Your voice is the sound that air makes when it is forced out of your lungs and passes over your vocal cords. Vocal cords are the 2 folds of tissue inside your larynx, also called the voice box. The vibration of those cords is what produces speech. Laryngitis is when your vocal cords swell. It makes the voice sound hoarse. Or you may not be able to speak at all. Acute laryngitis happens suddenly, often because of a virus in the upper respiratory tract. It often lasts just a few weeks. Treatment is to rest the voice and drink plenty of fluids. Chronic laryngitis is when the swelling lasts for a long time. Common causes include a chronic cough, using inhalers for asthma, and GERD. Treatment of chronic laryngitis depends on the cause. The vocal cords can be paralyzed, or partially paralyzed (paresis). This can be caused by a viral infection that affects your vocal cord nerves, an injury to a nerve during surgery, stroke, or cancer. If one or both of your vocal cords are paralyzed in a nearly closed position, you may have noisy or difficult breathing. If they are paralyzed in an open position, you may have a weak, breathy voice. Some people will get better over time. In other cases, the paralysis is permanent. Surgery and voice therapy may help improve the voice. This is a nerve problem that causes the vocal cords to spasm. It can make the voice sound tight, quivery, or jerky, hoarse, or groaning. At times, the voice may sound normal. Other times, the person may not be able to speak. Treatment may include speech therapy and injections of botulinum toxin to the vocal cords.
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