Management and Outcome of Rhinosinusitis in Nigeria.

Autor: Afolabi OA; Department of Otorhinolaryngology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria., Alabi BS; Department of Otorhinolaryngology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria., Omokanye HK; Department of Otorhinolaryngology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria., Ayodele SO; Department of Otorhinolaryngology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria., Segun-Busari S; Department of Otorhinolaryngology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria., Dunmade AD; Department of Otorhinolaryngology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria., Ologe FE; Department of Otorhinolaryngology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Jazyk: angličtina
Zdroj: OTO open [OTO Open] 2017 Jan 18; Vol. 1 (1), pp. 2473974X16685545. Date of Electronic Publication: 2017 Jan 18 (Print Publication: 2017).
DOI: 10.1177/2473974X16685545
Abstrakt: Objective: The aim of this study is to present the management and outcome of treatment of rhinosinusitis in Nigeria.
Study Design: A retrospective review of the case notes of patients with rhinosinusitis between January 2009 and December 2014.
Setting: Study at the University of Ilorin Teaching Hospital, Nigeria, using retrieved case notes after ethical approval was received.
Subjects and Methods: The information retrieved included sociodemographic data, clinical presentation, duration, endoscopic examination, and other clinical management protocols with follow-up. All information was entered into SPSS version 20 and analyzed descriptively, and results are presented in tables 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 for analysis. Patient age ranged from 2 to 75 years (mean ± SD, 31.8 ± 1.2 years). The male to female ratio was 1.2:1. The duration of symptoms varied from 3 days to 10 years, with 78.7% having symptoms between 3 and 120 months. About 82.4% had nasal discharge, 51.3% had sneezing, 78.9% had alternating nasal obstruction, and 49.3% had nasal itch. Of the patients, 61.4% had a predisposition, of which 30.9% were allergic, 23.3% were infective, and 7.2% were vasomotor. Ethmoidal-maxillary sinuses were commonly affected radiologically. 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%.
Competing Interests: Competing interests: None.
Databáze: MEDLINE
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