public and health care workers because it is a specific, relevant, common condition with an unknown etiology. It's a great way to make awareness and treatment available. It offers readers a chance to try out our new non-invasive, outpatient treatment methods for an easily recognized, common, unattended ENT problem. The study concluded that other problems of puberphonia include depression, loneliness, cowardice, low self-esteem, an inferiority complex, and thoughts of suicide, which would be the take home message from our long experience of 29 years in treating puberphonia.
Chapter 2. Voiced sound and unvoiced sound
Soft Palate:
The soft palate is made up of a series of muscles that allow it to press down, as part of swallowing, and to rise up, creating space for yawns and bright open sounds. These muscles, especially the tensor palati, can also clear the Eustachian, or auditory, tubes, creating the ear popping familiar on plane rides.
The tensor and levator palati form a "sling,"  lifting the soft palate up and backward, closing off the entrance to the nasal cavities above by coming into contact with the pharyngeal wall. This is essential to articulating the difference between a vowel sound, where the voiced sound flows through the oral cavity, and a nasal vowel and consonant, where the voiced sound flows through the nasal cavity. This often happens so quickly on sounds like "on, on, on" or "no, no" that we cannot feel the action of the soft palate.
The remaining muscles tend to close off the opening to the oropharynx. It is useful to learn to feel their action so that you can then relax the muscle. The levator and tensor palati muscles may also stretch the muscles long and wide. The palatoglossus is connected to the tongue, while the palatopharyngeus is connected to the pharynx. The former can depress the palate or raise the back of the tongue. The latter forms a sandwich above and below the levator palati. Essential in swallowing and gagging, the palatopharyngeus can also raise the larynx. Relaxing it for spoken or sung communication is essential.
Chapter 3: 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.
Where the voice resonates will determine what type of tone and range it will have. The word ‘tone’ describes the color of the voice: bright, dark, warm, round, rich- these are all words that describe tone. The word ‘range’ describes how high or low the voice will sound.
R1 will have a significant effect on the tone and range of the voice because it controls the amount of bass. Testosterone in the body will enlarge the pharyngeal and laryngeal areas, causing R1 to drop. This position for R1 will add bass- creating the low range and rich tonal quality associated with the male voice. By contrast, a high position for R1 will minimize the amount of bass, producing a voice that is perceived as female. The most difficult aspect of feminising the voice is learning to create and maintain a high R1.In fact, 70-80% of the work will be targeted here.
With specific vocal exercises, it is possible to train the body to narrow the pharyngeal/laryngeal areas, counteracting the effects of testosterone. This allows R1 to move to a higher position, producing the tone and range of the female voice.
R1 can be complex. If you want to learn more, schedule a consultation here.
What is R2?
Within the vocal mechanism, there are different areas where the voice will resonate, or "vibrate." In our previous article, we discussed R1. The second resonance area, R2, is the oral cavity — or in simpler terms, the mouth. It is the secondary gender control knob in trans voice.
While R2 is an important factor in vocal style and vowel control, it is less vital to vocal feminization than R1. However, out of all the vocal resonance areas, R2 can create the widest range of possible frequencies (low – high 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.
R2 is primarily controlled by the position of the tongue—more specifically, it is controlled by the position of the tongue apex (tip of the tongue) and the tongue body (center of the tongue). As the tongue moves during speech and singing, it will either increase or decrease space inside the mouth. When the tongue is bunched up or lifted close to the roof of the mouth, the space inside the mouth becomes smaller. When the tongue lies flat against the floor of the mouth, the space becomes larger.
Through vocal exercises, the tongue can be trained to sustain specific positions, thereby creating whatever frequencies are desired. These frequencies will contribute to the perceived gender of the voice. This training will also increase control, clarity of pronunciation, and personal style.
Need help getting a handle on R2? Schedule a consultation with us here.
What is R3?
We discussed how resonance in R1 and R2 affects trans voice training in previous articles.In this article, we will discuss R3, the third resonance chamber in the vocal tract.
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. Retroflection is when the tongue apex is lifted and bent backwards. This happens during the creation of certain consonants, such as "r."
Precise treatment of consonants in R3 can create a powerful resonance that is used in overtone singing— a rare type of performance where a vocalist sings multiple pitches at the same time. However, for most trans singers, R3 will be an area of fine-tuning. Since the placement of the tongue apex can affect the entire tongue position, R3 can have a domino effect on R2 and R1. Proper use of the tongue apex and lips will allow a singer to access laser sharp resonance, more precise tuning, and clear pronunciation. For this reason, R3 is vital to gaining full vocal expression, and is an important area of study in trans voice training.

