Patient: hoarse voice for several years. Laboratory tests and laryngoscopy showed incomplete closure of the vocal cords. Is vocal fold incomplete closure (vocal fold sulcus) the cause of prolonged hoarseness? Is vocal fold sulcus a congenital condition? Will it deteriorate further? Is it incurable? Long Ping, Department of Otolaryngology and Head and Neck Surgery, The First Affiliated Hospital of Nanchang University: The vocal fold sulcus is a longitudinal sulcus-like depression parallel to the edge of the vocal folds, which often causes different degrees of poor vocal fold closure and abnormal vocal fold vibration. The etiology of vocal fold sulcus has two perspectives: congenital and acquired factors, mostly caused by laryngitis or articulation abuse or pharyngeal reflux. The main clinical manifestations of vocal fold groove are: (1), hoarseness Patients mostly visit the clinic with persistent moderate to severe hoarseness, accompanied by breath sounds. Patients have weak pronunciation, low pitch, and single tone quality. (2), pronunciation is easily fatigued. Vocal fold sulcus is usually not malignant. Physiological vocal fold sulcus, without obvious clinical symptoms, does not require treatment. Pathological vocal fold sulcus, due to different degrees of defects in the lamina propria, can not only cause poor vocal fold closure, but also affect the vocal fold vibration function, which needs to be treated. The key to treatment is to correct the defects of the vocal fold lamina propria, so the treatment is more difficult. (1), Articulation treatment. (2), Surgical treatment. Patient: So what if it is a physiological vocal fold sulcus and the voice is hoarse! Does this not need to be treated? Wouldn’t that be hoarse for life? Is this physiological vocal fold sulcus incurable? Long Ping, Department of Otolaryngology and Head and Neck Surgery, The First Affiliated Hospital of Nanchang University: Physiological vocal fold sulcus does not cause hoarseness and does not need to be treated. Pathological vocal fold sulcus is classified into type I, type II and type III according to the results of electronic laryngoscopy and the presence of hoarseness; then different treatment methods are adopted according to different conditions. Psychological factors are very important in the treatment of voice disorders. I have not seen your laryngoscopy results and I do not know the degree of hoarseness. Please visit a professional voice doctor and I am sure you will get a satisfactory answer.