ASGO, through its annual meeting, has tackled such diverse topics as preoperative management of the older surgical patient, presbylaryngis
, presbycusis, presbystasis, swallowing disorders, end of life, head and neck oncology, vestibular evaluation, bone-anchored hearing aid and cochlear implantation in the elderly, the future of Medicare, and when not to operate.
Vocal function exercises for presbylaryngis
: a multidimensional assessment of treatment outcomes.
As you age, your voice often becomes weaker and loses its range and quality, a condition called presbylaryngis
, or aging of the larynx.
Age-related voice changes--loss of power or volume, or increased breathiness or unsteadiness--often signal presbylaryngis
, a thinning or shrinking of the vocal cords that generally requires no treatment.
The patient was diagnosed with presbylaryngis because his marked vocal fold atrophy could not be accounted for by the documented mild, unilateral superior laryngeal nerve paresis.
However, treatable causes such as paresis, menopause, and thyroiditis, as well as neuromuscular junction disorders such as myasthenia gravis, must be ruled out before attributing apparent atrophy to presbylaryngis. (1) Presbylaryngis develops from degeneration and fatty infiltration of the thyroarytenoid muscle and overlying structures.
Indications include unilateral vocal fold paralysis and vocal fold bowing secondary to muscular atrophy, paresis, or presbylaryngis
. A variety of injectables is available, and each has its advantages and limitations (table 1).