Munshi Teja, Heckman Carolyn J, Darlow Susan
J Am Dent Assoc. 2015 Oct;146(10):760-6. doi: 10.1016/j.adaj.2015.04.014.
With the growing popularity of waterpipe smoking (WPS), it is important to understand how WPS may impact health. The aim of this study was to systematically review the literature to identify potential health effects of WPS, specifically on the head and neck region.
The authors systematically reviewed published articles that focused on WPS and head and neck conditions identified from the following databases: PubMed and MEDLINE, PsycInfo, and Google Scholar.
The authors included 20 articles in the review. Ten of the articles pertained to oral tissue outcomes, 7 to head and neck cancer, and 3 to the voice and middle ear. The authors found that WPS was associated with greater inflammation, Candida, periodontitis, dry socket, blood chromium and nickel levels, premalignant lesions, oral cancer, esophageal squamous cell carcinoma, attic retraction, edema in the vocal cords, and lower habitual vocal pitch and voice turbulence index.
WPS is associated with various head and neck conditions. Educational and policy approaches may be required to limit the spread of WPS and its potentially deleterious effects.
随着水烟吸食（WPS）越来越流行，了解WPS如何影响健康很重要。本研究的目的是系统回顾文献，以确定WPS对健康的潜在影响，特别是对头部和颈部区域的影响。
作者系统回顾了已发表的文章，这些文章聚焦于从以下数据库中识别出的WPS与头部和颈部疾病：PubMed和MEDLINE、PsycInfo以及谷歌学术。
作者在回顾中纳入了20篇文章。其中10篇文章涉及口腔组织结果，7篇涉及头颈癌，3篇涉及嗓音和中耳。作者发现，WPS与更严重的炎症、念珠菌感染、牙周炎、干槽症、血液中铬和镍的水平、癌前病变、口腔癌、食管鳞状细胞癌、上鼓室回缩、声带水肿以及较低的习惯性嗓音音高和嗓音湍流指数有关。
WPS与多种头颈疾病有关。可能需要采取教育和政策措施来限制WPS的传播及其潜在的有害影响。
