The cause of vocal cord atrophy is generally unknown and is not related to voice use. It occurs equally frequently in men and women, and there is no specific group of patients. Once the vocal folds become atrophied, the vocal folds tend to close tightly during vocal production, which makes the patient feel tired and the voice becomes hoarse, resulting in the patient’s inability to reach high and low pitches in a timely manner when working or singing. Vocal cord atrophy is the loss of voice and speech fatigue, resulting in a hoarse voice. Vocal fold atrophy is the result of recurrent or prolonged acute laryngitis. Vocal cord atrophy is a result of the strain on the vocal cord nerves or the lack of nutrients in the cellular tissues of the area, or the reflex of the corresponding organ in the throat to present symptoms. Vocal cord atrophy and vocal cord aging are actually the same disease, usually occurring in different age groups and communities. This leads to loss of voice and fatigue in speech, resulting in a hoarse voice.