Old age throat is always mute may be chronic laryngitis, vocal polyps, small nodules, tumors, etc., can be treated by medication, surgery. 1. Chronic laryngitis: chronic laryngitis is a common cause of this symptom, patients are advised to reduce loud and long time talking, and when hoarseness is serious, budesonide suspension can be used as nebulizer inhalation treatment, assisted by Huang’s ringing sound pill, sweet orange and bingmei tablets. 2. Vocal polyps and nodules: due to excessive talking, patients are advised to reduce the frequency of talking and take a break for 1 month. If the treatment is not effective, surgery is recommended, usually under the microscope for minimally invasive surgery to remove the swelling. 3. Tumor: benign tumors are more common as papilloma and hemangioma, and malignant tumors are more common as squamous carcinoma. At this time, the basic principle is to treat the tumor radically, and try to preserve the function of the larynx while treating the tumor. If you find that your throat is always mute, you need to go to the hospital for systematic examination and standardized treatment after clear diagnosis.