Smoking and Sinobronchial Syndrome

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  • Ichimura Keiichi
    Department of Otorhinolaryngology, Faculty of Medicine, University of Tokyo
  • Suzaki Harumi
    Department of Otorhinolaryngology, Faculty of Medicine, University of Tokyo
  • Tsuchida Mineko
    Department of Otorhinolaryngology, Faculty of Medicine, University of Tokyo
  • Kudo Shoji
    The Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo
  • Mikami Riichiro
    The Second Department of Internal Medicine, Nara Medical University

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Other Title
  • 副鼻腔気管支症候群にとって喫煙とは?
  • フクビクウ キカンシ ショウコウグン ニ トッテ キツエン トワ

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Abstract

Smoking has been said to participate in an onset of chronic bronchitis. However, as far as sinobronchial syndrome, which is defined as “the pathological condition that chronic sinusitis and chronic lower airway diseases such as chronic bronchitis, bronchiectasis and diffuse panbronchiolitis coexist” is concerned, the relation of smoking to this syndrome has not been yet determined.<br>Three hundred and twenty-seven adults with chronic sinusitis and 71 ones with sinobronchial syndrome were examined.<br>In sinusitis group, the smoking ratio was 44.8% in men and 9.3% in women, and this figure was low compared with the ratio among the adult population which was approximately 77-80% in men and 14-16% in women.<br>In sinobronchial syndrome group this figure was markedly low (men 13.2%, women 3.0%). It seems likely that there is an inverse correlation between nasal obstruction and smoking ratio, leading to the fact that the operated group on infected sinuses showed higher smoking ratio than the non-operated group.<br>The prevalence of lower airway diseases in current smokers is almost equal to that in the non smokers in our series. It is suggested that smoking does not essentially participate in an onset of lower airway lesion in sinobronchial syndrome.

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