External Frontoethmoidectomy in the University of Port Harcourt Teaching Hospital, Rivers State, Nigeria

Osuji Ae, A. Nwogbo
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Abstract

Introduction: External Frontoethmoidectomy is an open surgical procedure employed to remove disease from the frontal and ethmoidal sinuses. Pathologies in the para nasal sinuses can be managed endoscopically, however, the limited availability of skilled man power in endoscopic sinus surgeries, and the dearth of its instruments in this region, remains a challenge in most tertiary health care centres in Nigeria, thus promoting the use of external approach to manage sinus diseases. Method: This was a retrospective study of 10 patients who had Frontoethmoidectomy over a 6 year period, from January 2012 to December 2017.Their medical records were retrieved from operating theatre, and Ear, Nose and Throat ward. Information retrieved included their age, gender, presenting complain, indication for surgery and length of hospital stay. Results were presented in tables and figures. Results: Among the 10 patients, there were 7 males and 3 females, 6 (60%) were aged 10-19 years. The indications for surgery was Fronto-ethmoidal mucocele in 3 patients and frontal mucocele in 2 patients, frontal sinusitis with intracerebral abscess in 1 patient, pan sinusitis with sinu-cutaneous fistula in 1 patient, potts puffy tumor in 1 patient, fronto-ethmoidal abscess, and fronto-ethmoidal osteoma in 1 patient each. Nasal obstruction was the commonest complain 7(70%), followed by frontal headache 4(40%).The average hospital stay among the patients was 6 days. Conclusion: External fronto-ethmoidectomy has remained the mainstay of treatment for frontal and ethmoidal sinus pathologies in this region, despite the advent of endoscopic sinus surgery. Early presentation for specialist otorhinolaryngological management can reduce morbidity and mortality.
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尼日利亚里弗斯州哈科特港大学教学医院的外额颞骨切除术
引言:额外筛窦切除术是一种开放性外科手术,用于去除额窦和筛窦的疾病。鼻旁鼻窦的病理学可以通过内窥镜进行治疗,然而,在尼日利亚的大多数三级医疗保健中心,内窥镜鼻窦手术中熟练的人力资源有限,而且该地区缺乏仪器,这仍然是一个挑战,从而促进了使用外部方法来治疗鼻窦疾病。方法:这是一项回顾性研究,对2012年1月至2017年12月6年内接受额峡部切除术的10名患者进行了回顾性研究。他们的病历来自手术室和耳鼻喉病房。检索到的信息包括他们的年龄、性别、主诉、手术指征和住院时间。结果以表格和数字表示。结果:10例患者中,男性7例,女性3例,年龄10~19岁者6例(60%)。手术指征为额筛窦黏液囊肿3例,额黏液囊肿2例,额窦炎伴脑内脓肿1例,泛鼻窦炎伴窦皮瘘1例,陶氏肿瘤1例,额筛窦脓肿和额筛骨瘤各1例。鼻塞是最常见的主诉7(70%),其次是额部头痛4(40%)。患者的平均住院时间为6天。结论:尽管出现了鼻内镜鼻窦手术,但额筛外切除术仍然是治疗该地区额窦和筛窦病变的主要方法。早期进行耳鼻喉科专科治疗可以降低发病率和死亡率。
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