From the Department of Otolaryngology-Head & Neck Surgery, Naval Medical Center Portsmouth, VA (Drs Hill, Meyer, McLean, Anderson, and Capra); Department of Biostatistics, Gillings School of Global Public Health (Ms Hao and Dr Lin); and Department of Otolaryngology-Head & Neck Surgery, University of North Carolina at Chapel Hill (Dr Kimple).
J Occup Environ Med. 2022 Aug 1;64(8):629-634. doi: 10.1097/JOM.0000000000002551. Epub 2022 Jun 9.
The aim of this study was to determine whether self-reported burn pit exposure is associated with increased subjective and objective sinus disease.
A cross-sectional study was performed evaluating consecutive adult patients presenting to a US Military rhinology clinic. Demographics, medical histories, sinonasal quality-of-life scores, and nasal endoscopy examinations were obtained. Participants were divided into three cohorts based on self-reported exposure histories and outcomes compared.
One hundred eighty-six patients met the inclusion criteria, the majority of whom were male. Patients with burn pit exposure had worse Sinonasal Outcome Test-22 scores (49.9) compared with those deployed without burn pit exposure (31.8) or never deployed (31.5). Endoscopic findings demonstrated worse disease within those exposed (Lund-Kennedy score, 3.3) compared with the other cohorts (1.8 and 1.7, respectively).
These novel findings suggest that deployment-related burn pit exposure is associated with increased subjective and objective sinus disease.
本研究旨在确定自我报告的燃烧坑暴露是否与主观和客观鼻窦疾病的增加有关。
对一家美国军事鼻科诊所就诊的连续成年患者进行了一项横断面研究。获取了人口统计学、病史、鼻-鼻窦生活质量评分和鼻内镜检查结果。根据自我报告的暴露史将参与者分为三组，并进行了比较。
186 名患者符合纳入标准，其中大多数为男性。与无燃烧坑暴露（31.8）或从未部署（31.5）的患者相比，有燃烧坑暴露的患者的鼻-鼻窦结局测试-22 评分（49.9）更差。内镜检查结果显示，暴露组的疾病更严重（Lund-Kennedy 评分 3.3），而其他两组分别为 1.8 和 1.7。
这些新发现表明，与部署相关的燃烧坑暴露与主观和客观鼻窦疾病的增加有关。
