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← All services · Endoscopy

Throat exam (laryngoscopy)

laryngoscopy · vocal cord exam · throat scope · voice box exam

An ENT doctor looks at your voice box and vocal cords, with a small mirror through the mouth or a thin flexible tube with a camera through the nose.

For hoarseness that lasts more than 2 to 3 weeks, a lump feeling in the throat, pain when swallowing, or a cough with no clear cause.

⏱ Duration: usually 5 to 10 minutes

Be sure to tell your doctor

How to prepare

  • Food. You are usually advised not to eat for 1 to 2 hours before. This makes gagging less likely. Check with your clinic.
  • Smoking. It is better not to smoke on the day of the exam.
  • Voice. No special preparation is needed. You can write down when and how your voice changes. This helps the doctor.

What to bring

  • Your referral, if you have one
  • Past ENT doctor reports
  • A list of your medicines

How it goes

  1. You sit in a chair facing the doctor
  2. Your throat or nose may be sprayed with a numbing spray
  3. For an exam through the mouth, you stick out your tongue and the doctor holds it with a gauze pad
  4. For an exam through the nose, the doctor gently puts a thin tube into your nose
  5. You are asked to say "eee". This shows how your vocal cords move

What you'll feel

  • The spray tastes bitter and numbs your throat. It may feel like a lump
  • You may feel like gagging. Breathe slowly through your nose
  • The tube in your nose feels like pressure, but it usually does not hurt

Afterwards

  • After the spray, do not eat or drink until the numbness wears off, usually 30 to 60 minutes. Otherwise you may choke
  • The doctor usually tells you the result right away
  • If a small piece of tissue was taken for testing, that result comes later

Contact a doctor straight away if

  • Trouble breathing or a badly swollen throat after the exam: call emergency services

Common questions

Does laryngoscopy hurt?

Usually not. It can be unpleasant because of gagging, so a numbing spray is often used.

When should I see an ENT doctor about hoarseness?

If your voice has been hoarse for more than 2 to 3 weeks, see an ENT doctor.