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These were severe vascular and multiorgan failures (i.e., severe lesions in the brain (intracerebral, intraventricular hemorrhage) and heart (congestion, myocardial infarction, severe arrhythmias) and congestion/hemorrhage in the lungs, liver, kidney, and gastrointestinal tract)

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Indications for voice surgery of vocal fold nodules: Hoarseness Rough, breathy voice Rapid vocal fatigue Loss of singing voice Vocal fold nodules usually present as bilateral tissue thickened masses in the mid-third of the vocal folds