The evaluation of a hoarse voice begins with a history and physical exam.

Usually, the physical exam is normal in someone with a hoarse voice.

Physical findings in someone with hoarse voice may include:

• Lymph gland swelling in the neck.

The diagnosis can usually be made without testing.

Tests that may be used to evaluate hoarse voice include:

• Throat culture
• Laryngoscopy:
• A thin, flexible scope is used to examine the larynx