Cited by 132Smoking Behavior and CessationCardiac, Anesthesia and Surgical OutcomesTattoo and Body Piercing Complications

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Clearing the Smoke: The Scientific Rationale for Tobacco Abstention with Plastic Surgery

Krueger, Jeffery K., Rohrich, Rodney J.·2001·Plastic and Reconstructive Surgery

DOI 10.1097/00006534-200109150-00043

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Abstract

The use of tobacco is a significant contributor to preventable morbidity and mortality in the United States. A significant proportion of cardiovascular diseases, various oral and pulmonary neoplasms, nonmalignant respiratory diseases, and peripheral vascular disorders can be attributed to the use of cigarettes. Surgical outcomes can also be adversely affected as a result of cigarette smoking with intraoperative and postoperative pulmonary, cardiovascular, and cerebrovascular complications as well as increased wound healing complications. These are found across the entire spectrum of surgical specialties. Tissue ischemia and wound-healing impairment secondary to the influence of tobacco is particularly problematic for the plastic surgeon, especially during elective facial aesthetic procedures, cosmetic and reconstructive breast operations, abdominoplasty, free-tissue transfer, and replantation procedures. By educating and providing guidelines to those patients who smoke and by refusing to operate on individuals who fail to abstain, tobacco-associated surgical morbidity in the plastic and reconstructive surgery patient can be eliminated. (Plast. Reconstr. Surg. 108: 1063, 2001.)

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Authors: Krueger, J. K., & Rohrich, R. J.
Affiliations: The University of Texas Southwestern Medical Center (US)
Venue: Plastic and Reconstructive Surgery
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2001-09
Volume: 108
Issue: 4
Pages: 1063-1073
ISSN: 0032-1052 (ISSN-L)
DOI: 10.1097/00006534-200109150-00043
OpenAlex: W4236742138
Cited by: 132
References: 2
Citations by year: 2026: 2 · 2025: 7 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 14 · 2020: 5 · 2019: 14 · 2018: 11 · 2017: 5 · 2016: 5 · 2015: 1 · 2014: 4 · 2013: 4 · 2012: 3
FWCI: 0.78
Type: journal article
Language: en
Open access: closed
Locations: Plastic & Reconstructive Surgery (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac, Anesthesia and Surgical Outcomes
Social Sciences › Cultural Studies › Tattoo and Body Piercing Complications
Keywords: smoking abstinence, smoking, plastic surgery, reconstructive surgery, surgical complications, wound healing, tissue ischemia, facial aesthetic procedures, breast reconstruction, abdominoplasty, free flap, replantation, patient education

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Clearing the Smoke: The Scientific Rationale for Tobacco Abstention with Plastic Surgery

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