Hoarseness is a change in voice quality. Common causes include voice overuse leading to nodules or polyps, acid reflux and infections. Persistent hoarseness, especially in smokers, must be examined to rule out a growth on the vocal cords.
Throat & Voice Condition
Hoarseness & Vocal Cord Nodules
A husky, weak or strained voice — hoarseness lasting more than 3 weeks needs a voice box examination.
Overview
Common symptoms
- Husky, rough or breathy voice
- Voice tiring easily
- Loss of voice range (singers)
- Throat clearing or a lump-in-the-throat feeling
Common causes
- Voice overuse (teachers, singers, salespeople)
- Vocal cord nodules, polyps or cysts
- Acid reflux
- Smoking
- Vocal cord weakness
- Growths on the vocal cords
How it is diagnosed
Endoscopic examination of the voice box in the clinic
Direct laryngoscopy and biopsy when needed
Treatment
Voice rest, voice therapy and treating reflux help many patients. Nodules, polyps or cysts that do not settle are removed by endoscopic/microscopic laryngeal surgery; suspicious lesions are biopsied.
Surgical treatment options
See a doctor promptly if you have:
- Hoarseness lasting more than 3 weeks
- Hoarseness in a smoker
- Difficulty breathing or swallowing
- Coughing blood or a neck lump
Frequently asked questions
Usually not, but persistent hoarseness must be examined to rule out a growth.
No — whispering can strain the vocal cords. True rest means not speaking.
This page is for general patient information and does not replace a medical consultation. The right treatment depends on your examination and test results.
Struggling with an ear, nose or throat problem?
Get an expert opinion from an ENT surgeon trained in endoscopic, microscopic and coblation techniques.
