Treating Presbyphonia in 2024: A Scoping Review.

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.