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The effect of heated-cigarette smoking on voice in comparison to combustion-cigarette smoking: self-perceived evaluation

Published online by Cambridge University Press:  28 October 2024

Abdul-Latif Hamdan Open the ORCID record for Abdul-Latif Hamdan [Opens in a new window] ,
Christophe Abi Zeid Daou Open the ORCID record for Christophe Abi Zeid Daou [Opens in a new window] ,
Yara Yammine ,
Christopher Jabbour ,
Ibana Carapiperis ,
Vanessa Helou ,
Justin Ghadieh  and
Jerome R Lechien Open the ORCID record for Jerome R Lechien [Opens in a new window]
Abdul-Latif Hamdan*
Affiliation:
Department of Otolaryngology and Head & Neck Surgery, American University of Beirut-Medical Center, Beirut, Lebanon
Christophe Abi Zeid Daou
Affiliation:
Department of Otolaryngology and Head & Neck Surgery, American University of Beirut-Medical Center, Beirut, Lebanon
Yara Yammine
Affiliation:
Department of Otolaryngology and Head & Neck Surgery, American University of Beirut-Medical Center, Beirut, Lebanon
Christopher Jabbour
Affiliation:
Department of Otolaryngology and Head & Neck Surgery, American University of Beirut-Medical Center, Beirut, Lebanon
Ibana Carapiperis
Affiliation:
Department of Otolaryngology and Head & Neck Surgery, American University of Beirut-Medical Center, Beirut, Lebanon
Vanessa Helou
Affiliation:
School of Medicine, American University of Beirut, Beirut, Lebanon
Justin Ghadieh
Affiliation:
School of Medicine, American University of Beirut, Beirut, Lebanon
Jerome R Lechien
Affiliation:
Division of Laryngology and Bronchoesophagology, EpiCURA Hospital; University of Mons, Mons, Belgium
*
Corresponding author: Abdul-Latif Hamdan; Email: [email protected]
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Abstract

Objective

To investigate the effect of heated-cigarette smoking on voice.

Methods

Participants completed a survey including three sections: section-1 comprised demographic data, section-2 comprised visual analogue scale grading of voice changes and fatigue and section-3 consisted of the voice handicap index-10.

Results

Two hundred and eighty-two participants filled the survey. Heated-cigarette smokers had a significantly higher mean voice handicap index-10 score compared to non-smokers (p < 0.05). The difference in voice handicap index-10 scores between heated- and combustion-cigarette smokers was not statistically significant. The number of abnormal voice handicap index-10 scores was higher in heated-cigarette smokers compared to non-smokers (p < 0.05) and significantly higher in combustion-cigarette and dual heated- and combustion-cigarette smokers compared to the other 2 groups (p < 0.05). Non-smokers had significantly lower grades of voice changes and fatigue when compared to combustion and dual heated- and combustion-cigarette smokers (p < 0.05).

Conclusion

Smokers of heated cigarettes have a significantly higher mean voice handicap index-10 score compared to non-smokers and higher grade of voice changes and fatigue.

Keywords

dysphoniavoice qualitycigarettessmokingelectronic nicotine delivery systemstobacco productsotolaryngology
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 2 , February 2025 , pp. 129 - 133
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Abdul-Latif Hamdan takes responsibility for the integrity of the content of the paper

