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The law barred FDA from outright blocking the sale of cigarettes, but the agency was free to take such pivotal steps as prohibiting the use of appealing menthol flavoring in cigarettes and requiring cigarette makers to ratchet down the amount of addictive nicotine in each smoke

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Previous studies showing the effect of smoking through cadaveric study of vocal folds or through acoustic parameters have been done, although a review of the literature showed no research examining how smoking impacts both the structure and function of the vocal folds

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