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In Germany, about 120000 people are dying annually [2] and the goal of the German government and the German ministry of health was to reduce the numbers of deaths

And although the condition is rarely serious, its important to see a laryngologist or ear, nose and throat (ENT) specialist if symptoms continue, to rule out other medical conditions like GERD (short for gastroesophageal reflux), cancer of the larynx, or neurological diseases such as spasmodic dysphonia or vocal fold paralysis