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Thickening of Vocal Cords Smoking also contributes to the thickening and stiffening of the vocal cords

Indeed, even short exposure to cigarette smoke is sufficient to increase the secretion of pro-inflammatory cytokines and the expression of several TLRs (e.g., TLR-2 and TLR-4) in epithelial cells [105,137,139,147,148]

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