Serum cotinine levels should optimally be measured when evaluating the outcomes of cartilage tympanoplasty in smokers

Serum cotinine levels should optimally be measured when evaluating the outcomes of cartilage... Eur Arch Otorhinolaryngol (2017) 274:3553–3555 DOI 10.1007/s00405-017-4516-9 LETTER TO THE EDITOR Serum cotinine levels should optimally be measured when evaluating the outcomes of cartilage tympanoplasty in smokers 1 2 Xudan Lou  · Zi‑Han Lou   Received: 2 January 2017 / Accepted: 20 February 2017 / Published online: 4 March 2017 © Springer-Verlag Berlin Heidelberg 2017 Dear Editor, 23 females)….27 patients were active smokers and 25 for- mer or non-smokers.” We would like to comment on the manuscript entitled Smokers and non-smokers were distinguished in only “Cartilage tympanoplasty: A reliable technique for smok- a very general way. We believe that the self-reporting of ers” by Kyrodimos et  al. [1]. The authors retrospectively smoking is unreliable. Some patients who may have identi- compared graft take rates and hearing improvements after fied themselves as “non-smokers” may have only recently cartilage tympanoplasty (CT) in smokers and non-smok- quit smoking. Thus, a few non-smokers may in fact be ers. The authors concluded that CT was very effective for “true smokers.” This would affect the assessment of CT. In smokers. Excellent graft take rates and satisfactory hearing addition, a few patients who were non-smokers may have results were attainable regardless of smoking status. How- spent time in enclosed places, where smoking European Archives of Oto-Rhino-Laryngology Springer Journals

Serum cotinine levels should optimally be measured when evaluating the outcomes of cartilage tympanoplasty in smokers

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Springer Berlin Heidelberg
Copyright © 2017 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Otorhinolaryngology; Neurosurgery; Head and Neck Surgery
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