Lack of volume of the vocal cords
Mostly with age vocal folds may tend to get thinner and in laryngeal examination, the vocal folds cannot close tightly enough for easy voicing (glottic incompetence). Accordingly, the voice may be perceived as strained, pressed, dry, high-in-pitch, and effortful.
In the so-called aged voice, the vocal folds are thinner and have little volume. While making a voice the vocal folds can’t come together with sufficient pressure when and a change in voice with hoarseness, vocal effort and often increased speaking pitch is hearable. It is called vocal fold bowing.
The therapy is a filling (augmentation) of the vocal folds. It is an surgical increase of the volume of the vocal folds. Artificial materials (e.g. hyaluronic acid) or the body’s own fat can be used for implantation.
The outpatient surgery under general anesthesia takes about 60 minutes. Postoperative vocal rest is not required. In America, this procedure is called a “voice lift”, comparable to the “face lift”. However, this treatment of the aged voice is not a cosmetic procedure and it certainly does not lead to an increase in the speaking voice. We therefore consider the term ‘voice lift’ to be inappropriate.
Prof. Hess and his team have already helped hundreds of patients regain their quality of life and enjoyment of life.