E-cigarettes: An update on considerations for the otolaryngologist.
OBJECTIVE
We provide an update in the literature and national regulations regarding electronic cigarettes with special attention to the pediatric population.


BACKGROUND
Electronic nicotine delivery systems (ENDS) are handheld battery operated devices that vaporize nicotine-containing liquids for inhalation. Use of these products has dramatically increased over the last several years, particularly among the youth. ENDS are being marketed with advertising techniques and flavors which appeal to the adolescent and young adult population. More reports of accidental pediatric exposures are being documented, as are suicides from abuse of liquid nicotine. Federal regulation has only now become required of these devices.


CONCLUSIONS
Use of e cigarettes among adolescents increases each year. Government oversight is needed to protect our children from the re-normalization of tobacco. Otolaryngologists should be prepared to counsel their patients and families regarding the latest in ENDS use.
Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, VA, USA. Electronic address: biyanis@evms.edu.
Sneh
S
Biyani
Department of Otolaryngology-Head and Neck Surgery, Eastern Virginia Medical School, Norfolk, VA, USA; Children's Hospital of the King's Daughters, Norfolk, VA, USA.
Craig S
CS
Derkay
D000280:Administration, Inhalation; D000293:Adolescent; D066300:Electronic Nicotine Delivery Systems / Q000009:adverse effects* / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D006801:Humans; D009538:Nicotine / Q000008:administration & dosage / Q000009:adverse effects*; D010036:Otolaryngology
D009538:Nicotine
Adolescents; E-cigarettes; Electronic cigarettes; Tobacco cigarettes; Vapor