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

Reh, Douglas D.; Higgins, Thomas S.; Smith, Timothy L.

doi:10.1002/alr.21054

Cited by 180Sinusitis and nasal conditionsNasal Surgery and Airway StudiesCystic Fibrosis Research Advances

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

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Reh, Douglas D., Higgins, Thomas S., Smith, Timothy L.·2012·International Forum of Allergy & Rhinology

DOI 10.1002/alr.21054PMC PMC3443524

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Abstract

Background: 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 secondhand 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). Methods: A literature search was conducted of the PubMed database using the terms “sinusitis” or “rhinosinusitis” and “smoking.” Additional search terms of “nasal epithelial” and “smoke” were used to find articles that discussed pathophysiologic effects of tobacco smoke, whereas “secondhand 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. Results: We identified 204 articles in the initial search. An additional 72 articles were reviewed for their relevance to the pathophysiologic effects of tobacco smoke while 31 articles were analyzed to determine the correlation of SHS and CRS. Twenty‐nine articles were reviewed to analyze the impact of smoking on surgical results. Conclusion: 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, whereas the impact of smoking volume and long‐term smoking after ESS has not been sufficiently evaluated.

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Environmental tobacco smoke exposure is associated with chronic rhinitis and in some cases allergic rhinitis.
“Environmental tobacco smoke exposure is associated with chronic rhinitis and in some cases, AR.124,125”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [125]
The section ‘The Relationship of Second-hand Smoke and Rhinosinusitis’ (page unavailable) reports an association between secondhand smoke exposure and chronic rhinosinusitis. It does not establish the claimed association with chronic rhinitis or allergic rhinitis; those are different conditions. (LLM, conf=0.85)
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Self-citation
Tobacco use increases the risk of chronic rhinosinusitis among patients undergoing endoscopic sinus surgery
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Self-citation

Authors: Reh, D. D., Higgins, T. S., & Smith, T. L.
Affiliations: Johns Hopkins University (US)
Oregon Health & Science University (US)
Corresponding author: Smith, Timothy L.
ORCID: Higgins, Thomas S.
Smith, Timothy L.
Venue: International Forum of Allergy & Rhinology
Publisher: Wiley
Published: 2012-06-13
Volume: 2
Issue: 5
Pages: 362-369
ISSN: 2042-6976 (ISSN-L)
2042-6984
DOI: 10.1002/alr.21054
PMC: PMC3443524
OpenAlex: W1963557295
Cited by: 180
References: 54
Citations by year: 2026: 3 · 2025: 10 · 2024: 11 · 2023: 14 · 2022: 15 · 2021: 8 · 2020: 15 · 2019: 11 · 2018: 23 · 2017: 25 · 2016: 12 · 2015: 17 · 2014: 7 · 2013: 5 · 2012: 4
FWCI: 1.88
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: International Forum of Allergy & Rhinology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Deafness and Other Communication Disorders (R01DC005805)
Topics: Health Sciences › Medicine › Otorhinolaryngology › Sinusitis and nasal conditions
Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cystic Fibrosis Research Advances
Keywords: chronic rhinosinusitis, cigarette smoke, passive smoking, active smoking, endoscopic sinus surgery, sinonasal mucosa, surgical outcomes, upper airway diseases
MeSH terms: Animals, Chronic Disease, Endoscopy, Environmental Exposure, Humans, Paranasal Sinuses, Rhinitis, Risk Factors, Sinusitis, Smoking, Tobacco Smoke Pollution

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

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