Reverse smoking explained

Reverse smoking is a kind of smoking where the burnt end of a hand rolled tobacco leaf is put in the mouth rather than the unlit end of the cigar.^[1] It is practiced in some parts of Andhra Pradesh, India, Lusaka, Zambia and the Philippines. While conventional smoking is more prevalent among men,^[2] studies suggest that reverse smoking is a more common among women than men.^{[3] [4]} Reverse smoking is considered to be a risk factor for oral cancer.^[5]

Reverse smoking may cause a pre-malignant version of Stomatitis nicotina,^[6] also called "smoker's palate", characterized by melanin depigmentation and epithelial thinning.^{[7] [8]}

Notes and References

1. 10.1016/0030-4220(77)90325-5 . 265042 . A follow-up study of sixty-one oral dysplastic precancerous lesions in Indian villagers . Oral Surgery, Oral Medicine, Oral Pathology . 43 . 3 . 383–90 . 1977 . Pindborg . Jens J. . Daftary . Dinesh K. . Mehta . Fali S. .
2. Higgins . Stephen T. . Kurti . Allison N. . Redner . Ryan . White . Thomas J. . Gaalema . Diann E. . Roberts . Megan E. . Doogan . Nathan J. . Tidey . Jennifer W. . Miller . Mollie E. . Stanton . Cassandra A. . Henningfield . Jack E. . Atwood . Gary S. . 2015-11-01 . A literature review on prevalence of gender differences and intersections with other vulnerabilities to tobacco use in the United States, 2004-2014 . Preventive Medicine . 80 . 89–100 . 10.1016/j.ypmed.2015.06.009 . 1096-0260 . 4592404 . 26123717.
3. Dharmavaram . Ayesha Thabusum . Nallakunta . Rajesh . Reddy . Sudhakara Reddy . Chennoju . Sai Kiran . 2016-04-01 . Demystifying the Enigma of Smoking – An Observational Comparative Study on Tobacco Smoking . Journal of Clinical and Diagnostic Research . 10 . 4 . ZC94–ZC99 . 10.7860/JCDR/2016/16359.7677 . 2249-782X . 4866260 . 27190962.
4. Gupta . P C . Mehta . F S . Pindborg . J J . 1984-10-06 . Mortality among reverse chutta smokers in south India. . British Medical Journal (Clinical Research Ed.) . 289 . 6449 . 865–866 . 10.1136/bmj.289.6449.865 . 0267-0623 . 1443430 . 6434115.
5. 10.4103/0973-029X.164530 . 26604494 . 4611926 . Palatal changes of reverse smokers in a rural coastal Andhra population with review of literature . Journal of Oral and Maxillofacial Pathology . 19 . 2 . 182–7 . 2015 . Bharath . Tsreenivasa . Kumar . Ngovind Raj . Nagaraja . A . Saraswathi . TR . Babu . Gsuresh . Raju . Pramanjaneya . free .
6. Book: Werning, John W. . Oral Cancer: Diagnosis, Management, and Rehabilitation . 2007 . Thieme . 978-3-13-135811-0 . en.
7. Hedin . C. a . Pindborg . J. J. . Daftary . D. K. . Mehta . F. S. . 1992-11-01 . Melanin depigmentation of the palatal mucosa in reverse smokers: a preliminary study . Journal of Oral Pathology & Medicine . 21 . 10 . 440–444 . 10.1111/j.1600-0714.1992.tb00971.x . 0904-2512 . 1460582.
8. John . Hussain Ali S . Dakhale . Rishika . Sedani . Shweta . Ahuja . Kajal P . Smoker's Palate: An Often Misunderstood Benign Lesion of the Oral Cavity . Cureus . 2023 . 15 . 11 . e48868 . 10.7759/cureus.48868 . free . 2168-8184 . 38106782. 10724502 .