Chapter 4. Muscle memory.
Our treatment gives permanent, everlasting relief from puberphonia. We create muscle memory. Muscle memory is a neurological process that allows you to remember certain motor skills and perform them without conscious effort. We’ll help you build vocal awareness and teach you how to apply what you’ve learned, so you can keep your voice controlled and consistent.
Chapter 5. Singing time moves the hand to move the diaphragm.
With abdominal breathing and the raising of the hand, air travels along the movement of the hand. This is similar to muscle memory. This is called cross training. Cross training is key. You don’t need to go to the gym to do some squats to support your skiing posture. You can practise jumping rope to support getting yourself off the ground with a rebound or jump shot. Even if you can’t dive in the pool to practise your strokes, you can do some dips, rows, or butterfly presses to support your training.

Sunday 18 September 2022

message from Dubai

Foreign Puberphonia patient required me to train a local ENT surgeon.I am willing to train. Immediately he got a good relief as if the local ENT surgeon know our method of treatment.
God should help us.
Please share with me his/her WhatsApp number so I visit him when he's learned your method. My life is so miserable. I've been suffering from puberphonia for 22 years. I also have difficulty in getting voice out.

Wednesday 18 May 2022

program in SIVA

மகரக் கட்டு குரலை நீக்கி ,
கம்பீரக் குரலை மணித்துளி நேரத்தில்,
கொண்டு வரும் டாக்டர் குமரேசன் அய்யா 
தரும் நல் பயிற்சி 
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/-
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 5:00 pm except Sunday
Dr. M. Kumaresan MS ENT

Tuesday 1 June 2021

Puberphonia,learned healplessness

Puberphonia 
 Often, learned helplessness in puberphonia begins in adulthood and mostly they recognise after talking with girls for dating.The puberphonia boy spent almost the entity of childhood in a perpetual state of rejection and fear almost at every turn. He thus began turning in wards for escape. He began compulsively feminizing himself. Initially there was no consciously sexual impulse driving it, although that would change after puberty kicked it.Some puberphonia people who aren’t comfortable with how they sound won’t speak in public or pick up a phone; others won’t go out at all.
Processes In Learned Helplessness
Uncontrollability seems to be associated with increases in negative emotions such as anger, anxiety, and depression, reduction in observable aggression, and increased arousal. Self-esteem is particularly susceptible to learned helplessness. Our research findings imply that individuals who experience noncontingent outcomes may become increasingly likely to display the helpless pattern. We have demonstrated that failure to avoid the aversive event was associated with subsequent failure at a cognitive task, and that failure at a cognitive task was associated with failure to avoid the aversive event, effectively establishing “cross-modal helplessness”—generalization from one type of task to another. This was crucial to the advancement of the theory.
These findings continue to support the idea of helplessness as a coherent set of deficits, rather than simply a task-specific problem. Individuals who demonstrate helpless patterns make statements suggesting that they believe themselves to be personally responsible for failure, to attribute their failures to stable circumstances, and to state that these characteristics encompass their whole selves. In other words, they seem to believe that they have failed because they are stupid, they are going to remain puberphonic, and everything they do is stupid—controllability, cognitions, and behavior. This pattern is often referred to as “explanatory style,” and much research has gone into supporting the idea that humans tend to use a particular style to explain both good and bad events.
Why does learned helplessness affect some puberphonia people and not others?
How to overcome learned helplessness in puberphonia?
( continue )

Sunday 30 May 2021

9 doors, membranaphones mechanism treat Puberphonia

– puberphonia treatment by resonating various doors ( 9 doors) in the pharynx and mouth.
Breathe in and out gently through your nose if you can. If you cannot, breathe through your mouth instead. This is a manoeuvre used to move air, mobilised by deep breathing/thoracic expansion exercises, downstream towards the mouth. A huff (blow out air loudly) is exhaling through an open mouth and throat instead of coughing. Huffing helps moves air from the small airways to the larger airways. Puberphonia boy is requested to shout with open mouth. The voice should come from soft palate, not from the larynx. He can continue to practice with the thread inside the mouth. Regular voice therapy makes a permanent male voice. The important of  our therapy: The voice should come from the tooth, lip, tongue, nose and palate. Not from the larynx. Human voice has both a vibrating mechanism and a resonating mechanism. The vibrating mechanism by soft palate is the source of the sound waves, and the resonating mechanism in the nasal cavity refines, augments and amplifies those sound waves giving the low pitch character. The principle is a membranophones, such as drums or parai, means 'to speak' , which produce sound by a vibrating membrane. The percussion sticks is uvula, used are two in number and named after the quality of the sound they generate. The thin slender percussion stick is called “sunddu kucchi” (high pitch) and the other thick relatively shorter stick is called “adi kucchi” (base note). In current times, Parai is considered a musical art to express freedom.

