VNS causes stimulation of the superior and recurrent laryngeal nerves and is associated with problems ranging from alteration of voice (66%), coughing (45%), pharyngitis (35%) and throat pain (28%) and hoarseness (very common) to frank laryngeal muscle spasm and upper airway obstruction (rare).
The giant manta is commonly found offshore, while the reef manta, as its name suggests, is found inshore near coral and rocky reefs. Manta rays live in the open ocean, swimming continuously through the water column instead of resting on the sea floor like other rays. Although much of their time is spent near the surface, they have been known to dive to depths of 100 feet.
Manta rays are largest rays in the world, with wingspans reaching 7 metres. They have one of the highest brain-to-body mass ratios of all fish. Manta populations suffer when they are caught as bycatch by fishermen fishing for other species, but fisheries which target manta rays are even more harmful.