This phenomenon is shared by laser and thermal cautery, arising from the volatization of cellular fluid contents, primarily during incision and excision. The smoke is considered a mild carcinogen and is therefore more of an issue for staff due to continued exposure. The use of high speed suction held near the surgical site is recommended or else a dedicated smoke evacuator, both of which are effective.
Judicious use of irrigation can help reduce smoke production, also, the closer to ideal the energy dose titration the better. Odor is controlled by placing gauze moistened with a suitable pleasant smelling astringent, mouth wash, or deodorant on the patient’s bib or directly under the nostrils.