Retrospective study of the rhinoscleroma about 14 cases in ENT departments of university hospitals (Côte d'Ivoire).
OBJECTIVE
To report the epidemiological, clinical, therapeutic and evolutionary aspects of rhinoscleroma in ENT departments of university hospitals (Côte d'Ivoire).


METHODS
Retrospective study of rhinoscleroma conducted in the ENT and head and neck surgery departments in Côte d'Ivoire from January 1980 to December 2008 including the cases of confirmed rhinoscleroma and the treated cases.


RESULTS
Fourteen cases of rhinoscleroma were found in 28 years. The early manifestations were not specific enough so the patients were seen with clinical status with obvious disorders or physical discomfort. Treatment was medical and surgical. Medical therapy was based on streptomycin, thiopenicol or ciprofloxacin administration. Surgery consisted in removing the fibrous adhesions to correct the functional and aesthetic disorders.


CONCLUSIONS
Rhinoscleroma has become a more and more rare disease because of the sensitivity to the new molecules. Diagnosis can be difficult and delayed because of its clinical polymorphism.
Service ORL et chirurgie cervico-faciale, CHU de Bouaké, 22 BP 1438 Abidjan 22, Côte d'Ivoire. ngattia@yahoo.fr
K V
KV
N'gattia
N
N
Kacouchia
L
L
Koffi-N'guessan
N M
NM
Mobio
J
J
Kouassi-Ndjeundo
M
M
Kouassi
M
M
Yoda
T S
TS
Vroh Bi
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002939:Ciprofloxacin / Q000627:therapeutic use; D003131:Combined Modality Therapy; D007560:Cote d'Ivoire; D003906:Developing Countries; D004954:Esthetics; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods; D012226:Rhinoscleroma / Q000175:diagnosis / Q000453:epidemiology* / Q000628:therapy; D013307:Streptomycin / Q000627:therapeutic use; D013839:Thiamphenicol / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D055815:Young Adult
D000900:Anti-Bacterial Agents; D002939:Ciprofloxacin; D013839:Thiamphenicol; D013307:Streptomycin