Trends in the clinical Pattern, diagnosis and management of rhinosinusitis in a sub-urban tertiary health centre
Ann. Health Res. (Onabanjo Univ. Teach. Hosp.)
; 1(2): 74-80, 2015.
Article
in English
| AIM (Africa)
| ID: biblio-1258781
Responsible library:
CG1.1
ABSTRACT
Background:
Rhinosinusitis (RSS) is a common form of upper airway disease encountered by Otolaryngologists.Objectives:
To describe the trends in the clinical presentation, diagnosis and management of RSS in a tertiary hospital.Methods:
Retrospective analysis of clinical information retrieved from the hospital records of patients with RSS managed in the ENT department of OOUTH Sagamu over an 18-month period was done.Results:
Out of 1814 patients, 143 had RRS with the prevalence rate of 7.9%. The male-to-female ratio was 1.11, the age ranged from 7 to 79 (median = 32.4) years. The presenting symptoms included mucoid nasal discharge (68.7%), nasal congestion (61.5%) and excessive sneezing (46.8%). Most (71.3%) of the patients presented after 3weeks of the onset of symptoms and the median duration was 3.2 months. The leading physical findings included engorged nasal turbinates (78.3%), ooedematous nasal mucosa (72.0%), mucopurulent anterior rhinorrhoea (28.6%) and pale nasal mucosa (25.9%). The investigations done included plain X-Rays of the sinuses (86.0%), full blood count (67.1%) and computerized tomographic (CT) scan of the sinuses (8.4%). Plain X-Ray abnormalities were most common in the maxillary sinuses (45.5%) while 30.1% had multi-sinusitis. The trend of diagnosis ranged from infective RSS in 51.7% to allergic RSS in 38.5%. About a quarter had different forms of non-endoscopic surgical intervention. Recorded complications included nasal polyps in 11.9%.Conclusion:
The trend of RSS observed relative affectation of adults and mostly chronic infective types, and sometimes allergic types.Radiological assessment was by plain X-Rays in most cases, management was either medical or non-endoscopic surgical methods, frequently complicated by polyps
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Database:
AIM (Africa)
Main subject:
Sinusitis
/
X-Rays
/
Retrospective Studies
/
Tertiary Care Centers
/
Nigeria
Type of study:
Observational study
/
Risk factors
Country/Region as subject:
Africa
Language:
English
Journal:
Ann. Health Res. (Onabanjo Univ. Teach. Hosp.)
Year:
2015
Document type:
Article