Hoarseness of the voice or decrease in pitch is usually caused by irritation of the vocal cords. Causes: viral illnesses, yelling or screaming, cysts or polyps on the vocal chords,cigarette smoke are some of te causes.

 

MediLinks...Hoarseness
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Voicedoctor.net medically oriented information about your vocal cords, A fairly complete review of hoarseness includes a few videos and pictures. net
Evaluating Hoarseness: 
Keeping Your Patient's Voice Healthy		 (5*)American Academy of Family Physicians org

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