Wednesday 26 May 2021

ladies speech

ஓங்காரி என்பாள் அவளொரு பெண்பிள்ளை
நீங்காத பச்சை நிறத்தை உடையவள்
ஆங்காரி யாகியே ஐவரைப் பெற்றிட்டு
ரீங்காரத் துள்ளே இனிதிருந் தாளே. திருமந்திரம்-1073.
ஓயாத சப்தமாக இருப்பதால் ஓங்காரி ஆகவும், புதியன படைப்பதால் பெண்பிள்ளை ஆகவும், அவள் மாறாத பச்சை வண்ணத்தால் ஆனவள். செயல்திறன் கொண்டு ஐந்து பூதங்களைப் பெற்று ரீங்காரத்தில் இனிமையாக இருந்தாள். பின்குறிப்பு – இறைமையை பெண்மையாக பார்ப்பதும் சரியே.
                       (Puberphonia treatment in my mind)

Wednesday 23 December 2020

Puberphonia Education

SIVA ENT Hospital (P) Ltd
Puberphonia ENT Research • Education Program
Welcome to Puberphonia ENT Research. It is created to Support Scientific Activities related to Puberphonia. We are doing a series of weekly online lectures given by top speakers in the field of Puberphonia..
The goal of Puberphonia ENT Research Education and Training program is to provide information on puberphonia specialty, educational links and resources, as well as dates of important upcoming Webinars and events.
It is divided in to three parts.
I. Puberphonia camp. Identification by trained volunteers at village level for census. Uplifting Society by Providing Innovative Solutions: A study of puberphonia, a Social Entrepreneurship.
II.Puberphonia cure centre. 
III.Puberphonia training. They can diagnose and treat puberphonia 
nia workshop.Traing ENT Otolaryngology residents, Fellows, interested.
MEET OUR FANTASTIC TEAM
1. Prof.Dr.R.Ponnudurai MD, DPM,MNAMS,PhD BC ROY Award, Clinical psychiatrist
2. Prof (Dr).K.Pearlson PT,MBT(Aus),COMT(Aus)Manual therapist , Founder President, Federation of Indian Manual Therapists FIMT
3. Dr.M.Kumaresan MS(ENT), DLO. FICS,FIMSA,FCCP, Science Popularization Award Govt of Tamil Nadu, Gold Medal Acoustic Society of America, SIVA ENT Hospital
4. Dr.K.Navin Bharath MS(ENT), ENT Deprtment, Saveetha Medical College
5. Mr. Elangovan Darling Parameswaran BASAP (Audiology and speech therapy)
Website – https://www.SivaENT.com
Facebook - https://www.facebook.com/sivaent
Twitter - https://twitter.com/sivaenthospital
YouTube – https://www.youtube.com/DrKumaresan
Whatsapp - https://wa.me/919841055774
Instagram – https://www.instagram.com/sivaent

Saturday 15 August 2020

App for puberphonia

I want app for identifying any male in public life having puberphonia/boys talking in female tone-Use of voice pitch analyzer in puberphonia, cough, yarning and snoring
Dr.M.Kumaresan,9841055774,kumaresan@doctor.com

Wednesday 5 August 2020

Puberphonia treatment

Puberphonia/boys talking in female tone treated in 1 day with 21 days home-care habituation 
==========================================
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.

Monday 13 July 2020

Tolkappiyam teaches treatment for puberphonia

தொல்காப்பியர் ஆய்வு 495,499,841
--------------------------------------------
ஆண்மை திரிந்த பெயர் நிலைக்கிளவி  
துவைத்தலும் ,சிலைத்தலும் , இயன்பலும்,இரங்கலும்
இரையை பொருள் கிளவி 
செப்பினும் வினாவினும் சினை முதல் கிளவிக்கு
அப்பொருள் ஆகும் உறழ் துணை பொருளே. 

(உறழ்- சூழன்று கோண்டிருக்கும்- uvula )

Puberphonia /Boys talking in female tone
by
Resonance manipulation at uvula Dr.M.Kumaresan,9841055774

Saturday 4 July 2020

Digital Puberphonia treatment,combine sentiment with software

Digital transformation Puberphonia treatment.It is not the change of plans of working,it adopts claints requirements . Digital transformation of puberphonia treatment.Not just a web, delivering exceptional treatment.

Wednesday 12 February 2020

V C is sound box/mouth is speech box

At the level of vocal cords air from the lung is loaded with noise energy only.Noise filled air travel in the pharynx and enter the mouth with additional air from all pharyngeal orifices.
The shape, length, and volume of the entire mouth chamber can be modified by the constrictive action of the muscles enclosing the mouth, and the movement of the tongue.By the raised position of the velum nasopharynx closes, which, when raised the uvula comes out in erected posture.Erected and elongated uvula divide the air filled with sound energy right and left and enter in to the mouth.
Mouth is closed by the lips.
In the mouth the air pressure increases.Noise filled air circulate inside the mouth.Get more energy.A a result, it is in the mouth that the voice pattern (distinctive voice quality) of an individual person is formed.
This is my new idea.We have to prove it.