Impact of tobacco smoke on chronic rhinosinusitis: a review of the literature.

Impact of tobacco smoke on chronic rhinosinusitis: a review of the literature.
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DOI:
10.1002/alr.21054
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发表时间:
2012-09
影响因子:
6.4
通讯作者:
Smith, Timothy L.
Smith, Timothy L.
中科院分区:
医学1区
文献类型:
--
作者:
Reh, Douglas D.;Higgins, Thomas S.;Smith, Timothy L.

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环境因素,如香烟烟雾等吸入污染物,可能在包括慢性鼻-鼻窦炎(CRS)在内的上呼吸道疾病中发挥重要作用。这篇综述的目的是总结以往在CRS上描述主动吸烟和二手烟(SHS)之间相关性的研究。我们还回顾了香烟烟雾对鼻窦粘膜的病理生理影响,并讨论了它对内窥镜鼻窦手术(ESS)手术结果的影响。用PubMed数据库检索文献,检索词为“鼻窦炎”或“鼻-鼻窦炎”和“吸烟”。另外检索“鼻腔上皮”和“烟”来检索讨论烟草烟雾的病理生理效应的文章,同时添加“二手烟”来识别分析SHS和CRS相关性的文章。最后,将“鼻内窥镜手术”和“结果”与“吸烟”联系起来,找出分析吸烟对手术结果影响的文章。在最初的搜索中发现了204篇文章。另外72篇文献与烟草烟雾的病理生理效应相关,31篇文献被分析以确定SHS和CRS的相关性。29篇文献被用来分析吸烟对手术结果的影响。文献中有明确的证据表明,吸烟,无论是通过主动吸烟还是被动暴露于SHS,都会导致CRS。最近的前瞻性研究表明,主动吸烟不是ESS的禁忌症,而ESS后吸烟量和长期吸烟的影响尚未得到充分评估。
Environmental factors such as inhaled pollutants like cigarette smoke may play a significant role in diseases of the upper airway including chronic rhinosinusitis (CRS). The objectives of this review are to summarize prior studies that describe the correlation between active smoking and second-hand smoke (SHS) on CRS. We also review the pathophysiologic effects of cigarette smoke on sinonasal mucosa and discuss its impact on surgical outcomes of endoscopic sinus surgery (ESS). A literature search was conducted with the PUBMED database using the terms “sinusitis” or “rhinosinusitis” and “smoking”. Additional search terms of “nasal epithelial” and “smoke” were used to find articles which discussed pathophysiologic effects of tobacco smoke while “second-hand smoke” was added to identify articles analyzing the correlation of SHS and CRS. Finally “endoscopic sinus surgery” and “outcomes” were linked to “smoking” to find articles that analyzed the impact of smoking on surgical results. 204 articles were identified in the initial search. An additional 72 articles were reviewed for their relevance to the pathophysiologic effects of tobacco smoke while 31 papers were analyzed to determine the correlation of SHS and CRS. Twenty-nine papers were reviewed to analyze the impact of smoking on surgical results. There is clear evidence in the literature that cigarette smoke, either through active smoking or passive exposure to SHS, contributes to CRS. Recent prospective studies suggest that active smoking is not a contraindication to ESS while the impact of smoking volume and long-term smoking after ESS has not been sufficiently evaluated.
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