References

Smoking and Tobacco Use. In: https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm [21 October 2021] [as of January 2025 page moved to: https://www.cdc.gov/tobacco/about/?CDC_AAref_Val=https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/index.htm]Google Scholar
Messner, B, Bernhard, D. Smoking and cardiovascular disease: mechanisms of endothelial dysfunction and early atherogenesis. Arterioscler Thromb Vasc Biol 2014;34:509–15Google Scholar
Siasos, G, Tsigkou, V, Kokkou, E, Oikonomou, E, Vavuranakis, M, Vlachopoulos, C et al. Smoking and atherosclerosis: mechanisms of disease and new therapeutic approaches. Curr Med Chem 2014;21:3936–48Google Scholar
Byeon, H. The association between lifetime cigarette smoking and dysphonia in the Korean general population: findings from a national survey. PeerJ 2015;3:e912Google Scholar
Effat, KG, Milad, M. A comparative histopathological study of vocal fold polyps in smokers versus non-smokers. J Laryngol Otol 2015;129:484–8Google Scholar
Banjara, H, Mungutwar, V, Singh, D, Gupta, A. Objective and subjective evaluation of larynx in smokers and nonsmokers: a comparative study. Indian J Otolaryngol Head Neck Surg 2014;66(suppl 1):99–109Google Scholar
Upadhyay, S, Rahman, M, Johanson, G, Palmberg, L, Ganguly, K. Heated tobacco products: insights into composition and toxicity. Toxics 2023;11:667Google Scholar
Kasza, KA, Ambrose, BK, Conway, KP, Borek, N, Taylor, K, Goniewicz, ML et al. Tobacco-product use by adults and youths in the United States in 2013 and 2014. N Engl J Med 2017;376:342–53Google Scholar
Tuhanioğlu, B, Erkan, SO, Özdaş, T, Derici, Ç, Tüzün, K, Şenkal, ÖA. The effect of electronic cigarettes on voice quality. J Voice 2019;33:811.e13–17Google Scholar
Salturk, Z, Çakır, Ç, Sünnetçi, G, Atar, Y, Kumral, TL, Yıldırım, G et al. Effects of electronic nicotine delivery system on larynx: experimental study. J Voice 2015;29:560–3Google Scholar
Rosen, CA, Lee, AS, Osborne, J, Zullo, T, Murry, T. Development and validation of the voice handicap index-10. Laryngoscope 2004;114:1549–56Google Scholar
Auer, R, Concha-Lozano, N, Jacot-Sadowski, I, Cornuz, J, Berthet, A. Heat-not-burn tobacco cigarettes: smoke by any other name. JAMA Intern Med 2017;177:1050–2Google Scholar
United States, Public Health Service: Office of the Surgeon General, Centers for Disease Control and Prevention (U.S.), National Center for Chronic Disease Prevention and Health Promotion (U.S.), Office on Smoking and Health. In: https://stacks.cdc.gov/view/cdc/6067 [16 July 2023]Google Scholar
Lee, A, Lee, SY, Lee, KS. The use of heated tobacco products is associated with asthma, allergic rhinitis, and atopic dermatitis in Korean adolescents. Sci Rep 2019;9:17699Google Scholar
Yingst, JM, Bordner, C, Hrabovsky, S, Hobkirk, AL, Trushin, N, Richie, JP Jr et al. Nicotine delivery of a menthol-flavored heat-not-burn tobacco product during directed use. Nicotine Tob Res 2024;26:397–401Google Scholar
King, JL, Reboussin, BA, Wiseman, KD, Ribisl, KM, Seidenberg, AB, Wagoner, KG et al. Adverse symptoms users attribute to e-cigarettes: results from a national survey of US adults. Drug Alcohol Depend 2019;196:9–13Google Scholar
van der Toorn, M., Sewer, A., Marescotti, D, Johne, S, Baumer, K, Bornand, D et al. The biological effects of long-term exposure of human bronchial epithelial cells to total particulate matter from a candidate modified-risk tobacco product. Toxicol In Vitro 2018;50:95–108Google Scholar
Leigh, NJ, Tran, PL, O'Connor, RJ, Goniewicz, ML. Cytotoxic effects of heated tobacco products (HTP) on human bronchial epithelial cells. Tob Control 2018;27(suppl 1):s26–29Google Scholar
Hwang, JS, Lee, CM, Lee, K, Kim, CY. Nicotine dependence evaluated by urinary cotinine and heaviness of smoking index among smokers, vapers, and dual users: a cross-sectional study using the Korea National Health and Nutrition Examination survey data. Korean J Fam Med 2021;42:197–203Google Scholar
Lechien, JR, Papon, JF, Pouliquen, C, Hans, S. E-cigarette vaping-related vocal fold injury: a case report. J Voice 2024;38:195–6.Google Scholar