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Vocal cord paralysis is a result of damage to the nerves and tissues supporting them. Some people may be at great risk of getting affected more than others. Complications of vocal cord paralysis may occur at different stages. In the mild form, the hoarse voice may be a simple irritation to the patient and also to the listener. However, in severe forms, it also can be life-threatening. In this article, we discuss the risk factors, complications, and treatment of vocal cord paralysis.