Keeping Austin Singing: Understanding ENT Causes of Hoarseness
- Posted on: Jan 12 2026
At Sinus and Snoring Specialists, we have the privilege of caring for many members of the musical community. Austin’s rich musical history and status as the live music capital of the world are celebrated, and for good reason! While most people associate sinus and throat problems with congestion or discomfort, disorders of the ear, nose, and throat can have a significant impact on the voice.
Laryngitis is a general term that refers to irritation or inflammation of the larynx, the structure above the windpipe that creates sound. Because laryngitis can arise from many different causes, identifying the underlying issue is essential for effective treatment. Below are several common reasons for hoarseness and changes in vocal quality.
Some of the most common reasons for hoarseness include:
Inflammatory Cause
- Postnasal drip: Any inflammation of the nose and sinuses can cause mucus to form, which can then cause postnasal drip. This can irritate the vocal cords, potentially leading to hoarseness and impaired vocal quality.
- Infectious laryngitis: Upper respiratory infections, caused by viruses (such as the flu) or bacterial infections, can cause hoarseness by inflaming and swelling the larynx and surrounding structures. These typically will improve once the infection is resolved.
Mechanical / Overuse-related Causes
- Overuse of the voice: The vocal cords can become irritated with excessive or loud speaking or singing. People who use their voices for work, such as teachers and singers, are at higher risk for vocal overuse.
- Vocal cord trauma: Damage to the vocal cords from breathing tubes or accidental trauma, or vocal cord hemorrhage from severe overuse or coughing, can cause severe hoarseness.
Structural Causes
- Vocal cord lesions: Growths on the vocal cord, which can range from benign (nodules or nasal polyps) from long-term vocal overuse to malignant (tumors of the larynx or surrounding structures), can cause persistent or worsening hoarseness. These lesions require evaluation by an ENT, and treatment varies based on the lesion.
Systemic or Digestive Causes
- Acid reflux: Stomach acid that travels up through the esophagus and throat can injure and irritate the vocal cords.
Additional contributing factors
- Allergies: Ongoing allergic inflammation can thicken mucus, irritate the throat, and alter vocal quality.
- Age-related voice changes: Over time, the vocal folds may naturally thin or weaken, a condition known as presbyphonia, leading to reduced projection and hoarseness.
These are some, but certainly not all, of the conditions that can affect the vocal cords. Consultation with an ear, nose, and throat doctor can help determine the specific problem and create a custom treatment plan.
At Sinus and Snoring Specialists, we have extensive experience with the spectrum of ear, nose, and throat conditions, including those affecting the voice. Whether you are professional performers or simply seeking your best everyday voice, we look forward to serving you! Call or securely text our clinic today at 512-601-0303 to request an appointment.
Tagged with: voice care
Posted in: Voice care
