Most are caused by HPV types 6 and 11, strains that are included in HPV vaccinations. It is seen most often in children and usually caused by the human papillomavirus (HPV). Recurrent respiratory papillomavirus: Papillomas on the larynx are fairly common and may result in slowly worsening hoarseness.Thyroid cancer can also cause hoarseness. Exposure to other irritating substances: Irritants, ranging from air pollution to chemicals used in the home, can cause hoarseness.Smoking: Smoking and secondhand smoke exposure may result in a hoarse voice.Thyroid conditions: Thyroid conditions, especially untreated hypothyroidism (low thyroid), can cause hoarseness.When reflux affects the vocal folds it is called laryngopharyngeal reflux or silent reflux. Hoarseness is usually worse in the morning and may be accompanied by chronic symptoms such as throat clearing, cough, sore throat, and postnasal drip.
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Allergies: Both seasonal and year-round allergies can result in hoarseness.
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Singers, teachers, and other professionals who use their voices a lot can get polyps.
DESCRIBE MEDICAL TREMULOUS SKIN
They usually result from overuse of your voice, much like skin calluses develop.