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Hoarseness is usually caused by a problem in the vocal cords. Most cases of hoarseness are associated with inflammation of the larynx (laryngitis).
Hoarseness that lingers for weeks or months may be caused by a variety of problems. Some causes are minor, while others are serious.
Vocal cords are a pair of structures in our throat (our larynx) that vibrate. They are the source of all the sound we produce. When we are hoarse, something has changed about those vibrations,.
In order to diagnose a vocal cord problem that causes hoarseness, we need to look with a camera at the vocal cords and identify either a gap which is leaking air between the vocal cords, or some asymmetry between the cords causing them to vibrate at different pitches.
Common pathology found are vocal cord nodules and poyps


Hoarseness is having difficulty producing sound when trying to speak, or a change in the pitch or quality of the voice. The voice may sound weak, very breathy, scratchy, or husky.

What are vocal cord nodules and polyps?

Nodules and polyps may be treated medically, surgically..
Medical problems may be treated to reduce their impact on the vocal cords. This includes treatment for gastroesophageal reflux disease (GERD), allergies, and thyroid problems. Medical intervention to stop smoking or to control stress is sometimes needed.


Microlaryngoscopy is a procedure that means the vocal folds are looked at in great detail with magnification. The magnification may be with a microscope, endoscope or by video enlargement. It is often accompanied by some additional procedure such as removal of a mass, swelling or tumor. Long delicate instruments or a laser may be utilized. it is performed in the operating room.


What is Coblation Tonsillectomy?

  • Coblation Tonsillectomy and Adenoidectomy is a gentler way to remove both the tonsils and adenoids. This innovative surgery results in very little pain and fast recovery for patients.
  • Derived from the term "controlled ablation," Coblation removes or ablates tonsil tissue with little harm to surrounding healthy tissue.
  • Coblation is not a heat-driven process, therefore it does not char or burn healthy tissue like conventional electrosurgery and laser surgery. It combines radiofrequency energy with a natural saline solution to gently and precisely remove tissue leading to a fast and easier recovery.

The symptoms may range from mild to severe. The problem may originate from the inner ear or from another area of the body or nervous system. The possible causes for dizziness is long, and includes inner ear disorders, cerebrovascular disease (stroke), metabolic disorders, tumors, trauma, and medications. The correct diagnosis can only be determined by a consultation with a doctor. True vertigo often, though not always, originates in the inner ear. Inner ear conditions which may cause vertigo include positional vertigo, Meniere's disease, and viral inner ear infection.

What are the benefits of Coblation Tonsillectomy?

  • Fewer 'bad days'—Patients report a better overall experience with Coblation Tonsillectomy after surgery when compared to other procedures. Studies show that patient calls and visits to the doctor due to problems after surgery are significantly less with Coblation Tonsillectomy. 1
  • Faster recovery—Coblation Tonsillectomy has been shown in clinical studies to speed a child's return to normal activity and diet. On average, patients return to a normal diet in 2.4 days after Coblation, versus 7.6 days after electrocautery.2
  • Less pain—Coblation Tonsillectomy has also been shown to decrease pain and use of medications after the procedure.2,3