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*Thick vocal folds
 
*Thick vocal folds
   −
*Purring due to vibration of vocal folds by rapid twitching of laryngeal muscles
+
*Purring due to vibration of vocal folds (and of the diaphragm) by rapid twitching of laryngeal muscles
    
*Very sensitive mucosa making intubation tricky
 
*Very sensitive mucosa making intubation tricky
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