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.