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Arch Otolaryngol Head Neck Surg. 2004;130:1117.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The aging voice (presbyphonia) is thought to be a condition resulting from anatomical and physiological changes associated with aging. While extensive work has demonstrated age-related changes in the histoarchitecture of the larynx, the extent to which paresis might play a role in the dysphonia is not clear. Some observers believe that paresis is underdiagnosed, and suggest that it is an underlying etiological factor in dysphonias caused by secondary benign vocal fold lesions such as polyps and nodular lesions often associated with presbyphonia. It is possible that paresis plays a role in the aged voice, although it is likely that anatomical laryngeal changes (presbylaryngis) as well as underlying systemic neurological degenerative changes (such as tremor) are also factors. More rigorous clinical studies using laryngeal electromyogram are required to resolve this question.

Figure appears in full text version. Charles Ford, MD

Regardless of the exact pathogenesis and pathological changes, the functional changes described by Bielamowicz accurately depict the . . . [Full Text of this Article]

Charles Ford, MD

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