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Many experts give credit to decades of anti-smoking campaigns and legislation, while others point to the prevalence of snus, a smokeless tobacco product that is banned elsewhere in the EU but is marketed in Sweden as an alternative to cigarettes
Other studies in adults have also shown that smoking has a negative impact on the postoperative outcome of nasosinusal endoscopic surgery when assessed under the viewpoint of symptoms, quality of life scores, endoscopic analysis and CT-scan findings.32,33,34 In the pediatric population, Kim et al.35, retrospectively assessed 97 patients submitted to paranasal sinuses surgery, and showed that children exposed to cigarette smoke had a worse postoperative outcome based on endoscopic analysis
Here's a chart showing substance use by race:
We excluded pregnant women, people who smoked only roll-your-own cigarettes, people concurrently enrolled in a smoking cessation trial, people who smoked fewer than 7 cigarettes per week, and people who at baseline reported living in the same household as another study participant