Management and Outcome of Rhinosinusitis in Nigeria.
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Date
2017
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Published by American Academy of Otolaryngology - Head and Neck Surgery.
Abstract
Objective.The aim of this study is to present the manage-ment and outcome of treatment of rhinosinusitis in Nigeria.Study Design.A retrospective review of the case notes ofpatients with rhinosinusitis between January 2009 andDecember 2014.Setting.Study at the University of Ilorin Teaching Hospital,Nigeria, using retrieved case notes after ethical approvalwas received.Subjects and Methods.The information retrieved includedsociodemographic data, clinical presentation, duration, endo-scopic examination, and other clinical management protocolswith follow-up. All information was entered into SPSS version20 and analyzed descriptively, and results are presented intables and figure.Results.A total of 5618 patients were seen in the ear, nose,and throat clinic over the 6-year period. Of the patients,445 had rhinosinusitis, and only 410 had complete data foranalysis. Patient age ranged from 2 to 75 years (mean6SD,31.861.2 years). The male to female ratio was 1.2:1. Theduration of symptoms varied from 3 days to 10 years, with78.7% having symptoms between 3 and 120 months. About82.4% had nasal discharge, 51.3% had sneezing, 78.9% hadalternating nasal obstruction, and 49.3% had nasal itch. Ofthe patients, 61.4% had a predisposition, of which 30.9%were allergic, 23.3% were infective, and 7.2% were vasomo-tor. Ethmoidal-maxillary sinuses were commonly affectedradiologically. About 63% of patients had medical treatment,and only 28.7% had surgical intervention, of which 37%were scheduled for surgical treatment and 7.3% refused.Improved symptoms were noticed in 72.6% of patients, and 1.4% reported no improvement.
Conclusion. Rhinosinusitis is still common, affecting active males economically with more chronic cases and more allergic predisposition. Early medical management is still effective, and endoscopic sinus surgery is now a better surgical option with better outcome in 72.6%.
Description
Management and Outcome of Rhinosinusitis
Keywords
rhinosinusitis,, management,, outcome,, chronic,, acute
Citation
Afolabi O.A, Alabi B.S, Omokanye H.K, Ayodele S.O, Segun-Busari S, Dunmade A.D, & Ologe F.E. (2017): Management and Outcome of Rhinosinusitis in Nigeria. OTO Open; 1(1):2473974X16685545.