Efeitos diretos e indiretos de dispositivos eletrônicos para fumar na voz: uma revisão de escopo
Direct and indirect effects of electronic nicotine delivery systems on the voice: a scoping review
Ana Paula de Oliveira Quiodine; Gilberto da Cruz Leal; Arthur Pedro Ivis da Silva Araújo; Marcia Simões-Zenari; Katia Nemr
Resumo
Palavras-chave
Abstract
Purpose: To conduct an exploratory mapping of the available scientific evidence on the direct and indirect effects of Electronic Nicotine Delivery Systems (ENDS) use on the voice.
Research strategy: A scoping review conducted according to the Joanna Briggs Institute guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses— Extension for Scoping Reviews (PRISMA-ScR), with the protocol registered on the Open Science Framework. The databases searched included Embase, MEDLINE, SCOPUS, Web of Science, CINAHL, and LILACS.
Selection criteria: Studies published in Portuguese, English, or Spanish were included, without time restrictions. Studies with restricted access or not available in full text, even after contacting the authors, as well as grey literature, letters to the editor, opinion articles, and reviews, were excluded.
Results: Of the 279 studies identified, 6 met the eligibility criteria. Direct findings included dysphonia, changes in acoustic parameters, and impacts on voice-related quality of life. Indirect findings included epiglottitis, supraglottic inflammation, chemical lesions, and cytotoxicity of the vocal folds, which may influence vocal function over time.
Conclusion: The exploratory mapping suggests that the use of ENDS may affect the voice due to both direct and indirect effects. Despite these findings, the available evidence remains limited, highlighting the need for longitudinal and experimental studies to better understand the impacts of electronic cigarettes on vocal function and laryngeal health.
Keywords
Referências
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Submetido em:
05/11/2025
Aceito em:
14/05/2026
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