Siva ENT Head & Neck Hospital

Saturday 27 April 2019

Puberphonia awareness programs for Pubic and Students

Puberphonia awareness programs for Pubic and Students

The idea was to bring about awareness on the role treatment of puberphonia for the benefit of all.

One major project

Vision:

Is to be an effective catalyst in social accepted life for puberphonia boys after treatment.

Mission: Is to promote the availability of early treatment by a simple pharyngeal resonance manipulation. No operation, no medicine required.

1. Dedicated to treat puberphonia because we believe that everyone has a social responsibility towards the wellbeing of the boys and the whole world.

2. Main goals are to preserve boy’s male voice.- to strengthen the bond between male and female.

To promote awareness of the treatment

We believes that real progress in family and social binding is the sincere partnerships based on the given male and female voice and mutual family relation with local communities, organizations and citizens, especially young people.

As a citizen volunteer

1. Join the movement in your area/ Start a movement in your area.

For more information.
2. Arrange for / enroll for a friendship with SIVA ENT Hospital.
3. Survey puberphonia in your area.
4. Report abuse of puberphonia boys.
5. Our volunteers are available to assist you in your area and facilitate programs and connect.

Write to kumaresan@doctor.com

Proforma / Puberphonia/ followed in SIVA ENT Hospital

Proforma / Puberphonia/ followed in SIVA ENT Hospital

1. Name
2. Age
3. Family history
4. Study
5. Work
6. Marriage
7. Children
8. Happy with parents
9. Happy with wife(family)
10. Happy with neighbors
11. Age at presentation OF 1st symptom. How he recognized
12. Gender on phone
13. Presenting complaints( at first visit )

The voice qualities associated with puberphonia include:
• high pitch
• low intensity
• breathlessness
• breaks in phonation and frequency
• neck and throat tension

Emotional stress
• Delayed development of secondary sex characteristics
• Resistance to pubertal changes
• Self-consciousness resulting from an early breaking of the voice
• Self-consciousness resulting from emerging adulthood
• Excessive admiration of another male or sibling
• Excessive maternal protection
Organic causes of Puberphonia include:
• Laryngeal muscle tension which then causes laryngeal elevation
• Muscle In coordination
• Congenital anomalies of the larynx
• Vocal fold asymmetries
• Unilateral vocal fold paralysis
• Non fusion of the thyroid laminae. When this is the case, it is important that hypogonadism is ruled out, as this may be the cause.
• Puberphonia may be related to the larynx or an undeveloped natural tenor voice, changes in hormonal development, congenital anomalies of the larynx and vocal fold asymmetries, minor structural changes (particularly the sulcus), unilateral vocal fold paralysis, laryngeal diaphragm, debilitating disease during puberty, neurological disease with hypotonia, in coordination of the vocal folds, deep breathing or hearing impairment (
a) respiratory distress
14. Total number of doctors/speech therapist seen to date
15. Surgery done– yes/ no
The stroboscopic evaluation provided measures of vibratory behavior of the vocal folds such as presence or absence of mucous wave, vibratory symmetry, and amplitude; type of glottic closure; hyper function; arytenoids movement and symmetry; ventricular movement, etc. Stroboscopy also yielded a measure of the patient's fundamental frequency during sustained phonation.
Therapy tried

Physician
ENT Surgeon
Speech therapy
Other therapy
10.Surgical
12. Ancillary treatment,Tonsillectomy etc
GRBAS scale.
GRBAS (Grade, Roughness, Breathlessness, Asthenia, Strain) scale.

measurement of the maximum phonation time (MPT).Interpreting MPT. Typically, with no laryngeal pathology, adult males can sustain vowel sounds for between 25-35 seconds and adult females between 15-25 seconds.
This scale consists of judgment of voice quality on the basis of Grade (G), Roughness (R), Breathless (B), Asthenia (A), and Strain (S) in voice production. The severity was graded on a 4-point rating scale, on which 3 being worst and 0 being normal.
13. General distress