Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-24T07:36:01.002Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  19 April 2016

N Stobbs ,
A Lillis  and
N Kumar
N Stobbs*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Barnsley Hospital NHS Foundation Trust, Camberley, UK
A Lillis
Affiliation:
Department of Respiratory Medicine, Frimley Park Hospital NHS Foundation Trust, Camberley, UK
N Kumar
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Wrightington, Wigan and Leigh NHS Foundation Trust, Wigan, UK
*
Address for correspondence: Miss Nicola Stobbs, C/o ENT Secretaries, Royal Albert Edward Infirmary, Wigan Lane, Wigan WN1 2NN, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Smoking CessationElectronic CigarettesCarcinogensNicotine
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 6 , June 2016 , pp. 512 - 515
Copyright
Copyright © JLO (1984) Limited 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

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]Google Scholar
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]Google Scholar
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]Google Scholar
4 Odum, L, O'Dell, K, Schepers, J. Electronic cigarettes: do they have a role in smoking cessation? J Pharm Pract 2012;25:611–14CrossRefGoogle ScholarPubMed
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):iii3–9CrossRefGoogle ScholarPubMed
6 Grana, R, Benowitz, N, Glantz, S. E-cigarettes: a scientific review. Circulation 2014;129:e490–2CrossRefGoogle ScholarPubMed
7 Dockrell, M, Morrison, R, Bauld, L, McNeill, A. E-cigarettes: prevalence and attitudes in Great Britain. Nicotine Tob Res 2013;15:1737–44CrossRefGoogle ScholarPubMed
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;44:207–15CrossRefGoogle ScholarPubMed
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]Google Scholar
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]Google Scholar
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]Google Scholar
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]Google Scholar
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 Google ScholarPubMed
14 Westenberger, B. Evaluation of E-cigarettes. St Louis: Food and Drug Administration, 2009;1–8 Google Scholar
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;34:1442–58CrossRefGoogle Scholar
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;17:704–9CrossRefGoogle ScholarPubMed
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;23:133–9CrossRefGoogle ScholarPubMed
18 Exploding e-cigarettes spark national safety concerns 2015. In: http://www.independent.co.uk/life-style/health-and-families/health-news/exploding-ecigarettes-spark-national-safety-concerns-10382229.html [8 March 2016]Google Scholar
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 CrossRefGoogle Scholar
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;382:1629–37CrossRefGoogle ScholarPubMed
21 McRobbie, H, Bullen, C, Hartmann-Boyce, J, Hajek, P. Electronic cigarettes for smoking cessation and reduction. Cochrane Database Syst Rev 2014;(12):CD010216CrossRefGoogle ScholarPubMed
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 CrossRefGoogle ScholarPubMed
23 Born, H, Persky, M, Kraus, D. Electronic cigarettes: a primer for clinicians. Otolaryngol Head Neck Surg 2015;153:5–14 CrossRefGoogle ScholarPubMed
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;151:381–93CrossRefGoogle ScholarPubMed