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ENT

Hoarseness and Vocal Cord Examination

Endoscopic and, where needed, stroboscopic examination of the vocal cords for voice changes lasting over two weeks.

What is it?

Hoarseness may show as a deeper, rougher or quickly tiring voice, or breaks in the voice. Vocal cord nodules, polyps, cysts, reflux effects or nerve-related movement problems can all cause it.

The larynx is viewed with an endoscope placed through the mouth or nose. When needed, stroboscopy shows vocal cord vibration in slow motion. Assessment is recommended for hoarseness lasting longer than two weeks, especially in smokers.

Depending on the findings, voice therapy, reflux management, vocal hygiene advice or microsurgery may be considered. Recovery time depends on voice use and the finding; the treatment path is chosen together after the examination.

Who is it assessed for?

  • People with hoarseness lasting over two weeks
  • Heavy voice users such as teachers, singers and call centre staff
  • Those whose voice tires quickly
  • Those with a catching sensation when swallowing or a lump feeling in the throat
  • Smokers who notice a change in their voice

Step by step

  1. 1

    Voice history

    How much and where you use your voice, and the course of the complaint, are discussed.

  2. 2

    Endoscopic examination

    The vocal cords are recorded and examined; the images are shared with you.

  3. 3

    Further assessment

    Stroboscopy or reflux assessment is planned if needed.

  4. 4

    Plan

    Voice therapy, lifestyle adjustments or surgical options are discussed.

  5. 5

    Follow-up

    Changes are compared with earlier images at follow-up visits.

Questions

What does voice rest mean?

It means using the voice little and gently for a while. Whispering can strain the vocal cords more than expected, so the recommended approach is explained at the visit.

Do vocal cord nodules require surgery?

Voice therapy is usually tried first. The need for surgery depends on the nature of the finding and the response to therapy.

Can reflux affect my voice?

Stomach contents reaching the larynx can irritate the vocal cords. Reflux-related advice may be part of the plan depending on the findings.

This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.