TITLE:
Complications of Sinusitis: About 9 Cases in the Ear Nose & Throat (ENT) Department of the University Hospital Gabriel Touré in Bamako
AUTHORS:
Kadidiatou Doumbia-Singare, Abdoul Aziz Diakite, Sidiki N’Dao, Samba Karim Timbo, Youssouf Sogoba, Drissa Kanikomo, Boubacary Guindo, Siaka Soumaoro, Lamine Traore, Fatogoma Kone, Fatou Sylla, Mohamed Keita, Alhousseini Ag Mohamed
KEYWORDS:
Sinusitis, Complications, Diagnosis, Treatment, Surgery
JOURNAL NAME:
Surgical Science,
Vol.7 No.1,
January
14,
2016
ABSTRACT: Objective: This study
aims to analyze clinical, paraclinical and therapeutic aspects of sinusitis
complications in the Otorhinolaryngology department at the teaching hospital of
Gabriel Toure in Bamako. Materials and methods: This descriptive and longitudinal
study was conducted on 12 months from March 2012 to February 2013 in 9 cases of
sinusitis complications in the department of Otorhinolaryngology at the
University Hospital Gabriel Toure in Bamako. Results: The average age of
patients was 22.7 years; a median of 19 years within 6 men and 3 women with
almost 12.9 days of care seeking duration. The factors of risky were the use of
nonsteroid anti-inflammatory drugs NSAID (4 cases), maxillofacial trauma (1
case) and HIV (1 case). Facial pain was the major symptom, such as frontal
oedema, rhinorrhea with pus shedding and nasal obstruction. Computer tomography
was used for complications specification. Frontal sinusitis was the most
encountered with subperiosteal abscess (44.4%). Streptococcus pneumoniae was identified
in 3 cases. Medical treatment associated to surgery was conducted on 7
patients. Two cases of death have been registered. Conclusion: The complicated
sinusitis is an emergency and dangerous disease requiring specific care by a
multidisciplinary staff. Much of complications are commonly encountered despite
the antibiotic era.