Hoarseness in the elderly may be caused by degenerative changes of the vocal cords, vocal polyps, medullary palsy, pharyngeal tumors and other reasons. 1. Degenerative changes of the vocal cords: with age, the vocal cords of the elderly natural aging, atrophy manifested as hoarseness. 2. Vocal polyps: polyps on the vocal cords affect the function of the vocal cords, manifesting as hoarseness. 3. medullary paralysis: medullary paralysis due to a variety of reasons, manifested as hoarseness, difficulty in swallowing, pharyngeal reflex disappearance and other symptoms. 4. Pharyngeal tumor: such as laryngeal papilloma, laryngeal malignant tumors, etc., which can be manifested as hoarseness, difficulty in swallowing and other symptoms. Hoarseness in the elderly, there may be other reasons, it is recommended to consult a doctor as soon as possible to identify the cause of the disease, and follow the doctor’s instructions for treatment.