This will take place during fellatio. The man recieving involved will spark a ciggarette close to climax, then when he is near finishing pull the girls hair back, grab her nose and then simultaneously cum and ash in said females mouth. Hence forcing inhalation.
A disease common among men of Slavic or Cyrillic native dialect in a western speaking atmosphere that can cause a difference of mindset from western generalized perception of the Eastern Europeans. Genuinely leads to minor cases of bad posture, strange tangents and difficulty with sentences and 4th dimensional concepts.