Paper Title: Rhinosinusitis in adult patients: Analysis of clinical pattern and outcome of management
Authors: Onotai L, Oparaodu U.
BACKGROUND: Rhinosinusitis is among the commonest rhinologic disorders seen in most otolaryngology clinics worldwide. This study evaluates the clinical pattern and highlights the outcome of management of rhinosinusitis in adult patients as seen in Port Harcourt, Nigeria. PATIENTS AND METHODS: All new patients with the clinical diagnosis of rhinosinusitis in both the University of Port Harcourt Teaching Hospital and Kinx Medical Consultant clinic in Port Harcourt over a two-year period from January 2012 to December 2013 were recruited for this study. Patient data were documented in a proforma and analyzed for clinical features, radiological findings, complications, treatment modalities and management outcomes. The data was entered into SPSS version 16 computer software and analyzed descriptively. RESULTS: There were 264 (17.5%) cases of rhinosinusitis out of a total number of 1522 patients seen over the study period. There were 120 males and 144 females with M: F ratio of 1:1.2. Their ages ranged from 18-90 years with a mean of 39.5 years (SD ± 10.46 years). The main clinical features were rhinorrhea in 240 (90.9%) patients, followed by nasal obstruction in 180 (68.2%) patients. The duration of symptoms ranged from 1 week to 20 years with 55 (20.8%) cases being acute and 209 cases (79.2%) were chronic. The maxillary sinuses were the commonest sinuses involved with 200 (75.76%) patients being affected. Allergic causes accounted for 198 (75.0%) of cases followed by infective causes (n=66, 25.0%). There were complications in 15 (5.7%) cases with nasal polyps being the commonest complication as observed in 10 (3.8%) cases. Mode of treatment was predominantly medical in 206 (78.0%) cases and surgery was only carried out in 58 (22.0%) cases. Facial paraesthesia and pain (n=15, 5.7%) around the operation sites were the commonest surgical complications encountered while recurrence of disease ranked highest (n=100, 37.9%) in the patients with background allergy. CONCLUSION: Allergic chronic rhinosinusitis was the commonest type of rhinosinusitis found among adult patients in our environment. The predominant mode of treatment was conservative medical treatment.