Hoarseness (dysphonia) is when your voice sounds raspy, strained or breathy. The volume (how loud or soft you speak) may be different and so may the pitch (how high or low your voice sounds). There are many causes of hoarseness but, fortunately, most are not serious and tend to go away after a short time. You can speak thanks to your vocal folds (vocal cords) and larynx (voice box). Your larynx sits above your trachea (windpipe) the airway that goes down to your lungs. The vocal cords, which are two bands of muscle, are inside your larynx, and they open and close. When you speak, air from your lungs makes the cords vibrate, creating sound waves. If you relax (shorten) your vocal folds, your voice will sound deeper. It will be higher pitched if the vocal folds tense or elongate.
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