title: The effect of smoking on quality of life following sinus surgery: 10-year follow-up.
abstract: OBJECTIVE
  The purpose of this study is to investigate the 10-year postoperative quality of life outcomes in smokers and nonsmokers with chronic rhinosinusitis.
  
  
  METHODS
  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.
authors: Department of Otolaryngology/Head and Neck Surgery, Georgia Regents University, Augusta, Ga., USA.
authors: Lauren C
authors: LC
authors: White
authors: Aasif A
authors: AA
authors: Kazi
authors: David W
authors: DW
authors: Jang
authors: Jose
authors: J
authors: Gurrola
authors: Stilianos E
authors: SE
authors: Kountakis
mesh_terms: D000368:Aged; D002908:Chronic Disease; D004724:Endoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012220:Rhinitis / Q000601:surgery*; D012852:Sinusitis / Q000601:surgery*; D012907:Smoking; D013997:Time Factors; D016896:Treatment Outcome