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E-cigarettes in ENT: what do we need to know?

  • N Stobbs (a1), A Lillis (a2) and N Kumar (a3)
Abstract
Background:

E-cigarette use in the UK is increasing and we are commonly encountering patients in the ENT clinic who are e-cigarette smokers. Currently, there is no regulatory body or licensing for e-cigarettes. This means that the contents, and therefore potential carcinogenic and toxic risks, can vary greatly from product to product. Patients are starting to ask about the risks of e-cigarettes and their use in smoking cessation.

Objectives:

This review aimed to examine the regulations, trends, and carcinogenic and health risks of e-cigarettes, and summarise the evidence for their use in smoking cessation. It also aimed to provide a general awareness regarding the advice and information that can be safely given to patients.

Copyright
Corresponding author
Address for correspondence: Miss Nicola Stobbs, C/o ENT Secretaries, Royal Albert Edward Infirmary, Wigan Lane, Wigan WN1 2NN, UK E-mail: Nicolastobbs@doctors.org.uk
References
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1 Electronic cigarettes: A report commissioned by Public Health England. In: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/311887/Ecigarettes_report.pdf [8 March 2016]
2 International Agency for Research on Cancer. A Review of Human Carcinogens: Personal Habits and Indoor Combustions. In: http://monographs.iarc.fr/ENG/Monographs/vol100E/mono100E.pdf [8 March 2016]
3 Electronic nicotine delivery systems: Report by WHO. In: http://apps.who.int/gb/fctc/PDF/cop6/FCTC_COP6_10-en.pdf?ua=1 [8 March 2016]
4 Odum, L, O'Dell, K, Schepers, J. Electronic cigarettes: do they have a role in smoking cessation? J Pharm Pract 2012;25:611–14
5 Zhu, SH, Sun, JY, Bonnevie, E, Cummins, SE, Gamst, A, Yin, L et al. Four hundred and sixty brands of e-cigarettes and counting: implications for product regulation. Tob Control 2014;23(suppl 3):iii3–9
6 Grana, R, Benowitz, N, Glantz, S. E-cigarettes: a scientific review. Circulation 2014;129:e490–2
7 Dockrell, M, Morrison, R, Bauld, L, McNeill, A. E-cigarettes: prevalence and attitudes in Great Britain. Nicotine Tob Res 2013;15:1737–44
8 Adkison, S, O'Connor, R, Bansal-Travers, M, Hyland, A, Borland, R, Yong, H et al. Electronic nicotine delivery systems: international tobacco control four-country survey. Am J Prev Med 2013;44:207–15
9 Action on Smoking and Health. Use of electronic cigarettes (vapourisers) among adults in Great Britain. In: http://www.ash.org.uk/files/documents/ASH_891.pdf [8 March 2016]
10 Action on Smoking and Health. The regulation of e-cigarettes and other nicotine products in the UK - Q&A. In: http://www.ecigarette-politics.com/ash-uk-e-cigarette-regulation-pdf.html [10 March 2016]
11 Directive 2001/37/EC of the European Parliament and of the Council of 5 June 2001 on the approximation of the laws, regulations and administrative provisions of the Member States concerning the manufacture, presentation and sale of tobacco and related products. In: http://ec.europa.eu/health/tobacco/docs/dir200137ec_tobaccoproducts_en.pdf [10 March 2016]
12 National Institute for Health and Care Excellence. Smoking: reducing and preventing tobacco use (QS82). In: http://www.nice.org.uk/guidance/qs82/resources/smoking-reducing-and-preventing-tobacco-use-2098905215173 [8 March 2016]
13 Williams, M, Villarreal, A, Bozhilov, K, Lin, S, Talbot, P. Metal and silicate particles including nanoparticles are present in electronic cigarette cartomizer fluid and aerosol. PLoS One 2013;8:e57987
14 Westenberger, B. Evaluation of E-cigarettes. St Louis: Food and Drug Administration, 2009;18
15 Trehy, M, Ye, W, Hadwiger, M, Moore, TW, Allgire, J, Woodruff, J. Analysis of electronic cigarette cartridges, refill solutions, and smoke for nicotine and nicotine related impurities. J Liq Chromatogr Relat Technol 2011;34:1442–58
16 Hecht, S, Carmella, S, Kotandeniya, D, Pillsbury, M, Chen, M, Ransom, B et al. Evaluation of toxicant and carcinogen metabolites in the urine of e-cigarette users versus cigarette smokers. Nicotine Tob Res 2015;17:704–9
17 Goniewicz, M, Knysak, J, Gawron, M, Kosmider, L, Sobczak, A, Kurek, J et al. Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tob Control 2014;23:133–9
19 Kienhuis, AS, Soeteman-Hernandez, LG, Bos, PM, Cremers, HW, Klerx, WN, Talhout, R. Potential harmful health effects of inhaling nicotine-free shisha-pen vapor: a chemical risk assessment of the main components propylene glycol and glycerol. Tob Induc Dis 2015;13:15
20 Bullen, C, Howe, C, Laugesen, M, McRobbie, H, Parag, V, Williman, J et al. Electronic cigarettes for smoking cessation: a randomised controlled trial. Lancet 2013;382:1629–37
21 McRobbie, H, Bullen, C, Hartmann-Boyce, J, Hajek, P. Electronic cigarettes for smoking cessation and reduction. Cochrane Database Syst Rev 2014;(12):CD010216
22 Manzoli, L, Flacco, ME, Fiore, M, La Vecchia, C, Marzuillo, C, Gualano, MR et al. Electronic cigarettes efficacy and safety at 12 months: cohort study. PLoS One 2015;10:e0129443
23 Born, H, Persky, M, Kraus, D. Electronic cigarettes: a primer for clinicians. Otolaryngol Head Neck Surg 2015;153:514
24 Harrell, P, Simmons, V, Correa, J. Electronic nicotine delivery systems (“e-cigarettes”): review of safety and smoking cessation efficacy. Otolaryngol Head Neck Surg 2014;151:381–93
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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