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Hoarseness is an abnormal change in voice and is related to disorders in the vocal cords. Causes of hoarseness include:- Laryngitis, voice abuse, benign vocal cord lesions, vocal haemorrhage, Laryngopharyngeal reflux, Laryngeal cancer, etc. Hoarseness should be seen and evaluated promptly in hospital by an otolaryngologist within one week in children and about ten days in adults. However, most patients and even Physicians do not reasons or believe hoarseness is a serious enough problem to present early in hospital. Results: Two hundred and thirty patients were evaluated within the study period. Male to Female ratio of 1.53:1 was observed. 120 patients presented in hospital within 0-1year, 70 patients within 2 years, 25 patients within 3-4 years and 15 patients within 5 years and above. Most common cause of hoarseness was the common cold-60 cases, followed by Laryngitis-35 cases and Laryngeal cancer accounted for 25 cases. Conclusion: Hoarseness is a serious symptom that should be taken seriously by both the patient and the physician and be promptly evaluated in hospital as it may result from a malignant condition like laryngeal cancer.

Hoarseness: A Serious but Neglected Symptom.