Surgical management of chronic rhinosinusitis in North Western Nigeria and challenges for the future

Iseh, KR; Makusidi, Muhammad A; Aliyu, Daniel

doi:10.4314/njm.v18i3.51180

Cited by 3 publications

(4 citation statements)

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“…Similar results was reported in another study by Aliyu et al 6 where the most common affected age group was 21 -40 years (65.3%) and mean age group was 44 years in a study by Stallman et al 7 We showed a slight preponderance of males (60%) over females (40%), which was observed in other similar studies by Dua et al (66%), 8 Iseh et al (57.5%), 9 Aliyu et al 6 (52%), Tsutomu et al, 10 while a female dominance was observed in a study by Stallman et al 7 The most common anatomical in our study was deviated nasal septum which was corroborated by other workers. 7,8,[11][12][13][14][15][16][17] The mere presence of a septal deviation does not suggest pathology.…”

Section: Discussionsupporting

confidence: 82%

Aetiology, diagnosis and treatment of chronic rhinosinusitis: a study in a teaching hospital in Telangana

Surapaneni

Sisodia

2016

Int J Otorhinolaryngol Head Neck Surg

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Background: Chronic rhinosinusitis is one of the common problems in ENT Department which can be caused due to infections or anatomical blockage or allergy. We performed this study to assess the cause, clinical features and the effect of treatment on rhinosinusitis.Methods: 60 patients of chronic sinusitis with symptoms persisting beyond three months, Nasal Endoscopic findings with Polyps/Discharge/edematous mucosa were included in the study. A detailed clinical history, with complete Ear, Nose, Throat, and Head and Neck examination, blood tests like complete blood picture, Blood sugar levels, ESR and Hepatitis profile. X ray of paranasal sinuses, (water’s view) and lateral view, Chest x-ray –PA View and CT scan of paranasal sinuses (axial and coronal section with 3mm cuts at OMC) was done for all patients. Diagnostic Nasal Endoscopic examination (DNE) for detection of polyps / discharge / edematous mucosa in middle meatus was also done for the patients where it was necessary. The patients were given medical or surgical treatment according to the symptom and followup was done for 3 months for all patients. Results: Over 75% of the patients had incidence of sinusitis in the age group of 16 – 45 years. The most common etiology was sinusitis caused by infections (26 – 44%) followed by anatomical obstruction (22 – 36%). Of the 22 anatomical obstruction the most common was Deviated nasal septum in 14 (62%) of the cases followed by 4 (19%) CB, 3 (15%) pradixical MT and 1 (4%) prominent aggernasi. The most common sign and symptom was headache and polypoidal changes observed in 36 patients each (60%), followed by nasal obstruction in 35 patients (50%). 12 (20%) of the patients were treated with polypectomy + FESS while 14 (23%) of them were treated with septoplasty + FESS. 34 (57%) were treated with only FESS.Conclusions: Chronic sinusitis doesnot affect a particular age or sex and is more common among patietns with an upper respiratory tract infection. CT scan of the paranasal sinuses is the most useful tool in diagnosing the disease and FESS is the treatment of choice.

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Section: Discussionsupporting

confidence: 82%

Aetiology, diagnosis and treatment of chronic rhinosinusitis: a study in a teaching hospital in Telangana

Surapaneni

Sisodia

2016

Int J Otorhinolaryngol Head Neck Surg

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“…Only 1 patient developed pharyngo-cutaneous fistula. It can prevented while carrying out pharyngo-hypopharyngeal repair by meticulous approximation of tissues, use of Ryle's [14] tube and nil oral feeding for a minimum of 7 -9days. Should there be a pharyngo-cutaneous fistula, Nasogastric tube feeding must continue for as long as possible until the fistula closes.…”

Section: Discussionmentioning

confidence: 99%

“…If the fistula persists for more than 6weeks, malnutrition, faulty surgical technique, presence of foreign body or underlying malignancy especially in elderly must be excluded. Flap closure using local, regional or distant flaps [14] after excision of fistula may be needed in extreme cases.…”

Section: Discussionmentioning

confidence: 99%

The Pattern of Cut Throat Injuries, Early Management and Outcome-A Prospective Study in a Tertiary Care Hospital

