{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T02:38:12Z","timestamp":1790649492073,"version":"4.1.0"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,11,17]],"date-time":"2015-11-17T00:00:00Z","timestamp":1447718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The objective of this study was to investigate gender\u2010specific differences in chronic rhinosinusitis (CRS) patients electing endoscopic sinus surgery (ESS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study was a retrospective review of CRS patients electing ESS (2011\u20132013) at a tertiary\u2010care center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ESS was elected by 272 patients (mean age 54.6 years; 48.5% female). Mean Lund\u2010Mackay computed tomography (CT) score was 10.9; total 22\u2010item Sino\u2010Nasal Outcome Test (SNOT\u201022) score was 41.8. Compared to men, women electing ESS had lower CT score (10.1 vs 11.7; <jats:italic>p<\/jats:italic> = 0.01) but higher total SNOT\u201022 score (44.9 vs 39; <jats:italic>p<\/jats:italic> = 0.02). Women reported significantly worse postnasal drainage (<jats:italic>p<\/jats:italic> &lt; 0.0001) and embarrassment (<jats:italic>p<\/jats:italic> = 0.0021). SNOT\u201022 scores declined with advancing age (women, <jats:italic>p<\/jats:italic> = 0.003; men, <jats:italic>p<\/jats:italic> = 0.0005). Reduction in CT scores with age was seen only in males (<jats:italic>p<\/jats:italic> = 0.03). Stratifying by age, females aged 61 to 80 years had higher SNOT\u201022 scores compared to male counterparts (<jats:italic>p<\/jats:italic> = 0.04), whereas CT scores were similar. More women underwent surgery for CRS without nasal polyps (CRSsNP) (54.9%) whereas more men underwent surgery for CRS with nasal polyps (CRSwNP) (57.4%), but this difference missed statistical significance (<jats:italic>p<\/jats:italic> = 0.052). Women with CRSwNP had higher SNOT\u201022 scores than men (<jats:italic>p<\/jats:italic> = 0.02) for similar CT scores. Men electing ESS for CRSsNP had higher CT scores than women (<jats:italic>p<\/jats:italic> = 0.02). Women with CRSsNP aged 18 to 40 years reported higher SNOT\u201022 scores than men (<jats:italic>p<\/jats:italic> = 0.003), even though CT scores were lower (<jats:italic>p<\/jats:italic> = 0.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Equivalent numbers of men and women underwent ESS for CRS. Overall, women electing ESS had higher total SNOT\u201022 scores and lower Lund\u2010Mackay CT scores than men. Women reported more problems with postnasal drainage (CRS overall, CRSsNP, and CRSwNP), embarrassment (CRS overall and CRSwNP), and facial pain (CRSwNP). Gender differences in CRS are poorly understood and merit further study.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.21667","type":"journal-article","created":{"date-parts":[[2015,11,17]],"date-time":"2015-11-17T13:54:48Z","timestamp":1447768488000},"page":"278-286","source":"Crossref","is-referenced-by-count":72,"title":["Gender\u2010specific differences in chronic rhinosinusitis patients electing endoscopic sinus surgery"],"prefix":"10.1002","volume":"6","author":[{"given":"Devyani","family":"Lal","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic in Arizona  Phoenix AZ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis B.","family":"Rounds","sequence":"additional","affiliation":[{"name":"Keck School of Medicine University of Southern California  Los Angeles CA"},{"name":"Division of Allergy, Asthma, and Clinical Immunology Mayo Clinic in Arizona  Phoenix 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