THE YOUNG-ADULT VOICE

Young adulthood is notable for rapid physical changes and psychosocial instability. Care of the young adult professional voice requires know ledge of the specific anatomic and physiologic changes associated with the mutational voice, as well as the effects of general growth and ma turation on the vocal mechanism. The effects of psychological stresses common to young adulthood, such as educational commitments and early career choices, must also be understood. Upper respiratory infection a nd allergies are common in this age group. Treatment of these conditio ns must be tailored in the professional voice user because of the pote ntial side effects of some medications and the performance imperatives of the patient. Surgical indications for tonsillectomy in the young v oice patient are discussed. There are no special considerations in the evaluation and treatment of laryngeal pathology in the young adult, w ith the exception of limiting the use of sedative anesthesia. However, conservatism in surgical decision-making is advised. The development of a stable, efficient vocal technique and a mature professional backg round requires time, patience, and hard work.