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Invited Commentary
Jan/Feb 2019

Is e-Cigarette Vaping a New Clinical Challenge to Wound Healing?

Author Affiliations
  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
JAMA Facial Plast Surg. 2019;21(1):10-11. doi:10.1001/jamafacial.2018.1280

Traditional cigarette smoking has been implicated by indisputable physiologic and clinical evidence to have substantial wound healing problems in surgical procedures. Physiologically, nicotine and the thousands of chemicals (ie, tar) in cigarette smoke induce not only peripheral vasoconstriction but also oxidative stress that weakens neutrophil function and subsequently wound healing through a variety of mechanisms.1,2 But what about electronic or e-cigarettes, otherwise known as vaping?