Causes of dysphonia in patients above 60 years of age

Abstract

Objectives: We evaluated the causes of hoarse- ness in patients above 60 years of age.Patients and Methods: The study included 98 patients 40 females, 58 males; mean age 64 years; range 60 to 77 years who presented with hoarse- ness. Ali the patients were examined by videolaryngoscopy. Temporary hoarseness secondary to respiratory tract infections was excluded.Results: The most common cause of hoarseness was benign vocal fold lesions 28.6% followed by malignant lesions 27.6% , vocal fold paralysis 25.5% , functional dysphonia 10.2% , and presby- phonia 8.2% . Laryngopharyngeal reflux was found in 13 patients 13.3% . Fourteen male and 11 female patients had paralysis of the recurrent laryngeal nerve. Malignancies that caused hoarseness without paralyzing the vocal folds were larynx carcinoma n=18 , hypopharynx carcinoma n=8 , and multiple malignancy n=1 .Conclusion: Our data show that dysphonia develops due to disease processes associated with aging rather than to physiologic aging alone. Considering adverse influences of dysphonia on the quality of life of elderly population, efforts should be directed to elucidation of the cause and to performing appropriate treatment.

Keywords

• Aged, aging/physiology, laryngeal diseases, laryngeal neoplasms, guality of life, vocal cord paralysis/diagnosis, vocal cords/physiopathology, voice/physiology, voice disorders/etiology/diagnosis/physiopathology, voice guality

Altmış yaş üzerindeki kişilerde ses bozukluğu nedenleri

Abstract

Amaç: Altmıfl yafl ve üzerindeki kiflilerde ses bozukluğu nedenleri arafltırıldı.Hastalar ve Yöntemler: Çalıflmaya ses bozukluğuile baflvuran 98 hasta alındı. Tüm hastalar videolarengoskopi ile incelendi. Solunum yolu enfeksiyonlarınabağlı olarak ses bozuklukları geliflen olgular çalıflmaya alınmadı. Bulgular: Ses bozukluğuna en sık ses tellerinin benign %28.6 ve malign lezyonlarının %27.6 nedenolduğu görüldü. Bunları sırasıyla ses teli paralizileri %25.5 , fonksiyonel disfoniler %10.2 ve presbifoni %8.2 izlemekteydi. Larengofarenjeal reflüye 13hastada %13.3 rastlandı. On dört erkek, 11 kadınhastada reküren larenjeal sinir paralizisi saptandı.Ses tellerinde paraliziye yol açmadan ses bozukluğuna neden olan malign hastalıklar, larenks kanseri n=18 , hipofarenks kanseri n=8 ve multipl malignensi n=1 olarak belirlendi.Sonuç: Bulgularımız, ses bozukluğunun fizyolojikyafllanmadan çok, yafllanma sürecinde geliflen hastalıklara bağlı olarak gelifltiğini gösterdi. Yafllı kiflilerdeki ses bozukluklarının hastanın yaflam kalitesiüzerindeki olumsuz etkilerini de göz önüne alarak,nedenin ortaya çıkarılması ve uygun tedavinin uygulanması önem taflımaktadır

Keywords

• Yafllılık, yafllanma/fizyoloji, larenjealhastalıklar, larenjeal neoplaziler, yaflam kalitesi, vokal kordparalizisi/tanı, vokal kord/fizyopatoloji, ses/fizyoloji, ses hastalıkları/etyoloji/tanı/fizyopatoloji, ses kalitesi

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