Puberphonia
Puberphonia (also known as mutational falsetto) is the habitual use of high-pitched voice beyond puberty.[1]
Introduction
Typically, adolescent males undergo voice changes to a much lower pitch due to a sudden increase in the length and thickness of the vocal folds. Often this size change is noticed as the sudden enlargement of the larynx (aka "Adam's Apple" when viewed as a protrusion at the anterior of the neck). This is uncommon in females because their vocal folds do not show a sudden increase in size.[2]
Definition
Puberphonia is the functional, habitual use of high-pitched voice post puberty after the vocal folds have reached typical adult size. This condition is seen in males more often than in women. Puberphonia is also more noticeable in men than women because men are expected to speak much lower than women, and less noticeable in women because women typically speak much higher than men.
Causes
- Emotional stress
- Delayed development of secondary sexual characteristics
- Psychogenic
- Skipped fusion of thyroid laminae
Treatment
- Voice therapy
This condition is best treated by voice therapy (vocal exercises) by speech-language pathologists (SLPs) /speech therapists having experiences in treating voice disorders because puberphonia is not a very common problem. The duration of treatment can usually be one to two weeks.[3]
It includes:[4]
- Cough
- Speech range masking
- Glottal attack before a vowel
- Relaxation techniques to relax the laryngeal musculature
- Visi pitch
- Lowering of larynx to appropriate position
- Humming while sliding down the scale
- Half swallow Boom technique
- Larynx manipulation
- Surgery
Type III phonosurgery can be done, which includes surgical shortening and relaxation of the vocal cords.[5]
Epidemiology
The incidence of puberphonia in India is estimated to be about 1 in 900,000 population.[6]
References
- ↑ Vaidya, S; Vyas, G (Jan 2006). "a" (PDF). Indian J Otolaryngol Head Neck Surg. 58 (1): 20–21. doi:10.1007/BF02907732. PMC 3450609. PMID 23120229.
- ↑ Aronson, Arnold Elvin; Bless, Diane M. (2009). Clinical Voice Disorders.
- ↑ Boone, Daniel R.; MacFarlane, Stephen C.; Von Berg, Shelley L.; Zraick, Richard I. (2010). The voice and voice therapy. Allyn & Bacon.
- ↑ http://www.drtbalu.co.in/puber.html
- ↑ Puberophonia-surgical management with modified ishiki thyroplasty type III Der Pharmacia Lettre, 2014, 6 (2):77-81
- ↑ Banerjee AB, Eajlen D, Meohurst R, Murthy GE (1995) Puberphonia – a treatable entity. world voice congress oporto portugal
External links
- Puberphonia and Speech Language Pathologist
- Many Puberphonia videos both before and after treated by Speech Language Pathologist at you tube
- Frequently Asked Questions About Voice Therapy
- Voice Disorders
- Puberphonia and Otolaryngologist