Background: Video stroposcopy is useful in diagnosis of various laryngeal lesion.  Laryngeal ultrasound is also used as a beneficial tool in this diagnosis. Objectives: The main aim of this study was to evaluate the value of laryngeal ultrasound in comparison to vocal cord stroposcopy in diagnosis of different laryngeal lesions. Patients and Methods: This study which was carried out between August 2014 and April 2015 in Radio diagnosis and Otorhinolaryngology Departments, Al-Zahraa University Hospital, Egypt. The study included groups of thirty patients who had complaints related to the larynx as hoarseness of voice, stridor, chronic cough, chocking attacks or neck swelling. These patients were referred from the ENT outpatient clinic. All the patients of the study group were subjected to both laryngeal ultrasound and vocal cord stroposcopy. Results: Twelve patients (40%) were normal, two patients  (6.6%) had vocal fold palsy,  four patients (13,3 %) had vocal fold nodules, three (10%) had vocal fold polyp, two (6.6%) had vocal fold hypertrophy, two (6.6%) had intrarytenoid edema, one (3.3%) had anterior commissure mass enchroaching upon the right vocal cord, one  (3.3%)  had submandibular swelling and three (10%) had multinodular goitre. Conclusion: Laryngeal ultrasound can be used in diagnosis in different  vocal cord lesions. It can be used as a complementary tool to vocal cord stroposcopy in diagnosis of vocal cord lesions.