Laryngoscopy is our procedure to look at the vocal folds (cords) by using a thin flexible telescope that is passed through the nose and carries a small camera and a bright light. This enables us to look at the details of the vocal folds while they are moving and while you are breathing and talking. Because it is important to see the fine details of the vocal cords while they are opening, closing, and vibrating, we use a technique known as stroboscopy. This enables us to evaluate the subtle movement of the vocal folds accurately. Prior to performing this procedure, the nose is sprayed with a medicated for decongestion and numbing. In general, this procedure is extremely well-tolerated even for patients who are concerned that they might "gag" or experience other discomfort. The examination lasts 30-60 seconds and is often the cornerstone of our diagnosis.