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Effects of smoking on quality of life following sinus surgery: 4-year follow-up

✍ Scribed by Subinoy Das; Sunny S. Khichi; Helen Perakis; Troy Woodard; Stilianos E. Kountakis

Publisher: John Wiley and Sons
Year: 2009
Tongue: English
Weight: 159 KB
Volume: 119
Category: Article
ISSN: 0023-852X
DOI: 10.1002/lary.20499

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Objectives/Hypothesis:

The purpose of this study is to report on long‐term outcomes in a prospective study comparing the quality‐of‐life outcomes in smokers and nonsmokers undergoing functional endoscopic sinus surgery.

Study Design:

Prospective clinical trial.

Methods:

A total of 235 patients were prospectively enrolled at a single tertiary academic center. Preoperative Sino‐Nasal Outcomes Test (SNOT)‐20 scores and comprehensive demographic and smoking data were obtained. Preoperative SNOT‐20 scores were compared to postoperative SNOT‐20 scores.

Results:

Long‐term follow‐up results were available in 111/185 nonsmokers (60%) and 26/50 smokers (52%). Nonsmokers had a mean preoperative SNOT‐20 score of 26.2, a short‐term follow‐up score of 10.1 (mean, 3.1 months) and a long‐term follow‐up score of 11.4 (mean, 44.2 months). Smokers had a mean preoperative SNOT‐20 score of 27.8, a short‐term follow‐up score of 5.7 (mean, 3.1 months) and a long‐term follow‐up score of 8.3 (mean, 40.3 months). The mean improvement in SNOT‐20 scores for smokers was significantly greater than nonsmokers in short‐term follow‐up (P = .044), however, no significant difference in improvement was seen between smokers and nonsmokers at long‐term follow‐up.

Conclusions:

Both smokers and nonsmokers continue to maintain a highly significant improvement in SNOT‐20 scores following endoscopic sinus surgery at long‐term follow‐up. Although smoking remains a well‐documented cause of medical morbidity, smokers maintained an improvement in quality of life after long‐term follow‐up from endoscopic sinus surgery in this prospective study. Laryngoscope, 2009

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