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In 1865, for example, it was estimated 70% of all people in the United States, both male and female, above the age of 12, chewed tobacco

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During the 1920s when cigarettes became more popular and life expectancy went up, it became more noticeable that these things werent good for your health

Surgical Intervention In recurrent or persistent ear infections (e.g., multiple AOM episodes or chronic effusion), surgical intervention such as myringotomy with tympanostomy tube insertion may be considered to ventilate the middle ear and reduce recurrence risk