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This excessive vibration can damage the surface of your vocal cords, causing them to become inflamed. Analysis 3. The mean objective voice scores measured at the first visit, at re-examination after one and two weeks, and at follow-up after two to six months did not significantly differ between the groups. They may also ask questions about lifestyle, potential exposure to airborne irritants, and other related diseases. Over the years the following criteria have been used to clearly identify M. National Center for Biotechnology Information, U. Potential biases in the review process We have produced updated coverage of RCTs of antibiotics for laryngitis in adults by summarising the best available evidence using quantitative methods. We calculated a risk ratio RR of 0. N: number bid: twice a day.