Elderly people with tight and hoarse voice can be caused by trauma, local inflammation, tumor lesions, vocal cord lesions and other factors. 1. Injury: Damage to the mucous membrane of the pharynx caused by improper eating, improper vocalization, etc. can cause hoarseness and tightness of the voice, which can be clearly diagnosed by combining the history of traumatic injury and specialized examination. 2. Local inflammation: when there is inflammation in the pharynx, the vocal folds usually close poorly, leaving gaps after closing, which can cause hoarseness and other discomforts. 3. Tumor lesion: laryngeal tumor can also have the performance of mute voice, especially laryngeal cancer of vocal folds type, which can have the symptoms of throat tightness and mute voice. 4. Vocal cord lesions: When there are polyps, nodules, white spots and other lesions in the vocal cord, it can also cause tightness and hoarseness of voice. When the voice is tight and hoarse, you should consult a doctor in time to have your condition clarified and treated by a specialist.