How do presbylarynx and presbycusis affect the Voice Handicap Index and the emotional status of the elderly? A prospective case–control study

To assess the influence of presbylarynx and presbycusis on Voice Handicap Index and emotional status. A case-control, prospective, observational, cross-sectional study was conducted of patients aged 65 years or older referred to an otorhinolaryngology department from January to September 2020. Presb...

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Bibliographic Details
Published in:Journal of laryngology and otology 2021-12, Vol.135 (12), p.1051-1056
Main Authors: Rodrigues Dias, D, Santos, M, Sousa, F, Azevedo, S, Sousa e Castro, S, Freitas, S, Almeida e Sousa, C, Moreira da Silva, Á
Format: Article
Language:English
Subjects:
Acoustics
Age
Aging
Antidepressants
Demographics
Ears & hearing
Emotions
Females
Gender
Geriatrics
Hearing loss
Main Articles
Mental depression
Older people
Otolaryngology
Population
Population studies
Quality of life
Voice recognition
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Summary:To assess the influence of presbylarynx and presbycusis on Voice Handicap Index and emotional status. A case-control, prospective, observational, cross-sectional study was conducted of patients aged 65 years or older referred to an otorhinolaryngology department from January to September 2020. Presbycusis was assessed by pure tone and vocal audiometry. Each subject underwent fibre-optic videolaryngoscopy with stroboscopy, and presbylarynx was considered when two or more of the following endoscopic findings were identified: vocal fold bowing, prominence of vocal processes in abduction, and a spindle-shaped glottal gap. Each subject completed two questionnaires: Voice Handicap Index and Geriatric Depression Scale (short-form). The studied population included 174 White European subjects, with a mean age of 73.99 years, of whom 22.8 per cent presented both presbylarynx and presbycusis. Multivariate linear regression revealed that only presence and severity of presbylarynx had an influence on Voice Handicap Index-30 scores. However, both spindle-shaped glottal gap and presbycusis influenced Geriatric Depression Scale scores. Presbylarynx has a strong association with the impact of voice on quality of life. Presbylarynx and presbycusis seem to have a cumulative effect on emotional status.
ISSN:0022-2151
1748-5460
1748-5460
DOI:10.1017/S0022215121002528