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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

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Will the sun come up in the morning? Scientists know the answer is yes, but they cant really say so with 100 per cent certainty because there are so many factors out there that are not quite understood or under control