Skip to main content

Advertisement

SpringerLink
Log in

Aging voice: presbyphonia

  • Review
  • Published:
Aging Clinical and Experimental Research Aims and scope Submit manuscript

Abstract

Presbyphonia is a physiological process of aging voice that includes morphological changes in the coverage mucosa, muscle, and cartilage. We revised the morphological, endoscopic, and vocal acoustic changes that occur in presbyphonia and discussed some treatments proposed to minimize glottal incompetence and improve vocal performance of the elderly.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Pontes P, Yamasaki R, Behlau M (2006) Morphological and functional aspects of the senile larynx. Folia Phoniatr Logop 58:151–158

    Article  PubMed  Google Scholar 

  2. Takano S, Kimura M, Nito T, Imagawa H, Sakakibara KI, Tayama N (2010) Clinical analysis of presbylarynx: vocal fold atrophy in elderly individuals. Auris Nasus Larynx 37:461–464

    Article  PubMed  Google Scholar 

  3. Behlau M, Azevedo R, Pontes P (2004) Conceito de voz normal e classificação das disfonias. In: Behlau M (ed) Voz: o livro do especialista, 2nd edn. Revinter, Rio de Janeiro, pp. 53–84

    Google Scholar 

  4. Hirano M (1974) Morphological structure of the vocal cord as a vibrator and its variations. Folia Phoniatr Logop 26:89–94

    Article  CAS  Google Scholar 

  5. Hirano M, Kakita Y (1985) Cover-body theory of vocal fold vibration. Speech science: recent advances, edited by Daniloff R. G. College-Hill Press, San Diego, pp. 1–46

    Google Scholar 

  6. Nita LM, Battlehner CN, Ferreira MA, Imamura R, Sennes LU, Caldini EG et al (2009) The presence of a vocal ligament in fetuses: a histochemical and ultrastructural study. J Anat 215:692–697

    Article  PubMed  Google Scholar 

  7. Butler JE, Hammond TH, Gray SD (2011) Gender-related differences of hyaluronic acid distribution in the human vocal fold. Laryngoscope 111:907–911

    Article  Google Scholar 

  8. Gray SD (2000) Cellular physiology of the vocal folds. Otolaringol Clin N Am 33:679–697

    Article  CAS  Google Scholar 

  9. Hahn MS, Kobler JB, Zeitels SM, Langer R (2006) Quantitative and comparative studies of the vocal fold extracellular matrix II: collagen. Ann Otol Rhinol Laryngol 115:225–232

    PubMed  Google Scholar 

  10. Madruga de Melo EC, Lemos M, Ximenes Filho JA, Sennes LU, Saldiva PHN, Tsuji DH (2003) Distribution of collagen in the lamina propria of the human vocal fold. Laryngoscope 113:2187–2191

    Article  CAS  PubMed  Google Scholar 

  11. Sato K, Hirano M, Nakashima T (2002) Age-related changes of collagenous. Ann Otol Rhinol Laryngol 111:15–20

    PubMed  Google Scholar 

  12. Ohno T, Hirano S, Rousseau B (2009) Age-associated changes in the expression and deposition of vocal fold collagen and hyaluronan. Ann Otol Rhinol Laryngol 118:735–741

    PubMed Central  PubMed  Google Scholar 

  13. Ohno T, Yoo MJ, Swanson ER, Hirano S, Ossoff RH, Rousseau B (2009) Regenerative effects of basic fibroblast growth factor on extracellular matrix production in aged rat vocal folds. Ann Otol Rhinol Laryngol 118:559–564

    PubMed Central  PubMed  Google Scholar 

  14. Ximenes Filho JA, Tsuji DH, Nascimento PHS, Sennes LU (2003) Histological changes in human vocal folds correlated with aging: a histomorphometric study. Ann Otol Rhinol Laryngol 112:894–898

    PubMed  Google Scholar 

  15. Hammond T, Gray S, Butler J (2000) Age and gender related collagen distributions in human vocal folds. Ann Otol Rhinol Laryngol 109:913–920

    CAS  PubMed  Google Scholar 

  16. Sato K, Hirano M (1997) Age-related changes of elastic fibers in the superficial layer of the lamina propria of vocal folds. Ann Otol Rhinol Laryngol 106:44–48

    CAS  PubMed  Google Scholar 

  17. Paulsen F, Kimpel M, Lockemann U, Tillmann B (2000) Effects of ageing on the insertion zones of the human vocal fold. J Anat 196:41–54

    Article  PubMed  Google Scholar 

  18. Sulter A, Schutte H, Miller D (1996) Standardized laryngeal videostroboscopic rating: differences between untrained and trained male and female subjects, and effects of varying sound intensity, fundamental frequency, and age. J Voice 10:175–189

