Afolabi Olushola Abdulrahman, Alabi Biodun Sulyman, Omokanye Habeeb Kayodele, Ayodele Samuel O, Segun-Busari Segun, Dunmade Adekunle D, Ologe Foluwasayo Emmanuel
Department of Otorhinolaryngology, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria.
OTO Open. 2017 Jan 18;1(1):2473974X16685545. doi: 10.1177/2473974X16685545. eCollection 2017 Jan-Mar.
The aim of this study is to present the management and outcome of treatment of rhinosinusitis in Nigeria.
A retrospective review of the case notes of patients with rhinosinusitis between January 2009 and December 2014.
Study at the University of Ilorin Teaching Hospital, Nigeria, using retrieved case notes after ethical approval was received.
The information retrieved included sociodemographic data, clinical presentation, duration, endoscopic examination, and other clinical management protocols with follow-up. All information was entered into SPSS version 20 and analyzed descriptively, and results are presented in tables and figure.
A total of 5618 patients were seen in the ear, nose, and throat clinic over the 6-year period. Of the patients, 445 had rhinosinusitis, and only 410 had complete data for analysis. Patient age ranged from 2 to 75 years (mean ± SD, 31.8 ± 1.2 years). The male to female ratio was 1.2:1. The duration of symptoms varied from 3 days to 10 years, with 78.7% having symptoms between 3 and 120 months. About 82.4% had nasal discharge, 51.3% had sneezing, 78.9% had alternating nasal obstruction, and 49.3% had nasal itch. Of the patients, 61.4% had a predisposition, of which 30.9% were allergic, 23.3% were infective, and 7.2% were vasomotor. Ethmoidal-maxillary sinuses were commonly affected radiologically. About 63% of patients had medical treatment, and only 28.7% had surgical intervention, of which 37% were scheduled for surgical treatment and 7.3% refused. Improved symptoms were noticed in 72.6% of patients, and 1.4% reported no improvement.
Rhinosinusitis is still common, affecting active males economically with more chronic cases and more allergic predisposition. Early medical management is still effective, and endoscopic sinus surgery is now a better surgical option with better outcome in 72.6%.
本研究旨在介绍尼日利亚鼻窦炎的治疗管理及结果。
对2009年1月至2014年12月期间鼻窦炎患者的病历进行回顾性分析。
在尼日利亚伊洛林大学教学医院进行研究，经伦理批准后使用检索到的病历。
检索到的信息包括社会人口统计学数据、临床表现、病程、内镜检查以及其他临床管理方案及随访情况。所有信息录入SPSS 20版本并进行描述性分析，结果以表格和图表形式呈现。
在6年期间，耳鼻喉科门诊共诊治5618例患者。其中，445例患有鼻窦炎，仅有410例有完整数据用于分析。患者年龄范围为2至75岁（平均±标准差，31.8±1.2岁）。男女比例为1.2:1。症状持续时间从3天至10年不等，78.7%的患者症状持续时间在3至120个月之间。约82.4%的患者有流涕症状，51.3%的患者有打喷嚏症状，78.9%的患者有交替性鼻塞，49.3%的患者有鼻痒症状。61.4%的患者有易患因素，其中30.9%为过敏性，23.3%为感染性，7.2%为血管运动性。筛窦-上颌窦在影像学上最常受累。约63%的患者接受了药物治疗，仅28.7%的患者接受了手术干预，其中37%的患者计划接受手术治疗，7.3%的患者拒绝手术。72.6%的患者症状改善，1.4%的患者报告无改善。
鼻窦炎仍然常见，对经济活跃的男性影响更大，慢性病例更多，过敏易患因素更多。早期药物治疗仍然有效，内镜鼻窦手术现在是更好的手术选择，72.6%的患者手术效果良好。
