Debunking the myth of e-cigarettes: a case of free flap compromise due to e-cigarette use within the first 24 hours

Nicotine abstinence for free flap patients has long been the dictum for good reason: nicotine induced vasoconstriction can cause spasm and subsequent thrombosis, ultimately resulting in flap loss.(1) Electronic cigarettes (E-cig) have become much more common, and are routinely seen as being the "lesser" of two evils when compared to "traditional" smoking among the general population. This stigma if e-cigarettes being an "acceptable alternative" to smoking, particularly in individuals attempting to abstain from smoking, has persisted despite debate among healthcare providers.

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