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Impact of gender on clinical presentation of chronic rhinosinusitis with and without polyposis.

Abstract

STUDY OBJECTIVE

To determine the impact of a patient's gender on the clinical presentation of chronic rhinosinusitis with and without nasal polyposis.

STUDY DESIGN AND METHODS

Prospective study of 514 adult patients who presented with chronic rhinosinusitis with and without nasal polyposis. The patients were divided into two groups based on gender: female (n = 273) and male (n = 241). The following data were collected: presenting symptoms, co-morbidities, nasal endoscopy and sinus computed tomography findings, diagnosis, and outcome of surgery. Statistical analysis was performed using the chi-square test, with statistical significance set at p < 0.05.

RESULTS

Facial pain and headache were more prevalent among women, while nasal obstruction was more prevalent among men (p < 0.05). There was no statistically significant difference in the prevalence of environmental allergy, asthma, psychiatric illness or anatomical variants obstructing the osteomeatal unit, comparing the genders. Chronic rhinosinusitis without polyposis was the more common diagnosis among women, while chronic rhinosinusitis with polyposis was the more common diagnosis among men (p < 0.05). Following surgery, a higher percentage of male patients reported improvement in nasal obstruction (p < 0.05), but there was no statistically significant difference in the improvement of the other presenting symptoms, comparing the genders.

CONCLUSION

Women who suffer from chronic rhinosinusitis are more likely to complain of facial pain or headache on presentation and to be diagnosed with chronic rhinosinusitis without polyposis. On the other hand, men are more likely to complain of nasal obstruction, to be diagnosed with chronic rhinosinusitis with polyposis, and to report improvement in nasal obstruction following surgery.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts 02114, USA. nicolas_busaba@meei.harvard.edu

    ,

    Source

    The Journal of laryngology and otology 122:11 2008 Nov pg 1180-4

    MeSH

    Adolescent
    Adult
    Aged
    Aged, 80 and over
    Chronic Disease
    Diagnosis, Differential
    Female
    Humans
    Male
    Middle Aged
    Nasal Obstruction
    Nasal Polyps
    Prospective Studies
    Rhinitis
    Sex Factors
    Sinusitis
    Statistics as Topic
    Young Adult

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    18184447

    Citation

    Busaba, N Y., et al. "Impact of Gender On Clinical Presentation of Chronic Rhinosinusitis With and Without Polyposis." The Journal of Laryngology and Otology, vol. 122, no. 11, 2008, pp. 1180-4.
    Busaba NY, Sin HJ, Salman SD. Impact of gender on clinical presentation of chronic rhinosinusitis with and without polyposis. J Laryngol Otol. 2008;122(11):1180-4.
    Busaba, N. Y., Sin, H. J., & Salman, S. D. (2008). Impact of gender on clinical presentation of chronic rhinosinusitis with and without polyposis. The Journal of Laryngology and Otology, 122(11), pp. 1180-4. doi:10.1017/S0022215107001302.
    Busaba NY, Sin HJ, Salman SD. Impact of Gender On Clinical Presentation of Chronic Rhinosinusitis With and Without Polyposis. J Laryngol Otol. 2008;122(11):1180-4. PubMed PMID: 18184447.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Impact of gender on clinical presentation of chronic rhinosinusitis with and without polyposis. AU - Busaba,N Y, AU - Sin,H-J, AU - Salman,S D, Y1 - 2008/01/10/ PY - 2008/1/11/pubmed PY - 2009/1/27/medline PY - 2008/1/11/entrez SP - 1180 EP - 4 JF - The Journal of laryngology and otology JO - J Laryngol Otol VL - 122 IS - 11 N2 - STUDY OBJECTIVE: To determine the impact of a patient's gender on the clinical presentation of chronic rhinosinusitis with and without nasal polyposis. STUDY DESIGN AND METHODS: Prospective study of 514 adult patients who presented with chronic rhinosinusitis with and without nasal polyposis. The patients were divided into two groups based on gender: female (n = 273) and male (n = 241). The following data were collected: presenting symptoms, co-morbidities, nasal endoscopy and sinus computed tomography findings, diagnosis, and outcome of surgery. Statistical analysis was performed using the chi-square test, with statistical significance set at p < 0.05. RESULTS: Facial pain and headache were more prevalent among women, while nasal obstruction was more prevalent among men (p < 0.05). There was no statistically significant difference in the prevalence of environmental allergy, asthma, psychiatric illness or anatomical variants obstructing the osteomeatal unit, comparing the genders. Chronic rhinosinusitis without polyposis was the more common diagnosis among women, while chronic rhinosinusitis with polyposis was the more common diagnosis among men (p < 0.05). Following surgery, a higher percentage of male patients reported improvement in nasal obstruction (p < 0.05), but there was no statistically significant difference in the improvement of the other presenting symptoms, comparing the genders. CONCLUSION: Women who suffer from chronic rhinosinusitis are more likely to complain of facial pain or headache on presentation and to be diagnosed with chronic rhinosinusitis without polyposis. On the other hand, men are more likely to complain of nasal obstruction, to be diagnosed with chronic rhinosinusitis with polyposis, and to report improvement in nasal obstruction following surgery. SN - 1748-5460 UR - https://www.unboundmedicine.com/medline/citation/18184447/Impact_of_gender_on_clinical_presentation_of_chronic_rhinosinusitis_with_and_without_polyposis_ L2 - https://www.cambridge.org/core/product/identifier/S0022215107001302/type/journal_article DB - PRIME DP - Unbound Medicine ER -