<prompt> Young man whose voice has not been broken is called: PGI June 2008PuberphoniaAndrophoniaPlica ventricularisFunctional aphonia  <response>: Ans.: A. Puberphonia Puberphonia or Mutational Falsetto Voice Dhingra 5th334Normally there is change of high pitch voice to low pitch from childhood to the adults. It occurs as the larynx matures at puberty, vocal cords lengthen the voice changes.Failure of this change leads to persistence of childhood high pitched voice is called puberphonia Q. It is seen in boys who are emotionally immature, feel insecure show- excessive fixation to thier mother.This is a feature exclusive to malesTreatment is training the body to produce low-pitched voice. Pressing the thyroid prominence in a backward and downward direction relaxes the overstreched cords and low tone voice can be produce Gutzmanns pressure test.In Dysphonia Plica Ventricularis Ventricular dysphonia Q Dhingra 5th334Here voice is produced by ventricular folds false cords which have taken over the function of true cords.Voice is rough, low pitched unpleasant.Functional Aphonia or Hysterical Aphonia Q Dhingra 5th334It is a functinal disorder mostly seen in emotionally labile females in the age group of 15-30 years. Patient communicates with whisper. 