Voice changes occur during puberty. Increase in length and changes on vocal cord, more pronounced in males, leads to decreased pitch .

Throat in adolescent males more affected as they shout more. This puts strain on vocal cords leading to vocal nodule.

Treatment – voice therapy

– feminine voice due to psychological causes(very close to mothers) / endocrinological causes .

Treatment – voice therapy, surgical mgt

– in young girls who have male like voices.

Treatment – voice therapy, surgical mgt.

– due to psychological reasons (shock, sibling rivalry, death in family).

Treatment – counseling
Loud music enjoyed by adolescents leads to hearing loss/recurrent ear infection .