@article{ref1,
title="Burns caused by electronic vaping devices (e-cigarettes): a new classification proposal based on mechanisms",
journal="Burns: journal of the International Society for Burn Injuries",
year="2018",
author="Serror, K. and Chaouat, M. and Legrand, Matthieu M. and Depret, F. and Haddad, J. and Malca, N. and Mimoun, M. and Boccara, D.",
volume="44",
number="3",
pages="544-548",
abstract="Introduction With more than 10 million of daily users, e-cigarettes encountered a great success. But in the past few years, the number of medical reports of injuries caused by the explosion of e-cigarettes has significantly increased. This article aims at reporting our series and reviewing the literature to propose a new classification based on the mechanisms of injuries related to e-cigarettes that can guide non-specialists and specialists in the management of these patients. <br><br>METHOD We performed a retrospective review of our institutional burn database from June 2016 to July 2017 for injuries caused by or in the context of using an e-cigarette. The patients' demographics (age, gender), burn injury mechanisms, depth, localization, surface and interventions were described. <br><br>RESULTS Ten patients suffered from burns related to the use of e-cigarettes. The burns were located at the thigh (80%) and the hand (50%) with a mean surface of 3% of TBSA. Four different mechanisms could be described: Type A: thermal burns with flames due to the phenomenon of &quot;thermal runaway&quot;, Type B: blasts lesions secondary to the explosion, Type C: chemical alkali burns caused by spreading of the electrolyte solution and Type D: thermal burns without flames due to overheating. These different mechanisms suggest specific surgical and non-surgical management. <br><br>CONCLUSION Management of injuries sustained from e-cigarettes' explosions should be approached from the standpoint of mechanisms. Different mechanisms could be associated and should be considered in specific management.<br><br>Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0305-4179",
doi="10.1016/j.burns.2017.09.005",
url="http://dx.doi.org/10.1016/j.burns.2017.09.005"
}