The voice is the primary means of communication for humans socially and in
the workplace. Although rarely life-threatening, voice problems cause treme
ndous alteration in daily living and should not be underestimated as a medi
cal disorder. Besides affecting useful communication, voice problems may al
so signify the presence of more serious medical illnesses, such as malignan
cy or airway compromise. This article describes normal vocal anatomy and ph
ysiology and outlines a practical approach in evaluating patients with voic
e disorders.