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Arch Otolaryngol Head Neck Surg. 2004;130:1118.

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

I enjoyed Steven Bielamowicz's discussion of the multifarious etiologies of dysphonia in the aging larynx. The best part of the article is the presentation of the myriad ways, medical and surgical, we now have to improve aging dysphonia. I have been particularly enthusiastic about fat injection thyroplasty, calcium hydroxyapatite microsphere injection thyroplasty, and mini-fenestra Gore-Tex thyroplasty. I prefer fat injection thyroplasty in prepubertal patients, as a safe way to ameliorate the incompetent larynx with a living material that may grow at the same rate as the child.

Figure appears in full text version. C. Richard Stasney, MD

At our institution we have done a comprehensive study of the aging larynx, looking at changes in the laryngeal soft tissues and skeletal framework from the age of 6 months until well into the fourth decade of life. The article by Bielamowicz elucidates many of these changes and their functional impact.

Bielamowicz correctly points out that many of our . . . [Full Text of this Article]

C. Richard Stasney, MD

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