Hoarseness is a change in voice quality caused by abnomal vocal cord vibration.

The commonest acute causes are viral laryngitis and voice abuse, when even mild degrees of vocal cord swelling affect the normal mucosal wave pattern. These conditions usually respond quickly to voice rest, humidification and sometimes antibiotics when there is a secondary bacterial infection. In patients with chronic hoarseness consider acid reflux laryngitis, nodules, polyps, tumours, voice abuse, vocal cord weakness or Laryngeal Dystonia.


Swab for microscopy and culture

Rigid and Flexible endoscopy for a detailed assessment of the inside of the throat.


Computerised voice analysis

Flow volume loop spirometry

Laryngeal EMG (Electromyography)

CT / MRI imaging