Paper Title: Rhinologic surgeries in the University of Port Harcourt Teaching Hospital: A 5 year retrospective analysis
Authors: Onotai L.O, Mbalaso O.C
BACKGROUND: Rhinologic diseases that require surgical interventions appear to be on the increase in this day and age and newer surgical techniques including various forms of endoscopic sinus surgeries are now commonplace. AIMS: This study established the pattern of rhinologic surgeries as seen in the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Nigeria. It also evaluated the outcome of management and its challenges. PATIENTS AND METHODS: Theatre records of patients who had rhinologic surgeries in the Ear, Nose and Throat (ENT) surgery department of UPTH from January 2008 to December 2012 were reviewed for all essential clinical data. RESULTS: Sixty patients had rhinologic surgeries during the study period. There were 37 males and 23 females (male: female ratio of 1.6:1.0). Age range was 5days to 70 years, mean of 34.6 (SD +/- 10.4) years. The age group that has the highest number of surgeries was 31-45 years. The commonest rhinologic surgery done was nasal polypectomy + bilateral intranasal antrostomy followed by Caldwel-Luc operation. The commonest indication for surgery was recurrent nasal polyposis followed by chronic maxillary rhinosinusitis. CONCLUSION: This study established the pattern of rhinologic surgeries as seen in the University of Port Harcourt Teaching Hospital. The commonest surgeries were nasal polypectomy with or without antrostomy and Caldwel-Luc operation. The outcome of surgery can be improved upon when procedures are done endoscopically by well trained personnel.