Evaluation of the Management of Chronic Rhinosinusitis at the National University Hospital Center of Fann 5-Year Review

Introduction: Chronic rhinosinusitis (CRS) is a persistent inflammation of the sinus cavities lasting more than 12 weeks. It is a frequent reason for consultation in ENT (Ear, Nose, and Throat) and a significant public health problem. It considerably impairs quality of life and requires a rigorous diagnostic and therapeutic approach. In a context where African data remain limited, evaluating local management practices appears essential for improving health-care. The objective of this study was to analyze the management of CRS at the Fann National University Hospital Center. Methodology: A retrospective descriptive study was conducted, including all patients treated for CRS between January 1, 2020, and December 31, 2024. The variables studied included sociodemographic characteristics, medical history, clinical manifestations, paraclinical data, treatment modalities, and outcome. Results: 54 cases of chronic rhinosinusitis (CRS) were identified over five years, with a male predominance (57.4%) and a mean age of 29 years. Atopy was the main risk factor (24.1%). The predominant symptoms were nasal obstruction (77.8%) and rhinorrhea (70.4%). Computed tomography (CT) scans were performed in all patients, revealing pansinusitis in 53.7% of cases. The most frequently used treatments were antibiotics (85.2%), nasal irrigation (83.3%), and topical corticosteroids (72.2%). Functional endoscopic sinus surgery (FESS) was the standard procedure, with a mid-meatotomy in 87.7% of cases. The outcome was favorable in 96.3% of patients. Conclusion: This study highlights the significant prevalence of chronic rhinosinusitis (CRS) and the effectiveness of the medical and surgical management implemented at the Fann University Hospital, while also emphasizing the need to strengthen diagnostic and therapeutic capabilities.