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Primary Causes Conditions that often cause ear pain and originate within the ear include the following: Otitis Media Otitis media describes a middle ear infection in which fluid and inflamed tissue builds up in the middle ear spacethe area between your eardrum (tympanic membrane) and the oval window of your inner ear

To ensure a comprehensive and evidence-based synthesis, a literature search was conducted across PubMed, Scopus, and Web of Science databases

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There are several types of chewing habits like the use of betel quid, khaini, mawa, panmasala plain without tobacco, and gutkha 13