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Clinical Challenges
September 2004

Aging Voice or Vocal Fold Paresis: What Can I Do About It?

Author Affiliations

KAREN H.CALHOUNMDRONALD B.KUPPERSMITHMDFrom the Division of Otolaryngology, George Washington University, Washington, DC.

Arch Otolaryngol Head Neck Surg. 2004;130(9):1114-1116. doi:10.1001/archotol.130.9.1114

Hypothesis: Patients older than 60 years are frequently seen by the otolaryngologist for voice complaints including hoarseness, effortful voicing, and voice fatigue. Because most of these patients have alterations in the neuromuscular physiology of the larynx, principally vocal fold paresis, rather than age-related changes of the larynx, they can be managed using modern techniques of vocal fold medialization and/or augmentation.