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When hoarse, the voice may sound raspy, strained, or show changes in volume or pitch. These changes are related to disorders in the vocal folds of the larynx. The most common cause is acute laryngitis or swelling of the vocal folds that can occur during a cold, upper respiratory infection, or from voice strain. Serious injury to the vocal folds may result from strenuous voice use during acute laryngitis. Other causes include vocal cord lesions, reflux, smoking and trauma.

You should see an otolaryngologist if hoarseness lasts longer than three weeks, if you are coughing up blood, have difficulty swallowing, if you experience pain, or if you feel a lump in the neck. The treatment depends upon the cause. Many common causes of hoarseness are treated by resting the voice. If a lesion is identified, surgery may be recommended.Voice therapists can teach patients to alter their methods of speech production to improve the sound of the voice and to resolve problems, such as vocal nodules. Using the voice properly is key in preventing hoarseness.

Erin O. from Downingtown, PA

“I had stopped taking my allergy medicine and ended up with the worse sinus infection of my life. The staff at Ear, Nose & Throat Associates of Chester County genuinely will provide you with the best care. I was overwhelmed by the kindness, concern, and sense of urgency everyone gave. My phone calls were returned promptly and time was made to see me in the office when it was an emergency.”

Connie J. from West Chester, PA

“I can say after years of coming to Ear, Nose & Throat Associates of Chester County, my relationship and trust with Dr. Marriotti has grown tremendously. He is personable, friendly and I appreciate his input with my hearing condition. The staff at Ear, Nose & Throat Associates of Chester County is always cheery and pleasant. I enjoy my visits and always leave feeling like I am in good hands.”

Dauna P. from University Lincoln, PA

“I am so grateful for the care Dr. Picariello has given for my complex and serious brain diagnosis. He has made such an impression on the way the process was handled. I shall never forget him and how humble he was when dealing with my condition. He is truly one of the best around and I am fortunate for his high ethical standards and professionalism.”

Kathy S. from Schwenksvile, PA

“The knowledge, encouragement, concern, and individual attention the doctors of Ear, Nose & Throat Associates of Chester County had demonstrated was far beyond my expectations. The office atmosphere is professional yet friendly. The doctors know their profession well and are able to explain in basic understandable terms. They made sure we were comfortable and took their time going over everything extensively.”

James B., from Coatesville, PA

“The allergy shot process has been a great experience and has prevented a reoccurrence of my nasal polyps, and decreased the need for my asthma inhaler. The allergy staff is excellent.”