Rhinosinusitis: A retrospective analysis of clinical pattern and outcome in north western Nigeria

Iseh, KR; Makusidi, Muhammad A

doi:10.4103/1596-3519.62620

Cited by 25 publications

(27 citation statements)

References 14 publications

(27 reference 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: 90%

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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: 90%

“…In a study by Iseh et al, 9 67.1% of the cases had sinusitis due to infection similar to our study where we found infection to be the most common cause with 44%. The signs and symptoms in our study were corroborated by other studies where in headache and nasal obstruction was most common.…”

Section: Fesssupporting

confidence: 91%

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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“…This is similar to the study conducted by Surapaneni H et al 20 which had reported the incidence of male candidates affected to be 60% and females 40%. Most of the previous studies performed by vinodhini P 21 , Dua et al 22 , Iseh et al 23 , Gibelli D et al 1 , had showed male preponderance with 66%, 57.5%, 52% and 63% respectively. Surapaneni H et al 20 had demonstrated that the age or gender does not play any significance for causing chronic rhinosinusitis especially with upper respiratory tract infection.…”

Section: Discussionmentioning

confidence: 89%

Assessment of Sinonasal Anatomical Variants using 128-Slice MDCT in Patients with Chronic Rhinosinusitis

Mathuram¹,

Aiyappan²,

Agarwal³

et al. 2019

IJCMSR

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To investigate the prevalence of anatomic variants of the sinonasal cavities using 128-slice-Multidetector CT and to determine their relation to sinonasal mucosal disease. Material and methods: A total of 200 patients were included. The inclusion criteria were patients with clinical symptoms of chronic rhinosinusitis and e exclusion criteria were patients with history of trauma, sinus surgery and sinonasal tumours and patients with contraindications for CT like pregnancy. All the patients with symptoms of chronic rhinosinusitis underwent CT on a 128-MDCT with field of view of 16cm from roof of frontal sinus till floor of maxillary sinus with reconstruction of 0.625mm. The study was acquired in axial plane and coronal, sagittal reconstructions were made.The CT scans was evaluated for the presence of anatomic variants of the sinonasal cavities and associated sinusitis. Results: The paranasal sinus anatomical variants are highly variable as proved by various previous studies. In our study the most common anatomical variant was deviated nasal septum, followed by agger nasi and concha bullosa. There was no statistically significant correlation between any of these anatomical variants and chronic rhinosinusitis in our study. Conclusion: The paranasal sinus anatomical variants are highly variable. In our study, the most commonest anatomical variant was deviated nasal septum, followed by agger nasi and concha bullosa. There was no statistically significant correlation between any of these anatomical variants and chronic rhinosinusitis in our study.

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“…According to the definition of the RS task force, major symptoms and signs include facial pain/pressure, facial congestion/fullness, nasal obstruction/blockage (continuous or intermittent), nasal discharge/purulence, hyposmia/anosmia, purulence on nasal examination, and fever. The minor symptoms and signs include headache, fever, halitosis, fatigue, dental pain, cough, and ear/pain/pressure/fullness (12).…”

Section: Diagnosismentioning

confidence: 99%

Management of acute rhinosinusitis

Mori

Fiocchi

Barni

et al. 2012

Pediatric Allergy Immunology

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Acute rhinosinusitis (ARS) is one of the most common reasons for physician visits and for significant school absenteeism, although precise data on its prevalence and incidence are still lacking. RS is defined as acute if there are symptoms lasting <12 wk with complete resolution. Superinfection by bacteria following a viral infection is the most important mechanism of ARS. Diagnosis of ARS should be made on clinical grounds alone. Typically, acute bacterial RS is self-limited and goes through spontaneous recovery within 4 wk. Recognizing the occurrence of bacterial superinfections of the sinuses during a common viral respiratory infection is fundamental to making the decision to start an appropriate antibiotic treatment. Topical treatments such as saline irrigation, nasal decongestants, steroids, antihistamines, and fungicides are all in widespread pediatric use, but analyzing the literature gives poor evidence of efficacy, except for topical steroids. RS is a multifactorial condition that poses a diagnostic and management challenge to infectivologist and ear-nose-throat specialists as well as to pediatricians.

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Rhinosinusitis: A retrospective analysis of clinical pattern and outcome in north western Nigeria

Cited by 25 publications

References 14 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

Assessment of Sinonasal Anatomical Variants using 128-Slice MDCT in Patients with Chronic Rhinosinusitis

Management of acute rhinosinusitis

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