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Effects of smoking on quality of life following sinus surgery: 4‐year follow‐up
Author(s) -
Das Subinoy,
Khichi Sunny S.,
Perakis Helen,
Woodard Troy,
Kountakis Stilianos E.
Publication year - 2009
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.20499
Subject(s) - medicine , prospective cohort study , quality of life (healthcare) , surgery , functional endoscopic sinus surgery , endoscopic sinus surgery , clinical trial , sinusitis , nursing
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