Hoarseness in children is usually caused by prolonged shouting and exertion, which can lead to vocal cord disease, and common diseases can include chronic laryngitis or vocal cord nodules. Chronic laryngitis can be seen bilateral vocal folds diffuse congestion, edema, good movement of the vocal folds, but incomplete closure. Chronic laryngitis can be treated with nebulized inhalation therapy, using budesonide nebulization to reduce the congestion and edema of the vocal folds. At the same time, the patient needs to keep quiet for a week to gradually cure, but after the cure, the patient also needs to whisper and speak less, so as to avoid recurrence. Vocal cord nodule is a symmetrical white bulge in the anterior middle third of the vocal folds, resulting in incomplete closure of the vocal folds. In the treatment of the first to take conservative treatment, the same is nebulized inhalation at the same time to silence, if the conservative treatment is ineffective, if necessary, can be carried out surgical treatment, to support the laryngoscopy under the vocal cord nodule removal surgery, after the operation need to stay in hospital for about a week can be cured and discharged.