Unable to speak, hoarse voice, may be acute laryngitis, vocal polyps, laryngeal papilloma, vocal cord leukoplakia and other reasons, need to be given according to its cause, drug treatment, surgical treatment, etc.. 1. Acute laryngitis: viral and bacterial infections cause congestion and edema of the vocal folds, which can lead to hoarseness. Sensitive anti-infective drugs should be selected according to the pathogens, such as bacterial infections, which can be given to antibiotics such as cefaclor and cefuroxime to fight infections, and at the same time, combined with budesonide nebulizer inhalation therapy. 2. Vocal polyps: polyps in the vocal folds are large in diameter, resulting in speechlessness and hoarseness, surgical resection can be considered, combined with budesonide nebulizer inhalation, and rest for a period of time without voice. 3. Laryngeal papilloma: the vocal folds are infected with human papilloma virus and this swelling grows, which can lead to hoarseness, mostly surgical resection is the main treatment, which can be assisted by photodynamic therapy and immunotherapy. 4. Vocal cord leukoplakia: belongs to precancerous lesions, manifested as hoarseness and speechlessness, can be long-term oral vitamin A, or surgical resection of the lesions. The reasons for speechlessness and hoarseness are many, so it is recommended to consult a doctor in time to find out the cause of the disease and follow the doctor’s instructions to standardize the use of medication and treatment.