    Article  CAS  PubMed  Google Scholar 

  19. Gregory ND, Chandran S, Lurie D, Sataloff RT (2012) Voice disorders in the elderly. J Voice 26:248–254

    Article  Google Scholar 

  20. Verdonck-de Leeuw IM, Mahieu H (2004) Vocal aging and the impact on daily life: a longitudinal study. J Voice 18:193–202

    Article  PubMed  Google Scholar 

  21. Prakup B (2012) Acoustic measures of the voices of older singers and nonsingers. J Voice 26(3):341–350

    Article  PubMed  Google Scholar 

  22. Kendall K (2007) Presbyphonia: a review. Curr Opin Otolaryngol Head Neck Surg 15(3):137–140

    Article  PubMed  Google Scholar 

  23. Isolan-Cury RW, Silva MAA, Monte O, Cury AN (2007) Vocal characterization of patients with hyperthyroidism and hypothyroidism. Rev Soc Bras Fonoaudiol 12(2):135–140

    Article  Google Scholar 

  24. Sanz L, Sistiaga JA, Lara AJ, Cuende E, García-Alcántara F, Rivera T (2012) The prevalence of dysphonia, its association with immunomediated diseases and correlation with biochemical markers. J Voice 26(2):148–153

    Article  CAS  PubMed  Google Scholar 

  25. Schwemmle C, Ptok M (2007) Bamboo nodes as the cause of dysphonias in autoimmune diseases. HNO 55(7):564–568

    Google Scholar 

  26. Tseng DS, Kwong J, Rezvani F, Coates AO (2010) Angiotensin-converting enzyme-related cough among Chinese–Americans. Am J Med 123(2):183.e11–183.e15

    Article  Google Scholar 

  27. Gama ACC, Alves CFT, Cerceau JSB, Teixeira LC (2009) Correlation between acoustic-perceptual data and voice-related quality of life in elderly women. Pro Fono 21:125–130

    Article  PubMed  Google Scholar 

  28. Gorham-Rowan MM, Laures-Gore J (2006) Acoustic-perceptual correlates of voice quality in elderly men and women. J Commun Disord 39:171–184

    Article  PubMed  Google Scholar 

  29. Ramig LO, Gray S, Baker K, Corbin-Lewis K, Buder E, Luschei E et al (2001) The aging voice: a review, treatment data and familial and genetic perspectives. Folia Phoniatr Logop 53:252–265

    Article  CAS  PubMed  Google Scholar 

  30. Ford C (2004) Voice restoration in presbyphonia. Arch Otolaryngol Head Neck Surg 130(9):1117

    Article  PubMed  Google Scholar 

  31. Mau T, Jacobson BH, Garrett CG (2010) Factors associated with voice therapy outcomes in the treatment of presbyphonia. Laryngoscope 120(6):1181–1187

    PubMed  Google Scholar 

  32. Chan RW, Titze IR (1999) Hyaluronic acid (with fibronectin) as a bioimplant for the vocal fold mucosa. Laryngoscope 109:1142–1149

    Article  CAS  PubMed  Google Scholar 

  33. Tsunoda K, Baer T, Niimi S (2001) Autologous transplantation of fascia into the vocal fold: long-term results of a new phonosurgical technique for glottal incompetence. Laryngoscope 111:453–457

    Article  CAS  PubMed  Google Scholar 

  34. Isshiki N, Morita H, Okamura H, Hiramoto M (1974) Thyroplasty as a new phonosurgical technique. Acta Otolaryngol 78:451–457

    Article  CAS  PubMed  Google Scholar 

  35. Hirano S, Kishimoto Y, Suehiro A, Kanemaru S, Ito J (2008) Regeneration of aged vocal fold: first human case treated with fibroblast growth factor. Laryngoscope 118:2254–2259

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Botucatu Medical School, São Paulo State University, Botucatu, São Paulo, Brazil

    Regina Helena Garcia Martins, Tatiana Maria Gonçalvez, Adriana Bueno Benito Pessin & Anete Branco

  2. Disciplina de Otorrinolaringologia, Departamento de Oftalmologia, Otorrinolaringologia e Cirurgia de Cabeça e Pescoço, Faculdade de Medicina de Botucatu, São Paulo State University, Distrito de Rubião Junior s/n, Botucatu, São Paulo, 18618-970, Brazil

    Regina Helena Garcia Martins

Authors
  1. Regina Helena Garcia Martins
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Tatiana Maria Gonçalvez
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Adriana Bueno Benito Pessin
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Anete Branco
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Regina Helena Garcia Martins.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Martins, R.H.G., Gonçalvez, T.M., Pessin, A.B.B. et al. Aging voice: presbyphonia. Aging Clin Exp Res 26, 1–5 (2014). https://doi.org/10.1007/s40520-013-0143-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40520-013-0143-5

Keywords

Search

Navigation