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Reviewing smokeless tobacco epidemiology, carcinogenesis, and cessation strategy for otolaryngologists
Author(s) -
Stanisce Luke,
Levin Kristin,
Ahmad Nadir,
Koshkareva Yekaterina
Publication year - 2018
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.27104
Subject(s) - medicine , smokeless tobacco , epidemiology , smoking cessation , abstinence , otorhinolaryngology , family medicine , environmental health , tobacco use , pathology , population , surgery , psychiatry
Objectives/Objectives We aimed to provide an otolaryngologist‐targeted summary regarding the epidemiology, carcinogenesis, and cessation strategies for smokeless tobacco usage. Study Design Evidence‐based literature review. Methods We reviewed the current evidence‐based literature concerning trends in smokeless tobacco use, associations with neoplastic change, and therapeutic interventions to assist with sustained abstinence. In complement, we present an actual case of laryngeal squamous cell carcinoma in the setting of chronic tobacco‐dentifrice usage in a lifelong nonsmoker. Results This report provides a synopsis of epidemiological data and evidence‐based recommendations for general, pharmaceutical, and behavioral cessation strategies. Conclusions Smokeless tobacco use continues to be prevalent among patients seen by otolaryngologists, particularly of various Indian and Southeast Asian descent. The data presented in this article will aid in the identification of at risk patients. The provided recommended cessation strategies will tool otolaryngologists for patient counseling and management, ultimately aimed at improving health outcomes. Laryngoscope , 128:2067–2071, 2018