How should we safely handle surgical smoke?

BACKGROUND Since their introduction, electrocautery and laser technologies have become indispensable for surgical intervention. Unfortunately, the smoke plumes produced by using these techniques contain numerous substances harmful to those who inhale them due to their toxic nature, particulate size, and byproducts. Literature exists describing the dangers of surgical smoke, yet surgeons—including otolarygologists—often do not take adequate precautions to protect themselves and others in the operating room (OR). In this Triological Society Best Practice review, we examine the risks associated with surgical smoke inhalation and the recommended precautions for surgical staff.