Your voice may become hoarse due to laryngitis, stressed vocal folds or external irritants. In practice, hoarseness is due to imperfect closure of the opening between the vocal folds as a result of inflammation of the vocal folds, a scar, tumor or other unevenness. Hoarseness may also be caused by vocal fold paralysis, but this is a far rarer condition. The tolerance of the vocal folds differs from individual to individual. Excessive strain can ruin even the best-trained voice.
The assessment of your voice problem at the Voice Clinic includes a 45-minute consultation during which the problem is evaluated and the vocal folds are examined using a flexible endoscope. If necessary, additional studies at the voice laboratory and assessment by a speech therapist can be arranged.