Surgical management of chronic rhinosinusitis in north western Nigeria and challenges for the future

Nigerian Journal of Medicine : Journal of the National Association of Resident Doctors of Nigeria
K R IsehD Aliyu

Abstract

Rhinosinusitis is usually treated medically. Surgical management is indicated when medical treatment fails or becomes complicated. Appraisal of various surgical methods employed in the treatment of chronic rhinosinusitis is the subject of this paper from a University teaching hospital in north western Nigeria. This is a review of 75 patients who underwent various conventional surgical operations for rhinosinusitis over a 5.5 year period from September 1999 to February 2005 who were followed up for a minimum period of 2 years. A total number of 177 surgical operations were carried out of which 75 patients either had some surgical procedures unilaterally, bilaterally or in combinations. There were thirty nine males (52%) and thirty six females (48%) with a male to female ratio of 1:1. Their age ranges from 8 years to 70 years with a mean of 31.1 years. The ages 21-40 years range constituted majority (65.3%) of the patients. Ninety-two operations (52%) were caldwell luc (CWL) which was the commonest operation followed by forty-one (23.2%) cases of inferior meatal antrostomy (IMA), thirty two (18.1%) cases of partial inferior anterior turbinectomy (PIT), Ten (5.6%) cases of frontoethmoidectomy (FTE) and Two( 1.1%) cases of submucou...Continue Reading

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