Chronic rhinosinusitis possibly associated with decreased lung function in chronic cough patients

Brazilian Journal of OtorhinolaryngologyVolume 90, Issue 4, July–August 2024, 101424Brazilian Journal of OtorhinolaryngologyAuthor links open overlay panel, , , , , , Highlights•

The chronic rhinosinusitis patients with chronic cough had significant obstructive lung function.

The SNOT score is high in chronic cough patients with chronic rhinosinusitis.

The lower airway examination is important in chronic cough patients.

AbstractObjectives

The purpose of this study is to investigate the lung function in Chronic Rhinosinusitis (CRS) patients with Chronic Cough (CC).

Methods

A total of 1413 CC patients were retrospectively screened and 109 CRS patients with CC were enrolled. Lung function, Lund-Mackay Computed Tomography (CT) score, smoking status, peripheral blood eosinophil count, and immunoglobulin E concentration in serum samples, and Sino-Nasal Outcome Test were examined. Normal control subjects are also recruited.

Results

The Forced Expiratory Volume in 1 second (FEV1.0), Percent Predicted FEV1.0, and FEV1.0/Forced Vital Capacity (FVC) ratio in the patients were significantly low as compared with the control subjects. The FEV1.0/FVC ratio was negatively correlated with the Lund-Mackay CT scores of the patients with a high CT score.

Conclusions

The CRS patients with CC should be investigated with lung function. In addition, the multidisciplinary evaluation including a pulmonologist is needed to manage the CRS patients with CC.

Level of evidence

Level 4.

Abbreviations%VC

Percent predicted Vital Capacity

FEV1.0

Forced Expiratory Volume in 1 second

%FEV1.0

Percent Predicted FEV1.0

Keywords

Asthma

Sinusitis

Rhinitis

Pulmonary function

Cough

© 2024 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier España, S.L.U.

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