Sharma

Roy

Sridharan

2023

PIJR

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Objective: To analyze pattern, sex and age ratio, common causes, the most common site and extent of the injury in the patients with cut throat injury at our hospital. To compare the same with previous similar studies conducted at other centers in different parts of the world. Also to note the early management and outcome in our study. Department Setting: of ENT and Head and Neck Surgery, Gauhati Medical college and Hospital, Guwahati, from January 2022 to January 2023. Methods: A total of 60 cases of cut throat injury were included in our study. Proforma was prepared to collect data. Results: 60 cases of cut throat injury patients were included in the study. Out of 60 cases 51 were males and 9 were females. Simple primary wound closure was done in 58 cases and 2 required secondary wound repair. In 20 patients, tracheostomy with primary repair was done. 32 patients needed psychiatric consultation. In our study, Conclusion: majority were males between 20 years to 40 years from lower middle socioeconomic status. Early and improved management will reduce the mortality and morbidity

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“…Similar results were reported in another study by Iseh KR et al and Vijay Prabhu R et al accounting to 65.3% and 60% respectively. 10,11 The present study showed the preponderance of males (63.2%) over females (36.8% 10,[12][13][14][15][16] Male: female ratio in the present study is 1.7:1 which is consistent with study done by Bist S, et al 9 The most common symptoms in our study are the nasal obstruction and nasal discharge which was also seen in studies done by Bist S, et al, Ali MI et al, Rao K et al 9,16,17 The most common anatomical variation observed in present study was DNS which was seen in 46.7%. Similar finding was also noted in studies done by Bolger et al (40%), Babble RW et al (40%), Earwaker et al (44%), Dua K et al (44%), Thimmappa TD et al (47%), Vijay Prabhu et al (48%) where DNS was the most common anatomical variation.…”

Section: Discussionmentioning

confidence: 99%

Computed tomographic evaluation of inflammatory sinonasal diseases

Kandukuri

Phatak

2017

Int J Res Med Sci

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Background: Computed Tomography plays a major diagnostic role in patients with inflammatory sinonasal diseases and determines the mode of management by displaying the complex osteomeatal anatomy, determining anatomical variations, extent of disease and characterizing various inflammatory sinonasal diseases. Purpose of the study was to assess the role of CT in evaluation of inflammatory sinonasal diseases by evaluating the sensitivity and specificity of CT in diagnosis of various inflammatory Sinonasal diseases.Methods: In this hospital based prospective study 122 patients with symptomatic inflammatory sinonasal diseases were evaluated by 16 slice MDCT. CT diagnosis is correlated with final diagnosis obtained from findings of nasal endoscopy/Functional Endoscopic Sinus Surgery, histopathological examination and fungal culture. Statistical analysis was done by descriptive and inferential statistics using Test statistics (sensitivity, specificity, PPV, NPV and accuracy) and Z test for single proportions (Z value >1.96 is considered significant). Software used in the analysis was SPSS 17.0 version and graph pad prism 6.0 version and p <0.05 is considered as level of significance.Results: On correlating CT diagnosis with final diagnosis, Chronic Sinusitis had 98.41% sensitivity and 96.61% specificity, fungal sinusitis had 66.67% sensitivity and specificity 99.14%, polyps had sensitivity of 94.59% and specificity of 97.6%, the rest of the inflammatory conditions had sensitivity 93.7 % and 99% specificity. P value in all instances was <0.05, i.e. <0.0001, indicating the significance of the findings.Conclusions: CT is the diagnostic modality of choice in evaluation of various inflammatory pathologies and associated complications thereby planning the further management of the patient.

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Surgical management of chronic rhinosinusitis in North Western Nigeria and challenges for the future

Cited by 3 publications

References 0 publications

Aetiology, diagnosis and treatment of chronic rhinosinusitis: a study in a teaching hospital in Telangana

Aetiology, diagnosis and treatment of chronic rhinosinusitis: a study in a teaching hospital in Telangana

The Pattern of Cut Throat Injuries, Early Management and Outcome-A Prospective Study in a Tertiary Care Hospital

Computed tomographic evaluation of inflammatory sinonasal diseases

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