Puberphonia: from classic to modern approach

Abstract

Voice is a significant component of communication that allows us to
express information and emotions, so it is the foundation of verbal
communication. Maturation of the body involves dilation of the larynx
and lower positioning of the larynx in the neck, resulting multiple
changes in voice quality. The rapid changes in the human larynx
during puberty are more evident in males. Such changes can result
in voice mutation – puberphonia. Puberphonia, also called mutational
dysphonia or mutational falsetto, is the failure of a natural decrease in
fundamental frequency or pitch. We can also defined puberphonia as
persistent adolescent voice even after puberty in the absence of organic
cause. This functional voice disorder can have multiple consequences
on the personality and quality of life of an individual that often
encounters problems that include psychological, emotional, social,
and professional difficulties. This article aims to review the relevant
and accessible literature on puberphonia in a comprehensive concise
manner, highlighting the etiology, prevalence, clinical manifestation,
consequences on quality of life, as well as evolution of the approach
and attitude to its treatment.