The effect of tobacco smoking on septoplasty outcomes: a prospective controlled study

Abstract

Background: We evaluated the effects of tobacco smoking on functional outcomes of septoplasty and complication rates.

Methods: In total, 183 patients (127 males, 56 females) who had septum deviations and underwent septoplasties from January 2012 to December 2013 were evaluated. Subjects were divided into three groups: non‑smokers (Group A), light smokers (<20 cigarettes/day, Group B), and heavy smokers (> 20 cigarettes/day Group C). Nasal Obstruction Symptom Evaluation (NOSE) scoring was used to evaluate the effects of tobacco smoking on septoplasty outcomes. Clinical evaluations were performed preoperatively and at one and six months postoperatively. Complications were evaluated during the clinical examinations.

Results: No significant differences were seen between the preoperative and 1-month postoperative NOSE scores, the 1- and 6-month postoperative NOSE scores, or the preoperative and 6-month postoperative NOSE scores among the groups (p =0.352, 0.737, and 0.344, respectively). The overall complication rate also did not differ among the three groups (p =0.860).

Conclusions: Active smoking status does not affect operation outcomes and does not increase the postoperative complication rate among patients undergoing septoplasty. Although we should advise our patients to stop smoking because of its known harmful effects, smoking may not be a selection criterion for septoplasty. Hippokratia 2015; 19 (3): 219-224.

Keywords: Nasal septum; complication; quality of life; smoking; tobacco.

Figure 1. Pre- and postoperative scores of the Nasal Obstruction Septoplasty Effectiveness (NOSE) questionnaire (p <0.0001).

Figure 2. Comparison of complication rates according to the groups (Group A: Non smokers, Group B: Light smokers (<20 cigarettes per day), Group C: Heavy smokers (>20 cigarettes per day).