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Complications include: increased risk of bacterial and viral respiratory infections damage to the throat changes to the voice, such as hoarseness long-term cough and irritation Damage to the cilia may lead to a build-up of chemicals in the lungs and airways, which can play a role in the development of: Bronchitis Bronchitis is an inflammation of the lining of the bronchial tubes the tubes connecting the lungs to the nose and mouth