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How do presbylarynx and presbycusis affect the Voice Handicap Index and the emotional status of the elderly? A prospective case–control study

Published online by Cambridge University Press:  28 September 2021

D Rodrigues Dias Open the ORCID record for D Rodrigues Dias [Opens in a new window] ,
M Santos ,
F Sousa ,
S Azevedo ,
S Sousa e Castro ,
S Freitas ,
C Almeida e Sousa  and
Á Moreira da Silva
D Rodrigues Dias*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédicas Abel Salazar – Universidade do Porto, Porto, Portugal
M Santos
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédicas Abel Salazar – Universidade do Porto, Porto, Portugal
F Sousa
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédicas Abel Salazar – Universidade do Porto, Porto, Portugal
S Azevedo
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédicas Abel Salazar – Universidade do Porto, Porto, Portugal
S Sousa e Castro
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédicas Abel Salazar – Universidade do Porto, Porto, Portugal
S Freitas
Affiliation:
Faculdade de Ciências da Saúde, Universidade Fernando Pessoa, Porto, Portugal
C Almeida e Sousa
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédicas Abel Salazar – Universidade do Porto, Porto, Portugal
Á Moreira da Silva
Affiliation:
Department of Intensive Care Unit, Centro Hospitalar Universitário do Porto, Instituto de Ciências Biomédicas Abel Salazar – Universidade do Porto, Porto, Portugal
*
Author for correspondence: Dr David Rodrigues Dias, Rua do Bonjardim, 1043, 4000-133 Porto, Portugal E-mail: daviddias.med@gmail.com
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Abstract

Objective

To assess the influence of presbylarynx and presbycusis on Voice Handicap Index and emotional status.

Methods

A case–control, prospective, observational, cross-sectional study was conducted of patients aged 65 years or older referred to an otorhinolaryngology department from January to September 2020. Presbycusis was assessed by pure tone and vocal audiometry. Each subject underwent fibre-optic videolaryngoscopy with stroboscopy, and presbylarynx was considered when two or more of the following endoscopic findings were identified: vocal fold bowing, prominence of vocal processes in abduction, and a spindle-shaped glottal gap. Each subject completed two questionnaires: Voice Handicap Index and Geriatric Depression Scale (short-form).

Results

The studied population included 174 White European subjects, with a mean age of 73.99 years, of whom 22.8 per cent presented both presbylarynx and presbycusis. Multivariate linear regression revealed that only presence and severity of presbylarynx had an influence on Voice Handicap Index-30 scores. However, both spindle-shaped glottal gap and presbycusis influenced Geriatric Depression Scale scores.

Conclusion

Presbylarynx has a strong association with the impact of voice on quality of life. Presbylarynx and presbycusis seem to have a cumulative effect on emotional status.

Keywords

VoiceHearing LossDepressionAged
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 12 , December 2021 , pp. 1051 - 1056
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr D Rodrigues Dias takes responsibility for the integrity of the content of the paper

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