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Smoking and Secondhand Smoke Tobacco smoke irritates and inflames the Eustachian tubes, making them more prone to blockage and poor function

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2010;12 suppl 1:S2033

However, the current landscape of evidence informing the estimated relationships with chewing tobacco is weak and highlights key areas for future research, including a need for large, high-quality prospective cohort studies to strengthen our understanding of chewing tobaccos health burden

British journal of addiction, 84 (7), 791-799