Voice is produced by nerve, muscle, tendon and tissue functions, similar to the rest of our body. Therefore, it ages like the rest of our body. This is called presbylarynges (aging
larynx). The tissues of the larynx (voice box) and the vocal cords become thinner and less
elastic as we age. The resulting voice may be weak, breathy and reduced in loudness. Male
voices become higher in pitch and female voices become lower in pitch. This “creaky” voice
is often used by actors portraying elderly characters.
In addition to natural body changes, lifestyle changes also affect voice as people age. For
example, if someone has been a teacher for 30 years and then retires to quieter pursuits, voice
weakening often occurs. If such weakening progresses too far, voice will become difficult
to hear and understand. It will take increasing effort to talk. Others might mistakenly
think a creaky, weak voice is a sign of reduced intellectual functioning. These changes
can result in social isolation and loss of power in groups, gatherings and the community.
Most people can avoid severe affects of presbylarynges by exercising the voice with normal
talking, singing and regular social involvement.
Other conditions such as acid reflux disease, vocal cord polyps, nerve injuries, neck/spinal
problems and neurological diseases can also cause a weak, breathy, creaky voice. An
examination by an Ear, Nose, Throat Physician is necessary for accurate diagnosis and
appropriate medical treatment and/or therapy. To differentiate between presbylarynges
and other diagnoses, a case history is obtained. Questions asked include a description
of the symptoms, circumstances surrounding the onset, medications and other medical
conditions and occupation and social information. The physician will use lighted scopes
to look at the inside of the larynx and the vocal cords. The Speech Pathologist will ask
the patient to do various voice tests to assess larynx and vocal cord function. Other tests
such as videostroboscopy might be ordered. Referrals to other specialty services such as
Neurology might be made.
If a diagnosis of presbylarynges is made, therapy with a Speech Pathologist is indicated.
Voice exercises and voice health information will be given. Usually 4-6 therapy sessions and
a home program are necessary to restore voice power. If therapy alone is not satisfactory,
medical procedures and/or surgery can be offered. The purpose is to bulk up weak larynx
and vocal cord structures.
The prognosis for improvement of presbylarynges is very good. The patient must follow
physician recommendations and complete voice exercises regularly.
Call us at 612-339-2836 or toll-free at 866-316-0769 to refer your patient for an appointment, or submit an online referral.