How face masks influence the sinonasal quality of life during the COVID-19 pandemic

Adi Primov-Fever, Ofer Amir, Ilan Roziner, Ramit Maoz-Segal, Eran Emanuel Alon, Arkadi Yakirevitch

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Purpose: To study different mask types’ impact on a sinonasal quality of life. Methods: For this observational cross-sectional study, a web-based survey was distributed via social media forums. We used the validated Hebrew version of the Sinonasal Outcome Test–22 followed by a questionnaire developed specifically for the present study, focusing on the time of the COVID-19 pandemic (Mask Sinonasal Outcome Test), and questions regarding general health issues. The participants’ mask-wearing routine was also studied. Results: Seventy percent of 351 participants had experienced a change in their breathing during the time of the pandemic. The median total Sinonasal Outcome Test–22 score was 13, and 10% of the participants reported a significantly impaired quality of life. According to multivariate analyses, the only subject-related variables significantly associated with the reduced sinonasal quality of life were female gender, younger age, a background of chronic rhinitis and sinusitis, and the mask-wearing average daily duration. The mask sinonasal outcome test convergent validity was confirmed. Conclusion: The majority of our survey’s responders, predominantly female and younger participants, reported reduced sinonasal quality of life in the COVID-19 pandemic period. It can be attributed to mask-wearing, especially for a prolonged time, irrespective of the existing mask type. These findings should encourage medical companies to produce more “airway-minded” personal protection equipment.

Original languageEnglish
Pages (from-to)4805-4811
Number of pages7
JournalEuropean Archives of Oto-Rhino-Laryngology
Issue number12
StatePublished - Dec 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.


  • COVID-19
  • Masks
  • Quality of life
  • Questionnaires
  • Sino-nasal outcome test


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