Overview
Hoarseness is a general term that describes abnormal voice changes. When hoarse, the voice may sound breathy, raspy, strained, or there may be changes in volume or pitch. It is usually caused by issues with the vocal folds in the larynx (voice box).
Common causes
- Acute Laryngitis: Often due to a viral infection or voice strain
- Vocal Fold Nodules/Polyps: Benign growths often from voice overuse or misuse
- Laryngopharyngeal Reflux (LPR): Stomach acid irritating the voice box
- Vocal Fold Paralysis: Nerve issues affecting one or both vocal folds
- Laryngeal Tumours: Benign or malignant growths on the vocal folds
When to see an ENT
- Hoarseness lasting more than 2-3 weeks
- Hoarseness associated with pain not caused by a cold or flu
- Difficulty swallowing or a "lump in the throat" sensation
- Coughing up blood
- Complete loss of voice or severe change in voice quality
What we do
- Detailed history of voice use and symptoms
- Laryngoscopy (Nasoendoscopy): A thin, flexible camera used to look at the vocal folds in action
- Stroboscopy: Specialized light to look at vocal fold vibration if needed
Treatment options
- Voice rest and hydration
- Voice therapy with a speech-language pathologist
- Medications for reflux or inflammation
- Injection Laryngoplasty for vocal fold weakness
- Microlaryngeal Surgery to remove polyps, nodules, or tumours