Surgical Considerations in the Management of Tumours of the Nose and Paranasal Sinuses in a Northern Nigerian Teaching Hospital

Background: In a typical ear nose and throat clinic, disease conditions involving the nose and paranasal sinuses are not uncommon. The aim of this study is to determine the clinicopathologic profile of these diseases as it occurs in university of Port Harcourt teaching hospital. Methodology: A retrospective descriptive analysis of all patients with diagnosis of sinonasal disease that presented in the ear nose and throat surgery department of university of Port Harcourt teaching hospital within the period of 5years (from 2016 – 2020). Data retrieved were biodata, clinical features, diagnosis and treatment, these were all collated and analysed. Patients without complete records were excluded. The patients recruited had clinical diagnosis which was aided by radiological investigations and confirmed by histology. Result: A total of 68 patients were studied within the 5year period. There were 35males and 33 females. The mean age was 33.96+/_17.9 years. The age groups 11-20 and 41-50 were more affected. Rhinosinusitis was the commonest condition seen while inflammatory polyp was the commonest histologic diagnosis. Polypectomy with bilateral antrostomy was the commonly done surgery in 26.4% age. Conclusion: Disease of the nose and paranasal sinuses are commonly seen in ENT practice and rhinosinusitis is the commonest entity encountered with inflammatory polyp as the commonest histopathologic finding. Squamous cell carcinoma was the commonest malignant lesion seen occurring more in males. Age distribution of the diseases was statistically significant.

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Fungal Infections Of The Nose And Paranasal Sinuses

Otolaryngologic Clinics of North America ◽

10.1016/s0030-6665(20)30742-8 ◽

1993 ◽

Vol 26 (6) ◽

pp. 1007-1035 ◽

Cited By ~ 13

Author(s):

Andrew Blitzer ◽

William Lawson

Keyword(s):

Paranasal Sinuses ◽

Fungal Infections ◽

Nose And Paranasal Sinuses

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Benign Tumors of Nose and Paranasal Sinuses: Diagnosis and Treatment Options

Skull Base ◽

10.1055/s-2009-1224381 ◽

2009 ◽

Vol 19 (S 02) ◽

Author(s):

K. Proikas

Keyword(s):

Paranasal Sinuses ◽

Treatment Options ◽

Diagnosis And Treatment ◽

Benign Tumors ◽

Nose And Paranasal Sinuses

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Schwannomas of the Nose and Paranasal Sinuses

American Journal of Rhinology ◽

10.2500/105065893781976465 ◽

1993 ◽

Vol 7 (2) ◽

pp. 59-65 ◽

Cited By ~ 6

Author(s):

John R. Wanamaker ◽

Hayes H. Wanamaker ◽

Bernard Kotton ◽

Greg D. Akers ◽

Pierre Lavertu

Keyword(s):

Paranasal Sinuses ◽

Clinical Presentation ◽

Clinical Course ◽

Diagnostic Techniques ◽

Therapeutic Approaches ◽

Management Philosophy ◽

Nose And Paranasal Sinuses ◽

Therapeutic Tools ◽

Diagnostic Work ◽

Work Up

Schwannomas are benign neoplasms arising from the peripheral nerve sheath. The sinonasal tract is an unusual location for these neoplasms. Because of their rarity, few series have been reported. Five previously unreported cases of schwannomas of the nose and paranasal sinuses are presented that illustrate the spectrum of disease. The clinical presentation, diagnostic work-up, clinical course, and diverse therapeutic approaches will be discussed. A management philosophy based on the diversity of these tumors and their clinical behavior, and incorporating the new diagnostic and therapeutic tools available to the clinician will be presented. The implications of newer diagnostic techniques including sinonasal endoscopy, magnetic resonance imaging, and immuno-chemistry in the diagnosis and treatment of these tumors will be discussed.

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