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Mastoiditis, an infection in the air cells of the skull behind the ear, is a rare complication from acute otitis media

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They often replace tobacco with other plant materials like mint leaf or corn silk

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4,20 In combusted products, sugar caramelization and Maillard reactions produce characteristic woody and caramel flavors and aromatic compounds with cocoa, nutty, or popcorn-type flavor notes, improving the taste and smell of the tobacco smoke for both the consumers and bystanders