Chronic Voice Hoarseness - Differential Diagnosis Algorithm Infectious: • Bacterial Infection • Fungal Infection (Monilia) Inflammatory: • Chronic Laryngitis • GERD • Smoking Trauma: • External • Internal (Surgery, Intubation) Benign Mucosal Changes: • Nodules • Polyps • Granuloma Cysts • Reinke's Edema Neoplastic: • Malignancy: Squamous Cell Carcinoma • Benign: Papilloma (HPV 6 & 11) • Dysplasia: Leukoplakia Neurological: • Vocal Cord Paralysis • Spasmodic Dysphonia • Tremor #Chronic #Voice #Hoarseness #Vocal #Differential #Diagnosis #Algorithm #Causes