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
- You sit in a chair facing the doctor
- Your throat or nose may be sprayed with a numbing spray
- For an exam through the mouth, you stick out your tongue and the doctor holds it with a gauze pad
- For an exam through the nose, the doctor gently puts a thin tube into your nose
- 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.