Sinonasal Surgeries in a Tertiary Health Care Institution in a Developing Country, Nigeria

Volume 3 - Issue 4

Waheed Atilade Adegbiji*

Received: December 12, 2019;   Published: December 18, 2019

DOI: 10.32474/SJO.2019.03.000168

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Abstract

Background: Sinonasal diseases usually required surgical management. There is increasing cases of poorly treatment by nonspecialist. This study aimed at determining sociodemographic features, indications, complication and outcome of sinonasal surgeries

Materials and methods: This was a retrospective study of patients that had sinonasal procedures in our tertiary health care facility. The data collected were collated and analyzed using Statistical Package for Social Sciences (SPSS) version 18.0.

Results: The proportion of sinonasal procedures among the patients was 31.6%. There were 58.8% males with male to female ratio of 1.5:1 Major presenting complaints was 57.3% nasal blockage and 52.8% catarrh/epistaxis. Common clinical findings were rhinorrhea and reduced nasal patency in 69.4% and 48.8% respectively. Sinonasal procedures in unilateral nasal cavity was 52.2% while right nasal cavity occurred in 29.6%. Outpatient clinic procedures was 66.7%, elective procedures accounted for 60.5% and major procedures accounted for 29.3%. masses is the commonest CT Scan findings in 20.3% followed by sinuses in 15.6%. Main diagnosis was 39.9% rhinosinusitis, 38.3% foreign body impaction and 10.8% nasal polyps. Common sinonasal procedures were 38.3% nasal foreign body removal, 10.8% polypectomy, 9.8% antral washout and 9.3% nasal packing. Main complication of sinonasal procedures were wound infection in 2.9% and recurrence in 2.6%. There was 76.2% patient’s satisfaction with the sinonasal surgeries.

Conclusion: Sinonasal surgery is common in all age group. Presentation were most late, complicated and advanced. It mostly presented as clinic and elective procedures in this study.

Keywords: Rhinologist; sinonasal surgeries; nasal diseases; sino nasal diseases

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