Academic Journal

Clinicopathological Presentations and Management Outcomes of Unilateral Sinonasal Masses at a Tertiary Institution in Nigeria.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Clinicopathological Presentations and Management Outcomes of Unilateral Sinonasal Masses at a Tertiary Institution in Nigeria.
Συγγραφείς: Adegbiji WA; Department of Ear, Nose and Throat, Ado Ekiti, Nigeria., Azeez IA; Department of Family Medicine, Afe Babalola University Multi System Hospital, Afe Babalola University, Ado Ekiti, Nigeria., Fatai O; Department Ear, Nose and Throat, Federal Teaching Hospital Lokoja, Lokoja, Nigeria., Babatunde M; Department of Surgery, Faculty of Clinical Sciences, Afe Babalola University Multi System Hospital, Ado Ekiti, Nigeria., Jamiu OW; Department of Surgery, Faculty of Clinical Sciences, Afe Babalola University Multi System Hospital, Ado Ekiti, Nigeria., Okon M; Department of Nursing, Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria., Ayomide AK; Department of Surgery, College of Medicine, Afe Babalola University, Ado Ekiti, Nigeria., Lasisi AO; Department of Ear, Nose and Throat, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Nigeria.
Πηγή: The Nigerian postgraduate medical journal [Niger Postgrad Med J] 2025 Oct 01; Vol. 32 (4), pp. 392-397. Date of Electronic Publication: 2025 Oct 27.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: published by Wolters Kluwer-Medknow for the Nigerian Postgraduate Medical College of Nigeria Country of Publication: Nigeria NLM ID: 9613595 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1117-1936 (Print) NLM ISO Abbreviation: Niger Postgrad Med J Subsets: MEDLINE
Imprint Name(s): Publication: <2015- > : Mumbai : published by Wolters Kluwer-Medknow for the Nigerian Postgraduate Medical College of Nigeria
Original Publication: Ebute Metta, Lagos, Nigeria : National Postgraduate Medical College of Nigeria, [1994-
Ιατρικοί όροι (MeSH): Paranasal Sinus Neoplasms*/diagnosis , Paranasal Sinus Neoplasms*/mortality , Paranasal Sinus Neoplasms*/pathology , Paranasal Sinus Neoplasms*/therapy , Nose Neoplasms*/diagnosis , Nose Neoplasms*/mortality , Nose Neoplasms*/pathology , Nose Neoplasms*/therapy , Papilloma, Inverted*/diagnosis , Papilloma, Inverted*/mortality , Papilloma, Inverted*/pathology , Papilloma, Inverted*/therapy , Carcinoma, Squamous Cell*/diagnosis , Carcinoma, Squamous Cell*/mortality , Carcinoma, Squamous Cell*/pathology , Carcinoma, Squamous Cell*/therapy , Neoplasm Recurrence, Local*/epidemiology , Neoplasm Recurrence, Local*/pathology , Neoplasm Recurrence, Local*/prevention & control, Tertiary Care Centers/statistics & numerical data ; Nigeria/epidemiology ; Hospitals, Teaching/statistics & numerical data ; Surveys and Questionnaires/statistics & numerical data ; Chemoradiotherapy/statistics & numerical data ; Nasal Cavity/pathology ; Nasal Cavity/surgery ; Paranasal Sinuses/pathology ; Paranasal Sinuses/surgery ; Prospective Studies ; Humans ; Male ; Female ; Young Adult ; Adult ; Middle Aged ; Aged
Περίληψη: Objective: Unilateral sinonasal mass remains a common pathology and management is a prerequisite for effective outcome. This study aimed to determine the epidemiology, clinicopathological pattern and management outcomes of unilateral sinonasal masses at a tertiary centre in Nigeria.
Patients and Methods: This was a prospective and hospital-based study of consented patients with unilateral sinonasal masses in Ear, Nose and Throat Department of Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria, carried out from January 2011 to December 2020. Data were obtained using the assisted self-administered structured questionnaire.
Results: All the studied age groups had unilateral sinonasal masses with peak age groups of >50 years at 41.1%. The second and third recurrent episodes occurred in 10.7% and 3.6%, respectively. The most common nasal manifestations were nasal blockage (71.4%). Majority of the extranasal manifestations were otological (39.3%) and ocular (7.1%). The most common affected nostril was the right nostril (62.5%). The most common site of origin was maxillary sinus (42.9%). Majority of the histological diagnoses were benign tumours in 71.4%. Majority of benign masses were inverted papilloma (32.1%) and majority of malignancies were squamous cell carcinoma (23.2%). Major surgical interventions were intranasal excisional biopsy (44.6%) and intranasal polypectomy (17.9%). There were 3.6% recurrence and 1.8% mortality recorded in this study.
Conclusion: Unilateral sinonasal mass is common and it can affect any of the nostril, with late presentations due to pre-hospital self-treatment. It could be benign or malignant and mainly surgical excision and chemo-radiotherapy are the treatment options in malignant types. Health education is advised to encourage early presentation and prompt treatment.
(Copyright © 2025 Nigerian Postgraduate Medical Journal.)
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Contributed Indexing: Keywords: Clinicopathological; management; masses; nasal; presentations
Entry Date(s): Date Created: 20251027 Date Completed: 20260116 Latest Revision: 20260116
Update Code: 20260130
DOI: 10.4103/npmj.npmj_316_24
PMID: 41143375
Βάση Δεδομένων: MEDLINE