Presbyphonia: A Scoping Review for a Comprehensive Assessment of Aging Voice.

IF 2.5 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Journal of Voice Pub Date : 2024-12-20 DOI:10.1016/j.jvoice.2024.12.003

Ralph Haddad, Estelle Bogdanski, Alexia Mattei, Justin Michel, Antoine Giovanni

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引用次数: 0

Abstract

Background: Presbylarynx refers to age-related changes in the larynx that can manifest clinically as presbyphonia. Several underlying mechanisms remain unclear.

Objectives: Perform a scoping review of the published literature on the mechanisms of presbyphonia in order to provide an adequate, comprehensive assessment of aging voice.

Methods and results: A scoping review on Medline, Cochrane, and Scopus included 188 published articles. Laryngeal aging results in calcifications of the hyaline cartilages, decreased vocal folds lubrication, decreased neuromotor transmission, decreased hyaluronic acid, increased lamina propria stiffness, and changes in the thyroarytenoid muscles. Concomitant aging of the respiratory system, collateral effects of age-related hormonal changes, concomitant presbycusis, and medical comorbidities interact with the presbylarynx to induce clinically detectable voice aging changes (a weak, breathy, or hoarse voice). Based on the results of our study, we proposed a comprehensive assessment of the aging voice, including all the factors involved.

Conclusion: This scoping review proposes a comprehensive assessment of presbyphonia based on the available data. We believe that this assessment will allow a more personalized approach to treatment.

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老年性失语症：声音老化综合评估的范围综述。

背景：喉老是指与年龄相关的喉部变化，临床表现为鸣老。一些潜在的机制仍不清楚。目的：对已发表的关于老年性耳鸣机制的文献进行综述，以便对声音老化进行充分、全面的评估。方法和结果：在Medline， Cochrane和Scopus上进行范围综述，包括188篇已发表的文章。喉老化导致透明软骨钙化，声带润滑减少，神经运动传导减少，透明质酸减少，固有层僵硬增加，类甲状腺肌改变。呼吸系统的伴随老化、与年龄相关的激素变化的附带影响、伴随的老年性耳聋和医学合并症与喉老相互作用，诱发临床可检测到的声音老化变化（声音微弱、喘气或嘶哑）。基于我们的研究结果，我们提出了一个综合评估老化的声音，包括所有的因素。结论：本综述在现有资料的基础上，提出了一种全面的老年耳鸣评估方法。我们相信这种评估将使治疗方法更加个性化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Voice 医学-耳鼻喉科学

CiteScore

4.00

自引率

13.60%

发文量

395

审稿时长

59 days

期刊介绍： The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.