American Journal of Innovative Research & Applied Sciences
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This article is made freely available as part of this journal's Open Access.
Authors Copyright © 2015: | Mohammed Garba Mainasara1 | Abimiku Solomon Labaran1 | Abdullahi Musa Kirfi1 | Mohammed Bello Fufore1 | Ayotunde James Fasunla2 | Grema Umar Sambo1 |
| | ABSTRACT |Volume 1, Issue 4, Pages 133-136 (June 2015) |
| Research article CLINICAL PROFILE AND MANAGEMENT OF CHRONIC RHINOSINUSITIS AMONG ADULTS IN NORTH-WESTERN NIGERIA. | Mohammed Garba Mainasara | Abimiku Solomon Labaran | Abdullahi Musa Kirfi | Mohammed Bello Fufore | Ayotunde James Fasunla | and | Grema Umar Sambo |. American Journal of Innovative Research and Applied Sciences. 2015; 1(4):133-136. |PDF FULL TEXT| |
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Instituation affiliation:
1. Department of Clinical Services | National Ear Care Centre | PMB 2438 Kaduna | Nigeria |
2. University of Ibadan and University College | Hospital Ibadan | Nigeria |
1. Department of Clinical Services | National Ear Care Centre | PMB 2438 Kaduna | Nigeria |
2. University of Ibadan and University College | Hospital Ibadan | Nigeria |
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American Journal of innovative
Research & Applied Sciences
Research & Applied Sciences
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ABSTRACT
Background: Rhinosinusitis is an inflammatory and infectious process affecting the nasal cavities and the paranasal sinuses. Objective: To evaluate the clinical profile and management of chronic rhinosinusitis in a resource poor country in sub-Sahara Africa. Methods: This was a 5-year retrospective study of patients managed for clinically and radiologically diagnosed chronic rhinosinusitis with/without nasal polyposis at National Ear Care Centre Kaduna, Nigeria. Patients’ medical records were reviewed for relevant data which included demographics, clinical presentations, nasal cytology and radiologic reports and treatments. The data were collated and analysed using simple descriptive statistics. Results: There were 570 patients, 283 (49.65%) males and 287 (50.35%) females. Their age ranged from 18 - 80 (mean = 36.19± 12.23) with the majority (64.38%) in the second and third decades of life. The duration of symptoms ranged from 4-28 weeks with an average occurrence of 110 new cases per year. The main clinical presentations were were rhinorrhea in 478 (83.86%), nasal blockage in 413 (72.46%), excessive sneezing in 345 (60.53%), itchiness of ENT in 392 (58.0%) and nasal polyps in 8(1.40%). Allergy was the cause in 384 (64.43%) patients and microbiologic studies showed that 6 (1.05%) were fungi. Maxillary antral mucosal thickening and engorged inferior turbinates were the commonest radiological features. All our patients had medical treatments but only 43 (7.5%) patients who failed medical therapy had surgical treatment: bilateral inferior meatal antrostomy 21(48.83%); intranasal polypectomy 3(6.97%), frontoethmoidectomy 1 (2.33%), and FESS 17(39.53%). Conclusion: The clinical profile of chronic rhinosinusitis in our environment is similar to what previous studies have reported but with slightly higher new cases per year. Allergy accounted for about 2/3rd of the cases.
Key words; Adults, Rhinosinusitis, Kaduna, Nigeria.
Background: Rhinosinusitis is an inflammatory and infectious process affecting the nasal cavities and the paranasal sinuses. Objective: To evaluate the clinical profile and management of chronic rhinosinusitis in a resource poor country in sub-Sahara Africa. Methods: This was a 5-year retrospective study of patients managed for clinically and radiologically diagnosed chronic rhinosinusitis with/without nasal polyposis at National Ear Care Centre Kaduna, Nigeria. Patients’ medical records were reviewed for relevant data which included demographics, clinical presentations, nasal cytology and radiologic reports and treatments. The data were collated and analysed using simple descriptive statistics. Results: There were 570 patients, 283 (49.65%) males and 287 (50.35%) females. Their age ranged from 18 - 80 (mean = 36.19± 12.23) with the majority (64.38%) in the second and third decades of life. The duration of symptoms ranged from 4-28 weeks with an average occurrence of 110 new cases per year. The main clinical presentations were were rhinorrhea in 478 (83.86%), nasal blockage in 413 (72.46%), excessive sneezing in 345 (60.53%), itchiness of ENT in 392 (58.0%) and nasal polyps in 8(1.40%). Allergy was the cause in 384 (64.43%) patients and microbiologic studies showed that 6 (1.05%) were fungi. Maxillary antral mucosal thickening and engorged inferior turbinates were the commonest radiological features. All our patients had medical treatments but only 43 (7.5%) patients who failed medical therapy had surgical treatment: bilateral inferior meatal antrostomy 21(48.83%); intranasal polypectomy 3(6.97%), frontoethmoidectomy 1 (2.33%), and FESS 17(39.53%). Conclusion: The clinical profile of chronic rhinosinusitis in our environment is similar to what previous studies have reported but with slightly higher new cases per year. Allergy accounted for about 2/3rd of the cases.
Key words; Adults, Rhinosinusitis, Kaduna, Nigeria.