Hi.. it is pretty unusual concern..not being able to puff at all is a neurological problem eg in facial paralysis..but suffering from pain while puffing means something is wrong in your cheek..as there are a lot of structures passing in the cheek..eg ducts of salivary glands which might have stones etc ..so all in all you need further investigation..best is to consult a specialist in Oral Diagnosis.
Answered2017-02-20 13:57:09
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