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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: [email protected]
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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

References

Boi, R, Racca, L, Cavallero, A, Carpaneto, V, Racca, M, Dall'Acqua, F et al. Hearing loss and depressive symptoms in elderly patients. Geriatr Gerontol Int 2012;12:440–5CrossRefGoogle ScholarPubMed
Rutherford, BR, Brewster, K, Golub, JS, Kim, AH, Roose, SP. Sensation and psychiatry: linking age-related hearing loss to late-life depression and cognitive decline. Am J Psychiatry 2018;175:215–2410.1176/appi.ajp.2017.17040423CrossRefGoogle ScholarPubMed
Pessin, AB, Gramuglia, AC, de Carvalho, LR, Martins, RH. Voice and ageing: clinical, endoscopic and acoustic investigation. Clin Otolaryngol 2017;42:330–5CrossRefGoogle ScholarPubMed
Santos, M, Freitas, SV, Dias, D, Costa, J, Coutinho, M, Sousa, CA et al. Presbylarynx: does body muscle mass correlate with vocal atrophy? A prospective case control study. Laryngoscope 2021;131:E226–3010.1002/lary.28685CrossRefGoogle ScholarPubMed
Pontes, P, Behlau, M. Glottic characteristics and voice complaint in the elderly. J Voice 2005;19:84–9410.1016/j.jvoice.2004.09.002CrossRefGoogle ScholarPubMed
Pontes, P, Behlau, M. Morphological and functional aspects of the senile larynx. Folia Phoniatr Logop 2006;58:151–8CrossRefGoogle ScholarPubMed
Vaca, M, Mora, E, Reyes, P. Clinical assessment of glottal insufficiency in age-related dysphonia. J Voice 2017;31:128.e1–510.1016/j.jvoice.2015.12.010CrossRefGoogle ScholarPubMed
Bloch, I, Behrman, A. Quantitative analysis of videostroboscopic images in presbylarynges. Laryngoscope 2001;111:2022–710.1097/00005537-200111000-00029CrossRefGoogle ScholarPubMed
Teixeira, AR, Gonçalves, AK, Freitas, CR, Soldera, C, Bós, Â, dos Santos, AM et al. Association between hearing loss and depressive symptoms in elderly. Int Arch Otorhinolaryngol 2010;14:444–9Google Scholar
Mirza, N, Ruiz, C, Baum, ED, Staab, JP. The prevalence of major psychiatric pathologies in patients with voice disorders. Ear Nose Throat J 2003;82:808–14CrossRefGoogle ScholarPubMed
Takano, S, Nito, T, Imagawa, H, Sakakibara, K, Tayama, N. Clinical analysis of presbylarynx—vocal fold atrophy in elderly individuals. Auris Nasus Larynx 2010;37:461–410.1016/j.anl.2009.11.013CrossRefGoogle ScholarPubMed
Kim, TS, Chung, JW. Evaluation of age-related hearing loss. J Audiol Otol 2013;17:50–3Google ScholarPubMed
Jacobson, BH, Johnson, A, Grywalski, C, Silbergleit, A, Jacobson, G, Benninger, MS et al. The voice handicap index (VHI) development and validation. Am J Speech Lang Pathol 1997;6:66–70CrossRefGoogle Scholar
Sheikh, JI, Yesavage, JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Aging Ment Health 1986;5:165–73Google Scholar
Park, JH, Chae, M, An, YH, Shim, HJ, Kwon, M. Coprevalence of presbycusis and its effect on outcome of voice therapy in patients with presbyphonia. J Voice 2020. Epub 2020 Oct 1410.1016/j.jvoice.2020.09.030CrossRefGoogle ScholarPubMed
Yamauchi, A, Sakakaibara, K, Yokonishi, H, Ueha, R, Nito, T, Tayama, N et al. Vocal fold atrophy in a Japanese tertiary medical institute: status quo of the most aged country. J Voice 2014;28:231–610.1016/j.jvoice.2013.07.003CrossRefGoogle Scholar
McGarey, PO, Bitar, R, Hughes, CK, Hodson, N, Harris, EA, Dominguez, LM. Correlation of glottic gap and voice impairment in presbyphonia. J Voice 2021;131:1594–8Google ScholarPubMed
Vaca, M, Cobeta, I. The aging voice: influence of respiratory and laryngeal changes. Otolaryngol Head Neck Surg 2015;153:409–1310.1177/0194599815592373CrossRefGoogle ScholarPubMed
Crawley, BK, Dehom, S, Thiel, C, Yang, J, Cragoe, A, Mousselli, I et al. Assessment of clinical and social characteristics that distinguish presbylaryngis from pathologic presbyphonia in elderly individuals. JAMA Otolaryngol Head Neck Surg 2018;144:566–7110.1001/jamaoto.2018.0409CrossRefGoogle ScholarPubMed
Aghadoost, O, Moradi, N, Dabirmoghaddam, P, Aghadoost, A, Naderifar, E, Dehbokri, SM. Voice handicap index in Persian speakers with various severities of hearing loss. Folia Phoniatr Logop 2016;68:211–1510.1159/000455230CrossRefGoogle ScholarPubMed
Perkell, J, Matthies, M, Lane, H, Guenther, F, Wilhelms-Tricarico, R, Wozniak, J et al. Speech motor control: acoustic goals, saturation effects, auditory feedback and internal models. Speech Commun 1997;22:227–50CrossRefGoogle Scholar
Madeira, FB, Tomita, S. Voice Handicap Index evaluation in patients with moderate to profound bilateral sensorineural hearing loss. Braz J Otorhinolaryngol 2010;76:59–70CrossRefGoogle ScholarPubMed
Baraldi, G, Almeida, L, Calais, L, Borges, A, Gielow, I, De Cunto, M. Study of the fundamental frequency in elderly women with hearing loss. Rev Bras Otorrinolaringol 2007;73:378–83CrossRefGoogle Scholar
Hengen, J, Hammarström, IL, Stenfelt, S. Perceived voice quality and voice-related problems among older adults with hearing impairments. J Speech Lang Hear Res 2018;61:2168–78CrossRefGoogle ScholarPubMed
Hidalgo, J, Gras, CB, Lapeira, JT, Verdejo, M, del Campo, JM, Rabadán, FE. Functional status of elderly people with hearing loss. Arch Gerontol Geriatr 2009;49:88–92CrossRefGoogle Scholar
Brewster, K, Ciarleglio, A, Brown, PJ, Chen, C, Kim, H-O, Roose, SP et al. Age-related hearing loss and its association with depression in later life. Am J Geriatr Psychiatry 2018;26:788–96CrossRefGoogle ScholarPubMed
Contrera, KJ, Betz, J, Deal, JA, Choi, JS, Ayonayon, HN, Harris, T et al. Association of hearing impairment and emotional vitality in older adults. J Gerontol B Psychol Sci Soc Sci 2016;71:400–4CrossRefGoogle ScholarPubMed
Marmor, S, Horvath, KJ, Lim, KO, Misono, S. Voice problems and depression among adults in the United States. Laryngoscope 2016;126:1859–64CrossRefGoogle ScholarPubMed
Martinez, CC, Cassol, M. Measurement of voice quality, anxiety and depression symptoms after speech therapy. J Voice 2015;29:446–9CrossRefGoogle ScholarPubMed