Ralph Haddad, Estelle Bogdanski, Alexia Mattei, Justin Michel, Antoine Giovanni
{"title":"Treating Presbyphonia in 2024: A Scoping Review.","authors":"Ralph Haddad, Estelle Bogdanski, Alexia Mattei, Justin Michel, Antoine Giovanni","doi":"10.1016/j.jvoice.2024.12.025","DOIUrl":null,"url":null,"abstract":"<p><p>Presbyphonia is a multi-dimensional pathology. Therefore, its treatment should address its different affecting factors, including a global health management to fight geriatric frailty, improve overall physical strength, and limit medication side-effects. The specific therapies should address glottal gap closure and vocal folds' pliability. Based on a literature scoping review, we propose to start with voice therapy, combining different exercises and techniques that can improve voice quality. For patients with high vocal demands or larger glottal gaps, a medialization should be performed with an office-based medialization with hyaluronic acid injection as a first line. This can be associated with office-based injection of platelet rich plasma to improve mucosal vibration.</p>","PeriodicalId":49954,"journal":{"name":"Journal of Voice","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Voice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jvoice.2024.12.025","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Presbyphonia is a multi-dimensional pathology. Therefore, its treatment should address its different affecting factors, including a global health management to fight geriatric frailty, improve overall physical strength, and limit medication side-effects. The specific therapies should address glottal gap closure and vocal folds' pliability. Based on a literature scoping review, we propose to start with voice therapy, combining different exercises and techniques that can improve voice quality. For patients with high vocal demands or larger glottal gaps, a medialization should be performed with an office-based medialization with hyaluronic acid injection as a first line. This can be associated with office-based injection of platelet rich plasma to improve mucosal vibration.
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.
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