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J Am Acad Dermatol. 2013 Jan;68(1):167-72. doi: 10.1016/j.jaad.2012.08.039. Epub 2012 Oct 25.

Tobacco smoking and dermatologic surgery.

Author information

1
Department of Dermatology, Dermatologic Surgery and Laser Center, University of California at San Francisco, San Francisco, California 94115, USA.

Abstract

BACKGROUND:

Cigarette smoking is the leading cause of preventable death and a major public health concern. Numerous clinical and experimental studies have examined the effect of nicotine on wound healing and surgical procedures, but there are limited published reports in the dermatologic surgery literature.

OBJECTIVE:

This article seeks to develop evidence-based recommendations regarding the effect of tobacco use in patients undergoing dermatologic surgery procedures.

METHODS:

This article reviews the existing published English-language literature pertaining to the effects of tobacco on wound healing and surgical complications.

RESULTS:

Tobacco use is associated with a higher incidence of postoperative complications including wound dehiscence, flap or graft necrosis, prolonged healing time, and infections.

LIMITATIONS:

This review article only summarizes past reports and studies.

CONCLUSION:

Recommendations for smoking cessation before dermatologic surgery are provided based on the available data.

PMID:
23103201
DOI:
10.1016/j.jaad.2012.08.039
[Indexed for MEDLINE]

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