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Should Lyme disease be added to the causes of vocal cord paralysis?

Country singer Shania Twain will soon be back on tour after battling Lyme disease, which caused her to lose her voice for several years. The singer underwent two extensive operations to her throat in hopes of regaining her voice. She tells Prevention magazine, “I had to have an operation that was very intense and it’s an open-throat operation, very different from a vocal cord operation.”