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Voice disorders in the elderly.

M D Morrison, P Gore-Hickman

    The Journal of Otolaryngology
    |August 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Connective tissue degeneration affects the aging larynx, causing voice changes in both men and women. Early biopsy for hoarseness can worsen vocal issues, complicating treatment for elderly patients.

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    Area of Science:

    • Otolaryngology
    • Gerontology
    • Voice Science

    Background:

    • Connective tissue degeneration, specifically of elastic and collagen fibers, is more common in the male larynx.
    • Age-related laryngeal changes can lead to voice alterations, impacting vocal quality and perceived masculinity/femininity.
    • Functional laryngeal muscle misuse and psychological factors like depression can exacerbate dysphonia in the elderly.

    Purpose of the Study:

    • To review the literature on age-related laryngeal changes and their impact on voice.
    • To explore the differential effects of laryngeal degeneration on male and female voices.
    • To discuss the complexities in diagnosing and treating dysphonia in older adults, including the role of biopsies.

    Main Methods:

    • Literature review of studies on laryngeal aging, connective tissue changes, and voice disorders.

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  • Analysis of reported vocal characteristics associated with laryngeal degeneration in males and females.
  • Discussion of etiological factors contributing to dysphonia in the elderly, including functional and psychological aspects.

    • Main Results:

    • Laryngeal connective tissue degeneration is more prevalent in males.
    • Tissue atrophy in males leads to a higher-pitched, weaker voice, while females may develop a lower-pitched, husky voice.
    • Laryngeal cancer remains a common cause of hoarseness in older individuals.

    Conclusions:

    • Age-related laryngeal changes significantly impact voice quality, with distinct effects on males and females.
    • Functional and psychological factors complicate the management of dysphonia in the elderly.
    • Biopsies for suspected laryngeal cancer in hoarse elderly patients can worsen dysphonia and hinder voice therapy effectiveness.