Browsing by Author "Byaruhanga, Richard"
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Item The Burden Of Chronic Rhinosinusitis And Its Effect On Quality Of Life Among Patients Re-Attending An Otolaryngology Clinic In South Western Uganda(BMC Ear, Nose and Throat Disorders, 2018) Nyaiteera, Victoria; Nakku, Doreen; Nakasagga, Esther; Llovet, Evelyn; Kakande, Elijah; Nakalema, Gladys; Byaruhanga, Richard; Bajunirwe, FrancisWorldwide, the burden of chronic rhinosinusitis (CRS) is variable, but not known in Uganda. CRS has significant negative impact on quality of life (QOL) and as such QOL scores should guide adjustments in treatment strategies. However, most of these studies have been done in the west. Our hypothesis was that QOL scores of the majority of CRS patients in low- to- middle income countries are poorer than those among patients without CRS. The aim of this study was to determine the burden of CRS among patients re-attending the Otolaryngology clinic and whether CRS is related to poor QOL.A cross sectional study was conducted at Mbarara Regional Referral Hospital Otolaryngology clinic. One hundred and twenty-six adult re-attendees were consecutively recruited. Data was collected using a structured questionnaire and the Sinonasal Outcome Test 22 (SNOT 22) questionnaire measured QOL.The proportion of re-attendees with CRS was 39.0% (95% CI 30–48%). Majority of CRS patients had poor quality of life scores compared to non-CRS (88% versus 20% p < 01). The poor quality of life scores on the SNOT 22 were almost solely as a result of the functional, physical and psychological aspects unique to CRS.CRS is highly prevalent among re-attendees of an Otolaryngology clinic at a hospital in resource limited settings and has a significant negative impact on the QOL of these patients.Item A case control study of the factors associated with occurrence of aerodigestive foreign bodies in children in a regional referral hospital in South Western Uganda(BMC Ear Nose Throat Disord, 2016) Nakku, Doreen; Byaruhanga, Richard; Bajunirwe, Francis; Kyamwanga, Imelda T.Aerodigestive foreign bodies (ADFB) in children are a common emergency in ENT clinics globally. The aim of this study was to determine the prevalence and common types of ADFB’s presenting to a referral hospital in South Western Uganda, and to review clinical presentation and factors that influence their occurrence among children under 12 years of age.Item Nasal Subcutaneous Phycomycosis: An uncommon occurrence(International Journal of Clinical Case Reports, 2014) Buname, Gustave; Byaruhanga, Richard; Kakande; Kakande, Emily; Namwagala, Justine; Alele, David; Odida, Michael; Ndoleriire, ChristopherSubcutaneous phycomycosis is a very rare fungal infection of the subcutaneous fats caused by Zygomatous group of fungi. We report an uncommon case of an adult male with nasal subcutaneous phycomycosis which presented as painless, non tender, itchy swelling on his nose. Histopathological analysis of the biopsied tissues revealed chronic granulomatous inflammation containing fungal hyphae with surrounding langhans giant cells and eosinophilia. Periodic acid Schiff outlined the fungal hyphae and spores. The swelling resolved completely in the second month of treatment after the patient was started on oral potassium iodide and fluconazole.Item Smell and Taste Symptoms among Patients with Mild and Moderately Severe COVID-19 Infection in Uganda(OTO open, 2022) Byaruhanga, Richard; Kabagenyi, Fiona; Kagga, Douglas Ssenyonjo; Ndoleriire, Christopher; Kamulegeya, Adriane; Ssemwogerere, Lamech; Kiguba, Ronald; Kirenga, Bruce; Kakande, EmilyPatients with coronavirus disease 2019 (COVID-19) may present with smell/taste dysfunctions in addition to the most frequent symptoms (fever, cough, and shortness of breath) or as the first symptom or even the only symptom. There is paucity of documentation of prevalence and characteristics of smell/taste dysfunction in COVID-19 in sub-Saharan Africa. The aim of this study was to determine the prevalence of smell/taste symptoms in our setting to institute local evidence-based practice.