Rhinosinusitis among children and adolescents in Southwestern Nigeria

Submitted: 12 April 2022
Accepted: 26 July 2022
Published: 29 December 2022
Abstract Views: 150
PDF: 96
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Worldwide, rhinosinusitis is a common sinus and nasal condition. The purpose of this study was to determine the prevalence and clinical characteristics of rhinosinusitis among children and adolescents in Ekiti, in the southwest of Nigeria. This two-year retrospective hospital study included 161 children and adolescents who had rhinosinusitis at the Ekiti State University Teaching Hospital in Ado Ekiti, southwest Nigeria. SPSS version 18 was used to analyze the data. There were 161 participants, ages 2 to 17, mean ± SD = 6.8 ± 4.5. 101 (62.7%) of them were males, making the male to female ratio 1.5:1. 9.2% of the participants in this study had rhinosinusitis. Recurrent rhinosinusitis (41) and chronic rhinosinusitis (61) were the two most prevalent types of rhinosinusitis. According to the etiology, 81 (50.3%) cases of infective rhinosinusitis were the main clinical pattern, followed by 67 (41.6%) cases of allergic rhinosinusitis and 13 (8.1%) cases of vasomotor rhinitis. There were 127 cases of nasal stuffiness (78.9%), 108 cases of rhinorrhea (67.1%), 92 cases of snoring (57.1%), and 86 cases of coughing (53.4%). Adeno-tonsillar hypertrophy, nasal foreign body impaction, and asthma were the three main comorbid conditions with rhinosinusitis in children, with 96 (59.6%), 46 (28.6%), and 12 (7.5%) cases each. In this study, the most common complications of rhinosinusitis were tonsillitis (26.7%), otitis media (33.5%), orbital complications (36.6%), and pneumonia (8.1%). In Ado Ekiti, southwest Nigeria, rhinosinusitis was a common sino-nasal condition affecting children and adolescents. Due to the delayed presentation, chronic rhinosinusitis was the most frequent type.

