Sudden sensorineural hearing loss associated with electronic cigarette liquid: The first case in the literature

Demir, Emine; Topal, Sevgi

doi:10.1016/j.ijporl.2018.08.019

Cited by 8 publications

(4 citation statements)

References 8 publications

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“…Poisonings were caused by accidental (9/28) [138][139][140][141][142][143][144][145][146] Accidental ingestion was observed only to young children with a median age of 2 years old (IQR: 0.85-4) and mainly to females (6/8). Information on sex was not available for 1 case.…”

Section: Poisoningmentioning

confidence: 99%

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Tzortzi

Kapetanstrataki

Evangelopoulou

et al. 2020

IJERPH

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Following the recent electronic cigarette (e-cigarette) illness outbreak, the current review aimed to collect all related clinical cases for study and analysis and provide a critical synopsis of the proposed injury mechanism. Adhering to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analysis) guidelines, e-cigarette-related clinical cases were identified via Google Scholar and PubMed databases. Additionally, references of published case reports and previous review papers were manually searched, revealing 159 publications presenting e-cigarette-related case reports and 19 reports by the Centers for Disease Control and Prevention. 238 individual cases were identified; 53% traumatic injuries due to e-cigarette explosion or self-combustion, 24% respiratory cases, and 12% poisonings. Additional cases pertained to oral, cardiovascular, immunologic, hematologic, allergic reactions, infant complications, and altered medication levels. Case reports were mainly published between 2016–2019 (78%). The oldest case, a lipoid pneumonia, was published in 2012. The current review showed that e-cigarette-related health effects extend beyond the acute lung injury syndrome, including traumatic, thermal injuries and acute intoxications. Physicians should be aware of the distinct clinical presentations and be trained to respond and treat effectively. Regulators and public health authorities should address the regulatory gap regarding electronic nicotine delivery systems (ENDS) and novel tobacco products.

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Section: Poisoningmentioning

confidence: 99%

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Tzortzi

Kapetanstrataki

Evangelopoulou

et al. 2020

IJERPH

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“… 238 A second limited study also showed no change in acoustic measures between e‐cig users and nonsmokers but did find significant reduction in the vocal fold mucosal wave, irregularity of the free vocal fold edge, and abnormal phase closure as evaluated by videostroboscopy. 239 While traditional cigarette smoke has been implicated in a number of otologic disorders, 240 there is currently only one report regarding a case of sudden sensorineural hearing loss after ingestion of e‐juice 241 with regards to the clinical effect of e‐cigs on the ear.…”

Section: Discussionmentioning

confidence: 99%

“…Adolescent daily e-cig users report increased rate of oral pain and dental concerns compared to never users Demir et al 241 Case report 1 Pediatric sudden sensorineural hearing loss after accidental ingestion of e-liquid Farinha et al 227 Case report 1 Lingua villosa nigra after switching from cigarettes to e-cig and resolution after switching back to cigarettes Farsalinos et al 53 Observational 19,414 Wide range of self-reported symptoms from e-cig users, most commonly sore/dry mouth and throat Frossard et al 219 Case report 1 Acute uvulitis after e-cig use without other risk factors or known etiology requiring intubation Gill et al 235 Case report 1 Accidental ingestion of e-liquid resulting in nicotine poisoning Harrison et al 88 Case report 1 E-cig explosion resulting in extensive intraoral injuries Huilgol et al 222 Cross-sectional 4957 Self-reported daily e-cig use associated with poor oral health compared to intermittent or no use Hua et al 207 Observational 481 Wide range of self-reported symptoms from e-cig users, most commonly related to the respiratory system and mouth/throat Hua et al 208 Observational NA (41,216 posts)…”

Section: Future Directionsmentioning

confidence: 99%

Impact of Electronic Cigarettes on the Upper Aerodigestive Tract: A Comprehensive Review for Otolaryngology Providers

2023

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Objective The use and effects of electronic (e)‐cigarettes (e‐cigs) are particularly relevant for otolaryngology providers as tobacco plays a major role in benign and malignant diseases of the upper aerodigestive tract. This review aims to (1) summarize the recent policies regarding e‐cigs and important patterns of use and (2) serve as a comprehensive resource for clinical providers on the known biologic and clinical effects of e‐cigs on the upper aerodigestive tract. Data Sources PubMed/MEDLINE. Review Methods We conducted a narrative review on (1) general information on e‐cig use and informative findings in the lower respiratory system and a comprehensive review on (2) the effects of e‐cigs on cell and animal models and the clinical implications of these products on human health as is relevant to otolaryngology. Conclusions Although e‐cigs are likely less harmful than conventional cigarettes, preliminary research on e‐cigs suggest several deleterious effects including in the upper aerodigestive tract. Due to this, there has been increased interest in restricting e‐cig usage, particularly among the adolescent population, and caution in recommending e‐cigs to current smokers. Implications for Practice Chronic e‐cig use is likely to have clinical implications. It is critical for otolaryngology providers to be aware of the rapidly changing regulations and use patterns regarding e‐cigs and how e‐cigs influence human health, particularly with regards to the upper aerodigestive tract, to accurately council patients regarding potential risks and benefits of use.

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“…One case report found ingestion of electronic liquid solution led to bilateral SNHL with average thresholds of 63 dB for the right ear and 67 dB for the left ear. 53 This may be attributable to ethylene glycol, a constituent of anti-freeze solutions, which has been demonstrated to cause bilateral SNHL when ingested in extremely high concentrations in addition to other systemic effects. 54,55 At present however, the effect of ethylene glycol in small doses as seen in electronic cigarettes on human ear cells is unknown.…”

Section: Electronic Cigarettesmentioning

confidence: 99%

A systematic review of the impact of cigarettes and electronic cigarettes in otology

2020

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BackgroundThe detrimental systemic effects of cigarette smoking are well established. Though less pronounced in the field of otology, they are proposed to contribute to the global burden of unaddressed hearing loss. Recently, in efforts to stop smoking, individuals have used electronic cigarettes of which the long-term safety data are largely unknown. This study aimed to conduct a systematic review of cigarette smoking and electronic cigarette effects in the field of otology.MethodRelevant articles were identified by a National Institute for Health and Care Excellence healthcare database literature search and by scanning the references of relevant articles and reviews.ResultsA total of 473 articles were identified, with 43 articles included in the review after trials were excluded.ConclusionCigarette smoking is associated with recurrent otitis media, otitis media with effusion and sensorineural hearing loss in children exposed to second-hand smoke. In adults, it is associated with active and aggressive chronic suppurative otitis media, worse tympanoplasty success rates, increased post-operative complications and sensorineural hearing loss that is more pronounced in the long term and at high frequencies. The effects of e-cigarettes in otology are largely unknown.

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Sudden sensorineural hearing loss associated with electronic cigarette liquid: The first case in the literature

Cited by 8 publications

References 8 publications

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist

Impact of Electronic Cigarettes on the Upper Aerodigestive Tract: A Comprehensive Review for Otolaryngology Providers

A systematic review of the impact of cigarettes and electronic cigarettes in otology

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