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A systematic review of the impact of cigarettes and electronic cigarettes in otology

Published online by Cambridge University Press:  04 December 2020

S Patel ,
N Wooles  and
T Martin
S Patel*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, UK
N Wooles
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, UK
T Martin
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Worcestershire Acute Hospitals NHS Trust, Worcester, UK
*
Author for correspondence: Mr Sanjay Patel, C/o ENT Secretaries, Linden Suite, Worcestershire Royal Hospital, Charles Hastings Way, Worcester WR5 1DD, UK E-mail: s.patel9@doctors.org.uk
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Abstract

Background

The detrimental systemic effects of cigarette smoking are well established. Though less pronounced in the field of otology, they are proposed to contribute to the global burden of unaddressed hearing loss. Recently, in efforts to stop smoking, individuals have used electronic cigarettes of which the long-term safety data are largely unknown. This study aimed to conduct a systematic review of cigarette smoking and electronic cigarette effects in the field of otology.

Method

Relevant articles were identified by a National Institute for Health and Care Excellence healthcare database literature search and by scanning the references of relevant articles and reviews.

Results

A total of 473 articles were identified, with 43 articles included in the review after trials were excluded.

Conclusion

Cigarette smoking is associated with recurrent otitis media, otitis media with effusion and sensorineural hearing loss in children exposed to second-hand smoke. In adults, it is associated with active and aggressive chronic suppurative otitis media, worse tympanoplasty success rates, increased post-operative complications and sensorineural hearing loss that is more pronounced in the long term and at high frequencies. The effects of e-cigarettes in otology are largely unknown.

Keywords

Cigarette SmokingElectronic Nicotine Delivery SystemsHearing LossEar Diseases

Information

Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 11 , November 2020 , pp. 951 - 956
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Dr S Patel takes responsibility for the integrity of the content of the paper

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