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Report of the Rhinosinusitis Task Force Committee Meeting. Alexandria, Virginia, August 17, 1996. Otolaryngology 1997;117:S1–S68.
Masood A, Moumoulidis I, Panesar J. Acute rhinosinusitis in adults: an update on current management. Postgraduate Med J 2007;83:402–8. DOI: https://doi.org/10.1136/pgmj.2006.054767
Ng YT, Butler IJ. Sphenoid sinusitis masquerading as migraine headaches in children. J Child Neurol 2001;16:882–4. DOI: https://doi.org/10.1177/088307380101601203
Ah-See KW, Evans AS. Sinusitis and its management. Br Med J 2007;334:358–61. DOI: https://doi.org/10.1136/bmj.39092.679722.BE
Gilger MA. Pediatric otolaryngologic manifestations of gastroesophageal reflux disease. Current Gastroenterol Rep 2003;5:247–52. DOI: https://doi.org/10.1007/s11894-003-0027-5
Kretzschmar DP, Kretzschmar CJL. Rhinosinusitis: a review from a dental perspective. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;96:128–35. DOI: https://doi.org/10.1016/S1079-2104(03)00306-8
Baroody FM. Nasal and paranasal sinus anatomy and physiology. Clin Allergy Immunol 2007;19:1–21.
Lee JT, Jansen M, Yilma AN, et al. Antimicrobial lipids: novel innate defense molecules are elevated in sinus secretions of patients with chronic rhinosinusitis. Am J Rhinol Allergy 2010;24:99–104. DOI: https://doi.org/10.2500/ajra.2010.24.3444
Gotwald TF, Zinreich SJ, Corl F, Fishman EK. Three-dimensional volumetric display of the nasal osteo-meatal channels and paranasal sinuses. Am J Roentgenol 2001;176:241–5. DOI: https://doi.org/10.2214/ajr.176.1.1760241
Momeni AK, Roberts CC, Chew FS. Imaging of chronic and exotic sino-nasal disease: review. Am J Roentgenol 2007;189:S35–45. DOI: https://doi.org/10.2214/AJR.07.7031
Snidvongs K, Sangubol M, Poachanukoon O. Pediatric versus adult chronic rhinosinusitis. Curr Allergy Asthma Rep 2020;20:29. DOI: https://doi.org/10.1007/s11882-020-00924-6
McDermott SM, Onwuka A, Elmaraghy C, Walz PC. Management patterns in pediatric complicated sinusitis. Otolaryngol Head Neck Surg 2020;163:814–21. DOI: https://doi.org/10.1177/0194599820918832
Fokkens W, Lund V, Bachert C, et al. EAACI position paper on rhinosinusitis and nasal polypsexecutive summary. Allergy 2005;60:583–601. DOI: https://doi.org/10.1111/j.1398-9995.2005.00830.x
Benninger MS, Ferguson BJ, Hadley JA, et al. Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology. Otolaryngolog 2003;129:S1–S32. DOI: https://doi.org/10.1016/S0194-5998(03)01397-4
Brook I. Microbiology and antimicrobial management of sinusitis. Otolaryngologic Clin North Am 2004;37:253–66. DOI: https://doi.org/10.1016/S0030-6665(03)00155-5
Wald ER, Bordley WC, Darrow DH, et al. Clinical practice guideline: management of sinusitis. Pediatrics 2001;108:798–808. DOI: https://doi.org/10.1542/peds.108.3.798
Lee JT, Kennedy DW, Palmer JN, et al. The incidence of concurrent osteitis in patients with chronic rhinosinusitis: a clinicopathological study. Am J Rhinol 2006;20:278–82. DOI: https://doi.org/10.2500/ajr.2006.20.2857
Chiu AG. Osteitis in chronic rhinosinusitis. Otolaryngol Clin North Am 2005;38:1237–42. DOI: https://doi.org/10.1016/j.otc.2005.07.007
van Crombruggen K, Zhang N, Gevaert P, et al. Pathogenesis of chronic rhinosinusitis: inflammation. J Allergy Clin Immunol 2011;128:728–32. DOI: https://doi.org/10.1016/j.jaci.2011.07.049
Nakaseko H, Uemura O, Nagai T, et al. High prevalence of sinusitis in children with Henoch-Schonlein purpura. Int J Pediatr 2011;2011:562638. DOI: https://doi.org/10.1155/2011/562638
Ologe FE, Adebola SO, Dunmade AD, et al. Symptom score for allergic rhinitis. Otolaryngol Head Neck Surg 2013;148:557-63. DOI: https://doi.org/10.1177/0194599813477605
Fokkens WJ, Lund VJ, Mullol J. European Position Paper on rhinosinusitis and nasal polyps 2012. Rhinol Suppl 2012;23:1-298.
Alsowaidi S, Abdulle A, Bernsen R, Zuberbier T. Allergic rhinitis and asthma: a large cross-sectional study in the United Arab Emirates. Int Arch Allergy Immunol 2011;153:274-9. DOI: https://doi.org/10.1159/000314368
Marom T, Alvarez-Fernandez PE, Jennings K, et al. Acute bacterial sinusitis complicating viral upper respiratory tract infection in young children. Pediatr Infect Dis J 2014;33:803–8. DOI: https://doi.org/10.1097/INF.0000000000000278
Gathiru C, Macharia I. The prevalence of allergic rhinitis in college students at Kenya Medical Training College-Nairobi, Kenya. World Allergy Organ J 2007;S84-S85. DOI: https://doi.org/10.1097/01.WOX.0000301368.02418.8b
Adegbiji WA, Aremu SK, Lasisi AO. Patients barrier to ear, nose and throat surgical care in Nigeria. Am Sci Res J Engin Technol Sci (ASRJETS) 2017;32:96-104.
Adegbiji WA, Olajide GT, Aremu SK, Alabi SB. Barriers to adenoid and tonsil surgeries in Ekiti, Nigeria. Am J Med Med Sci 2017;7:385-92.
Brook I. The role of antibiotics in pediatric chronic rhinosinusitis. Allergy Rhinol Immunol 2017;2:104–8. DOI: https://doi.org/10.1002/lio2.67
DeConde AS, Soler ZM. Chronic rhinosinusitis: epidemiology and burden of disease. Am J Rhinol Allergy 2016;30:134-9. DOI: https://doi.org/10.2500/ajra.2016.30.4297
Reh DD, Higgins TS, Smith TL. Impact of tobacco smoke on chronic rhinosinusitis: a review of the literature. Int Forum Allergy Rhinol 2012;2:362–9. DOI: https://doi.org/10.1002/alr.21054
Uhliarova B, Adamkov M, Svec M, Calkovska A. The effect of smoking on CT score, bacterial colonization and distribution of inflammatory cells in the upper airways of patients with chronic rhinosinusitis. Inhal Toxicol 2014;26:419–25. DOI: https://doi.org/10.3109/08958378.2014.910284
Wald ER, Applegate KE, Bordley C, et al. Clinical practice guideline for the diagnosis and management of acute bacterial sinusitis in children aged 1 to 18 years. Pediatrics 2013;132:e262-80. DOI: https://doi.org/10.1542/peds.2013-1071
Soon VT. Pediatric subperiosteal orbital abscess secondary to acute sinusitis: a 5-year review. Am J Otolaryngol 2011;32:62-8. DOI: https://doi.org/10.1016/j.amjoto.2009.10.002
Hakim HE, Malik AC, Aronyk K, et al. The prevalence of intracranial complications in pediatric frontal sinusitis. Int J Pediatric Otorhinolaryngol 2006;70:1383–7. DOI: https://doi.org/10.1016/j.ijporl.2006.02.003
Lund VJ, Mackay IS. Staging in rhinosinusitis. Rhinology 1993;31:183-4.
Oyinloye OI, Akande JH, Alabi BS, Afolabi OA. Incidental paranasal sinus abnormality on cranial computed tomography in a Nigerian population. Ann Afr Med 2013;12:62-4. DOI: https://doi.org/10.4103/1596-3519.108261
Eziyi JAE, Amusa YB, Nwawolo CC. The prevalence of nasal diseases in Nigerian school children. J Med Med Sci April 2014;5:71-7.
Ogah SA, Ogah JI, Enesi IE, Oseji DI. Aerobic bacteriology of throat swabs in adult patients with chronic rhinosinusitis in Lokoja, Kogi State, Nigeria. Nig J Pure Appl Sci 2017;30:2965-70.

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How to Cite

Adegbiji, Waheed Atilade, Abdul Akeem Adebayo Aluko, and Toye Gabriel Olajide. 2022. “Rhinosinusitis Among Children and Adolescents in Southwestern Nigeria”. Pyramid Journal of Medicine 5 (2). https://doi.org/10.4081/pjm.2022.203.