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Ann Chir Plast Esthet. 2017 Aug;62(4):308-313. doi: 10.1016/j.anplas.2017.03.009. Epub 2017 May 19.

[Tobacco and plastic surgery: An absolute contraindication?]

[Article in French]

Author information

1
Service de chirurgie maxillofaciale, plastique, reconstructrice et esthétique, CHRU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France; Université de Lorraine, 54000 Nancy, France. Electronic address: matusiakc@yahoo.fr.
2
Service de chirurgie maxillofaciale, plastique, reconstructrice et esthétique, CHRU de Nancy, 29, avenue du Maréchal-de-Lattre-de-Tassigny, 54000 Nancy, France; Université de Lorraine, 54000 Nancy, France.
3
Université de Lorraine, 54000 Nancy, France; Service de chirurgie reconstructrice de l'appareil locomoteur et chirurgie de la main, 54000 Nancy, France.
4
EI ETHOS Axe 2, faculté de médecine, université de Lorraine, 54000 Nancy, France; Parc, CHRU, 54500 Vandœuvre-les-Nancy, France.

Abstract

INTRODUCTION:

Smoking increases perioperative risk regarding wound healing, infection rate and failure of microsurgical procedures. There is no present consensus about plastic and aesthetic surgical indications concerning smoking patients. The aim of our study is to analyze French plastic surgeons practices concerning smokers.

METHOD:

A questionnaire was send by e-mail to French plastic surgeons in order to evaluate their own operative indications: patient information about smoking dangers, pre- and postoperative delay of smoking cessation, type of intervention carried out, smoking cessation supports, use of screening test and smoking limit associated to surgery refusing were studied. Statistical tests were used to compare results according to practitioner activity (liberal or public), own smoking habits and time of installation.

RESULTS:

In 148 questionnaires, only one surgeon did not explain smoking risk. Of the surgeons, 49.3% proposed smoking-cessation supports, more frequently with public practice (P=0.019). In total, 85.4% of surgeons did not use screening tests. Years of installation affected operative indication with smoking patients (P=0.02). Pre- and postoperative smoking cessation delay were on average respectively 4 and 3 weeks in accordance with literature.

CONCLUSION:

Potential improvements could be proposed to smoking patients' care: smoking cessation assistance, screening tests, absolute contraindication of some procedures or level of consumption to determine.

KEYWORDS:

Chirurgie plastique; Contraindication; Contre-indication; Indications chirurgicales; Operative indications; Plastic surgery; Sevrage tabagique; Smoking cessation; Tabac; Tobacco

PMID:
28532576
DOI:
10.1016/j.anplas.2017.03.009
[Indexed for MEDLINE]

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