Smoking in Chronic Rhinosinusitis: A Predictor of Poor Long‐Term Outcome After Endoscopic Sinus Surgery

Briggs, Russell D.; Wright, Steve; Cordes, Stephanie; Calhoun, Karen H.

doi:10.1097/00005537-200401000-00022

Cited by 94 publications

(95 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Patients with allergic rhinitis who have ever smoked have a 43-fold risk to have nasal polyps [23]. Smoking proved to play a significant role in outcome after FESS in adults [8,13]. Several authors have reported the role of passive smoking in children in CRS after FESS [29].…”

Section: Discussionmentioning

confidence: 99%

Functional endoscopic sinus surgery—A retrospective analysis of 115 children and adolescents with chronic rhinosinusitis

Siedek

Stelter

Betz

et al. 2009

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Functional endoscopic sinus surgery—A retrospective analysis of 115 children and adolescents with chronic rhinosinusitis

Siedek

Stelter

Betz

et al. 2009

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

“…In 1994, the Surgeon General suggested that tobacco exposure contributes to CRS through ‘aggravation and prolongation of sinusitis' [12]. Several studies have suggested that smokers have worse outcomes after functional endoscopic sinus surgery (FESS) when compared to nonsmokers, including a higher revision rate for smokers compared to nonsmokers, smoking as a significant factor in reasons for revision surgery, decreased postoperative endoscopic scores in smokers, increased revision rates in children exposed to secondhand smoke and worse long-term 20-item sinonasal outcomes test (SNOT-20) scores in smokers [13,14,15,16,17]. Our data previously published in ‘The effects of smoking on short-term quality of life outcomes in sinus surgery' [18] demonstrated that smokers actually achieved greater short-term benefits compared to nonsmokers.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Smoking on Quality of Life following Sinus Surgery: 10-Year Follow-Up

White

Kazi²,

Jang³

et al. 2015

ORL

View full text Add to dashboard Cite

Objectives: The purpose of this study is to investigate the 10-year postoperative quality of life outcomes in smokers and nonsmokers with chronic rhinosinusitis. Study Design: This is a single-institution prospective cohort study. Methods: 235 patients who have previously been enrolled in a 4-year follow-up study were identified and contacted for a telephone interview. Rates of revision surgery, smoking status and 20-item sinonasal outcomes test (SNOT-20) scores were obtained. Preoperative SNOT-20 scores were compared with those obtained at the 10-year follow-up. Results: Of the patients enrolled in the initial 4-year study, 22.5% were available for a telephone interview, including 43 out of 185 nonsmokers (23.2%) and 9 out of 50 smokers (18%). Demographic data including age, sex and race were analyzed and found to be similar between the two groups. Preoperative SNOT-20 scores were similar between nonsmokers and smokers (28.9 vs. 25.8, p = 0.89). There was no significant difference in long-term SNOT-20 scores (10 years postoperatively) between nonsmokers and smokers (31.5 vs. 28.2, p = 0.629). Conclusions: While cigarette smoke may have long-term adverse effects on the sinonasal mucosa, we found no difference in quality of life outcomes between smokers and nonsmokers 10 years after functional endoscopic sinus surgery.

show abstract

“…A doseresponse like relationship between CS and upper respiratory conditions such as rhinitis, impaired olfaction, and sleep disturbances has also been described [26,31,32]. Further, exposure to cigarette smoke seems to be a contributory factor in chronic rhinosinusitis [9,33], with negative impact on outcome after FESS, both in adult populations (active smokers), and in pediatric populations (passive smokers) [33][34][35][36], although some studies have reported contradictory results [11,14,37]. Our study expands upon previous knowledge and adds new evidence of adverse upper respiratory effects associated with CS: in subjects seeking medical attention due to chronic upper airway complaints, CS seems to be an important determinant.…”

Section: Discussionmentioning

confidence: 93%

Cigarette smoking and self-assessed upper airway health

Kjærgaard

Cvancarova

Steinsvåg

2010

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

Habitual smoking represents a chronic insult to the airway. However, the effects of smoking on upper airway health remains poorly described. Our objective was to examine the relationship between cigarette smoking and self-assessed upper airway health and evaluate dose-response relationships between exposure and complaints in a sample of 2,523 patients. Eligible subjects were adults referred to ENT specialist for evaluation of chronic nasal or sleep-related complaints. Thirteen specific symptoms and conditions, mainly related to the upper airway, were graded based on visual analog scales (VAS). Smokers, representing 33% of the sample, were more likely to report severe upper airway complaints compared to non-smokers (odds ratio 1.31-2.08) and exhibited significantly higher visual analog scale scores than non-smokers for 9 out of 13 outcome variables (p < 0.001-0.007). Further, significant associations were found between cigarette consumption and severity of complaints (p < 0.001-0.01), heavy smokers generally being more likely to exhibit high VAS scores than light smokers. In several cases smoking status and self-reported asthma/allergy had similar impact on subjective outcomes. Cigarette smoking was clearly associated with impaired upper airway health and seemed to be an important determinant in subjects seeking medical attention due to chronic nasal or sleep-related complaints. Both threshold and dose-response like relationships were evident between cigarette consumption and the outcome measures.

show abstract

Smoking in Chronic Rhinosinusitis: A Predictor of Poor Long‐Term Outcome After Endoscopic Sinus Surgery

Cited by 94 publications

References 15 publications

Functional endoscopic sinus surgery—A retrospective analysis of 115 children and adolescents with chronic rhinosinusitis

Functional endoscopic sinus surgery—A retrospective analysis of 115 children and adolescents with chronic rhinosinusitis

The Effect of Smoking on Quality of Life following Sinus Surgery: 10-Year Follow-Up

Cigarette smoking and self-assessed upper airway health

Contact Info

Product

Resources

About