This document discusses hoarseness of voice, including its definition as changes in voice quality such as breathy, strained, rough, tremorous or weak. It lists the main causes of hoarseness as infections, trauma, gastroesophageal reflux disease, laryngeal carcinoma or disorders of the vocal cords. Investigations may include history, examination, laryngoscopy, lab tests and radiological imaging. Treatment depends on the underlying cause but may include voice rest, voice therapy, pharmacotherapy, surgery, chemotherapy or lifestyle modifications.