Surgery for Frontal Sinus Disease

McLean, Caitlin; Deckard, Nathan A.; Batra, Pete S.

doi:10.1007/978-3-319-16724-4_26

Cited by 2 publications

(2 citation statements)

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“…One of the most common inflammatory sinonasal diseases is chronic rhinosinusitis (CRS), which is defined as symptomatic inflammation of the sinonasal tract for 12 or more weeks . In addition, 2 of the 4 cardinal symptoms (nasal obstruction; facial pain, pressure, fullness, or congestion; mucopurulent drainage; and hyposmia) must be present for a diagnosis of CRS to be made .…”

Section: Introductionmentioning

confidence: 99%

Cannabis Use and Sinonasal Symptoms in US Adults

Orozco

Lin

Hur

2022

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Cannabis is the most commonly used illicit substance in the US and worldwide. Understanding the association between cannabis use and sinonasal symptoms may help clinicians and patients better understand the symptomatology associated with cannabis use. OBJECTIVE To assess the association between frequency of cannabis use and presence of sinonasal symptoms in a nationally representative sample of US adults. DESIGN, SETTING, AND PARTICIPANTS This population-based, retrospective cross-sectional study included adults aged 20 to 69 years who had completed data on sinonasal symptoms and substance use for the 2013 to 2014 National Health and Nutrition Examination Survey. The data were analyzed in February 2022. EXPOSURES Cannabis use frequency.MAIN OUTCOMES AND MEASURES Presence of sinonasal symptoms, demographic information, and medical history were obtained from National Health and Nutrition Examination Survey questionnaires. Presence of any sinonasal symptoms was defined as responding yes to any of a series of questions assessing rhinologic symptoms. Regular cannabis users were defined as using cannabis 15 or more times within the last 30 days. Nonregular users were defined as using cannabis fewer than 15 times within the last 30 days. Multivariable models were used to examine the association between frequency of cannabis use and presence of sinonasal symptoms while adjusting for demographic characteristics and medical comorbidities. RESULTSThe study included 2269 adults with a mean (SD) age of 36.5 (12.4) years (1207 women [53.2%]; 330 Asian [14.5%], 739 Black [32.6%], 461 Hispanic [20.3%], and 656 White [28.9%] individuals). The prevalence of sinonasal symptoms among regular cannabis users (45.0%; 95% Cl, 38.9%-51.1%) was lower than the prevalence among never users (64.5%; 95% Cl, 58.3%-68.8%). Compared with adults who had never used cannabis, regular cannabis users were less likely to have sinonasal symptoms (odds ratio, 0.22, 95% CI, 0.10-0.50). Current tobacco smokers were more likely to have sinonasal symptoms (odds ratio, 1.96; 95% CI, 1.17-3.28). The most common sinonasal symptoms reported were nasal congestion (62.8%; 95% Cl, 60.2%-65.4%) and change in smell (17.8%; 95% Cl, 15.2%-20.9%). CONCLUSIONS AND RELEVANCEThis cross-sectional study found that the prevalence of sinonasal symptoms was lower among regular cannabis users. Further research is needed to elucidate the mechanisms underlying the association between cannabis use and sinonasal symptoms.

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Section: Introductionmentioning

confidence: 99%

Cannabis Use and Sinonasal Symptoms in US Adults

Orozco

Lin

Hur

2022

JAMA Otolaryngol Head Neck Surg

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“…Chronic rhinosinusitis (CRS) affects 4.8% to 12% of adults in the United States and results in over $5 billion in associated health care expenditures and $12.8 billion lost in productivity annually. 4 , 5 , 6 There are several medical and surgical treatment options for those with CRS including: nasal saline rinses, nasal corticosteroids, and endoscopic sinus surgery. 4 In addition, CRS can considerably affect a patient's quality of life by impacting social, physical, and mental health.…”

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confidence: 99%

An Exploratory Analysis of the Chronic Rhinosinusitis Online Support Community

Ulloa,

Tam,

Orozco

et al. 2023

OTO Open

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ObjectiveTo characterize the users of the largest chronic rhinosinusitis (CRS) online support communities (OSCs), describe the perceived benefits of OSCs for their users, and understand how patient medical decision making is affected by membership in OSCs.Study DesignCross‐sectional online survey.SettingOnline.MethodsA cross‐sectional online survey was adapted from the existing literature on patient support groups and modified for CRS patients. The survey was posted on multiple Facebook/Reddit groups aimed at providing support toward patients with CRS. Survey data was collected over 3 months and analyzed thereafter.ResultsThere were 127 total participants. The majority were female (65.35%), white (76.98%), and the median age was 38 years. Just under half of patients had nasal polyps (48.67%) and 54.54% had undergone surgery. Many participants (69.42%) reported engaging in the OSC at least multiple times per month. The most common reason for joining an OSC was to learn tips on how to manage CRS (89.7%) and the most achieved goal from membership was hearing from others undergoing a similar experience (79.5%). Involvement in an OSC impacted knowledge of CRS in 87.41% of participants. Most users (81.1%) would recommend membership in an OSC and 54.33% reported the OSC influenced their medical decision‐making.ConclusionA majority of patients with CRS who frequently engage in an OSC for CRS have a positive experience. OSCs are a resource that CRS patients utilize to manage their disease.

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Surgery for Frontal Sinus Disease

Cited by 2 publications

References 32 publications

Cannabis Use and Sinonasal Symptoms in US Adults

Cannabis Use and Sinonasal Symptoms in US Adults

An Exploratory Analysis of the Chronic Rhinosinusitis Online Support Community

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