Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 2 Issue 12

Puberphonia Treatment by Uvula Manipulation

Muthiah Kumaresan1* and Navin Bharath2

1Department of Otorhinolaryngology, Siva ENT Hospital, Chennai, India
2Department of Otorhinolaryngology, Saveetha Medical College, Chennai, India

*Corresponding Author: Muthiah Kumaresan, Department of Otorhinolaryngology, Siva ENT Hospital, Chennai, India.

Received: September 28, 2020; Published: November 18, 2020

×

Abstract

  Puberphonia treatment by uvula manipulation treatment acts as neuromuscular aerodynamic expiratory cycle breaker to enhance and improve the efficiency of the performance voice. Puberphonia is characterized by the persistence of childish/girls high pitch voice, breathy and hoarse sometimes associated with pitch breaks after puberty, especially in the absence of organic causes. The condition is most commonly seen in males who continue to use a high pitch in speech in post pubertal adult stage. About 1% of the population, are born with a predisposition to speak in a different manner, among that one is puberphonia. This prospective clinical study was carried out from January 2017 to March 2020 at Siva ENT Hospital with the aim to achieve better voice quality and improvement of pitch range, by direct uvula manipulation in puberphonic males. After uvula manipulation mostly there was immediate improvement in voice quality and permanent change in voice to low pitch by conditioned reflex assisted by recognizing the ancestral voice with breathing training. ENT surgeon can use a laryngoscope or strobe laryngoscope to see if there are any anatomical, physiological, neurological, psychological or improper doer problems. More than 90% of the cases it present as a functional problem where the anatomical and physiological elements are normal. It may be due to some other unknown lifestyle. ENT surgeons can do uvula manipulation to correct the puberphonia speech disorder and reduces the recurrence by breathing exercise.

Keywords: Puberphonia; Manipulation; Resonance; Dysphonia

×

References

  1. Kumaresan Muthiah and Navin Bharath Kumaresan. “Assess the Impact of Puberphonia in the Society”. International Journal of Otorhinolaryngology 5.2 (2019): 39-43.
  2. Robert Thayer Sataloff., et al. CA: Plural Publishing, Inc; Vocal Health and Pedagogy: Science and Assessment. Plural Publishing (2006).
  3. Sataloff Robert. “Treatment of Voice Disorders”. Plural Publishing (2005).
  4. Reiter R., et al. "Hoarseness-causes and treatments". Deutsches Ärzteblatt International19 (2015): 329-337.
  5. Silverman EM. “Incidence of chronic hoarseness among school-age children”. Journal of Speech and Hearing Disorders 40 (1975): 211-215.
  6. Kumaresan M and Navin B. “Fast Track Treatment for Puberphonia”. Scholarly Journal of Otolaryngology 5 (2020).
  7. Abeer Alwan. “Perceptual cues for place of articulation for the voiced pharyngeal and uvular consonants”. The Journal of the Acoustical Society of America 86 (1989): 549.
  8. Eliana Maria Gradim Fabron., et al. “Immediate effects of tongue trills associated with transcutaneous electrical nerve stimulation (TENS)”. CoDAS3 (2017).
  9. Marszalek S., et al. “Assessment of the influence of osteopathic myofascial techniques on normalization of the vocal tract functions in patients with occupational dysphonia”. International Journal of Occupational Medicine and Environmental Health 3 (2012): 225-235.
  10. Van den Broek EM., et al. “Bilateral In-Office Injection Laryngoplasty as an Adjunctive Treatment for Recalcitrant Puberphonia: A Case Report and Review of the Literature”. Journal of Voice: Official Journal of the Voice Foundation2 (2016): 221-223.
  11. Pau H and Murty GE. “First case of surgically corrected puberphonia”. Journal of Laryngology and Otology 1 (2001): 60-61.
  12. Isshiki N., et al. “Surgical alteration of the vocal pitch”. Journal of Otolaryngology 5 (1983): 335-340.
  13. Kumaresan M. “Clinical and Practical Otorhinolaryngology: A Research work in Otorhinolaryngology”. (1st edn), Paramkalyan printers) (1992).
  14. Sudhakar Vaidya and G Vyas. “Puberphonia: A novel approach to treatment”. Indian Journal of Otolaryngology and Head and Neck Surgery 1 (2006): 20-21.
  15. Anjana Amohita. “Efficacy of direct laryngeal manipulation in the treatment of puberphonia. A prospective clinical study at tertiary care centre”. MedPulse International Medical Journal12 (2016): 1020-1023.
  16. Mary J Sandage and Matthew Hoch. “Exercise Physiology: Perspective for Vocal Training”. (2018).
×

Citation

Citation: Muthiah Kumaresan and Navin Bharath. “Puberphonia Treatment by Uvula Manipulation". Acta Scientific Otolaryngology 2.12 (2020): 20-24.




Metrics

Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In







News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is December 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"

Contact US