ABSTRACT
Geriatric Voice and Laryngeal Dysfunctions many as ten to fifteen percent of elderly individuals have vocal dysfunction. Voice weakness and articulator imprecision are particularly difficult when an individual's peer group is also likely to have significant hearing losses. This impact on day to day existence can be devastating. Dysfunctions may be classified into those that are part of the aging process and those associated with other pathologies. Some characteristics of the aging voice include altered pitch, roughness, percent of elderly individuals have vocal dysfunction. Voice weakness and articulator imprecision are particularly difficult when an individuals peer group is also likbreathiness. Routine laryngoscope often reveals dark the vocal ligaments commonly seen in aged men may result in thinner vocal cords that vibrate more rapidly. These changes of Routine laryngoscope often reveal a yellowish grayish discoloration of the vocal folds with bowing may contribute to the vocal fold Francis B etal [1999], Bailey, B [1998]. The aim of our work is giving spotlight of that hoarseness of vice in old age not only aging phenomena but also we must but others common causes of voice disorder in our differential diagnosis as in these study We founded that there are many pathological changes as Nodules [8.5%]; polyps [20%]; Reinke's edema [22.8%]; Vocal fold hemorrhage [8.5%]; Vocal fold paralysis or paresis [17,1%], Acid reflux larengitis [11.4%], Presbylaryngis [14,3%].The procedures of treatment depended on the characteristics of patients; microlaryngosurgery for 15% of nodules patients and 20% to the polyps patients. fat injection for 40% Presbylaryngis patients; six weeks of medical treatment in form of antacid is the ideal treatment in aside reflux laryngitis, conservative treatment in form of anticoagulant and abolish any predisposing trauma are excellent management in case of vocal fold hemorrhage. surgical removal for all cases of Reinke's edema. Injection of fat in 35% patients accepted surgical procedures in vocal cord paralysis and speech therapy for patients refused surgery. Intensive speech therapy is very effective for all patients with or without surgical interference and that very helpful treatment in old age group. There are many diseases may be its course may leaden to vice disorder as its complication in old age like Cerebrovascular diseases; cardiac patients with history of I. C. U admission and others diseases association with hoarseness of voice but may be without rule as diabetes mellitus and hypertension patients