The aging human larynx, presbyphonia, and voice quality: The evolutionary and social effects on listeners.

The human voice is a major signal transmission modality for our species. Accordingly, perception of its quality serves as an intraspecific window into the status of an individual's health, robusticity, and even stature in the group. Diminished quality-as may occur in aging or certain diseases-is a major feature in the lessening of an individual's communication modality. Here, we review the underlying anatomy and function that comprise the voice producing elements-the vocal tract sensu lato-from the lungs through the larynx and supralaryngeal modifying elements. Aspects of the aging larynx and constituent elements such as the vocal folds ("true vocal cords") and intrinsic laryngeal joints, are discussed within the context of how their aging or disease degradation may affect an individual's speech and concomitant perception and interpretation by listeners. The aging voice is considered within the context of the overall effects of aging sensory systems in both humans and other mammals.