“Maras Powder” a Form of Smokeless Tobacco as a Perioperative Risk Factor in Microsurgery

Keywords

Delirium - Flap failure - Nicotine withdrawal - Smokeless tobacco - Maras out - Maras powder

This work was done at Department of Plastic Surgery/Çukurova University/Adana, Turkey.

This paper was presented at the 3rd Annual Meeting of the Turkish Society of Reconstructive Microsurgery İstanbul, Turkey, November 2007.

This paper was presented at the 9th Congress of the European Federation of Societies for Microsurgery, Turku, Finland, June 2008.

• References

• 1 Kurtul N, Cil MY, Pacaci SD. Serum total sialic acid levels in smokers and users of smokeless tobacco in form of oral powder (Maras powder). J Biomed Sci 2005; 12: 559-563
• 2 Erenmemisoglu A. Turkish smokeless tobacco “Maras Powder”. Prev Med 1999; 28: 616-617
• 3 Idris AM, Ibrahim SO, Vasstrand EN et al The Swedish snus and the Sudanese toombak: are they different?. Oral Oncol 1998; 34: 558-566
• 4 Cok I, Ozturk R. Urinary cotinine levels of smokeless tobacco (Maras powder) users. Hum Exp Toxicol 2000; 19: 650-655
• 5 Ozkul Y, Donmez H, Erenmemisoglu A et al Induction of micronuclei by smokeless tobacco on buccal mucosa cells of habitual users. Mutagenesis 1997; 12: 285-287
• 6 Guven A, Koksal N, Buyukbese MA et al Effects of using a different kind of smokeless tobacco on cardiac parameters: “Maras Powder”. Anadolu Kardiyol Derg 2003; 3: 230-235
• 7 Kilinc M, Okur E, Kurutas EB et al The effects of Maras powder (sokeless tobacco) on oxidative stress in users. Cell Biochem Funct 2004; 22: 233-236
• 8 Reus 3rd WF, Colen LB, Straker DJ. Tobacco smoking and complications in elective microsurgery. Plast Reconstr Surg 1992; 89: 490494
• 9 Nahabedian MY, Momen B, Manson PN. Factors associated with anastomotic failure after microvascular reconstruction of the breast. Plast Reconstr Surg 2004; 114: 74-82
• 10 Rao VK, Morrison WA, O’Brien BM. Effect of nicotine on blood flow and patency of experimental microvascular anastomosis. Ann Plast Surg 1983; 11: 206-209
• 11 Cryer PE, Haymond MW, Santiago JV, Shah SD. Norepinephrine and epinephrine release and adrenergic mediation of smoking-associated hemodynamic and metabolic events. N Engl J Med 1976; 295: 573-577
• 12 Reus WF, Robson MC, Zachary L, Heggers JP. Acute effects of tobacco smoking on blood flow in the cutaneous micro-circulation. BrJ Plast Surg 1984; 37: 213-215
• 13 Eroglu L, Orak I, Turhan Haktanir N. Effect of short-term use of oral smokeless tobacco on random- pattern skin flap survival in rats. Scand J Plast Reconstr Surg Hand Surg 2005; 39: 272-276
• 14 Miller RB, Reece G, Kroll SS et al Microvascular breast reconstruction in the diabetic patient. Plast Reconstr Surg 2007; 119: 38-45
• 15 Mayer SA, Chong JY, Ridgway E et al Delirium from nicotine withdrawal in neuro-ICU patients. Neurology 2001; 57: 551-553