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Miley Cyrus revealed her signature raspy voice is caused by a condition called Reinke’s edema, a vocal cord disorder that swells her cords and creates her unique sound. Speaking to Zane Lowe, she called it both a challenge and a blessing, saying the polyp on her cords has shaped her tone. Despite difficulties performing, Cyrus refuses surgery, fearing losing her distinct voice. She continues to embrace her condition as part of her identity while promoting her upcoming visual album.