IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 17, Issue 6 Ver. 4 (June. 2018), PP 88-91 www.iosrjournals.org DOI: 10.9790/0853-1706048891 www.iosrjournals.org 88 | Page The Prevalence of Rhinosinusitis Symptoms in Al Baha Region, 2017 Rajab A. Alzahrani.(MD,SSC-ORL,FEBORL) 1 , MujtabaAlRayah Ali. (PhD), Saif Abadi Alzahrani 2 , Jehad Tawfiq M. Alhussaini 2 , Ahmad Mosfer A. Alghamdi 2 , Naif Ghormallah A. Alzahrani 2 1 (Department of Surgery, Otolaryngology Head and Neck Division, Faculty of Medicine, Al-Baha University, Saudi Arabia) 2 (Medical Intern, faculty of medicine, Al-Baha university, Saudi Arabia) Abstract:Objective: Rhinosinusitis is a huge burden on the health system and is becoming a concern in many countries. The range for overall rhinosinusitis-related health care costs in Saudi Arabia is not studied yet, but it was about $6.9 to $9.9 billion USD per year in USA. The general objective of this study was to identify the prevalence of rhinosinusitis in Al-Baha region. Methods: A cross sectional study that took place in Al-Baha from 17th of March 2017 until 4th of April 2017. A total of (191) questionnaires in total were collected and analyzed. The purpose of the study was explained and an individual consent from each participant was gained prior to filling the questionnaire. Results: Data were analyzed using (SPSS- version 21.00). Of all participants, (32.5%) had a runny nose, (39.8%) had nasal congestion, (39.3%) had facial pain/pressure or headache, (18.8%) had post nasal drips, and (20.4%) had decreased smell/taste. On correlational test, there was a significant association between female and runny nose, (p-value= 0.028). Another significant association was the presence of symptoms among asthma patients, decrease the smell/taste (p-value= 0.001), runny nose (p-value= 0.032), face pain/pressure or headache (p-value= 0.012). Conclusion: We believe that the high prevalence of symptoms may indicate under-diagnosed cases, which raises the concern of developing serious complications. The net result of the study indicates the need for a high index of clinical suspicion and proper management to prevent complications. --------------------------------------------------------------------------------------------------------------------------------------- Date of Submission: 25-05-2018 Date of acceptance: 09-06-2018 --------------------------------------------------------------------------------------------------------------------------------------- I. Introduction Sinusitis is defined as the inflammation of the lining of the paranasal sinuses and it is rarely to occur without concurrent rhinitis, so, we adopt the preference of the name (Rhinosinusitis). [1] Acute rhinosinusitis is the fifth most common diagnosis indicating antibiotic prescriptions, taking 0.4% of ambulatory diagnoses. [2] It is a huge burden on the health system and is being a concern in many countries. in a systematic review study of adulthood chronic Rhinosinusitis cost, 44 studies were identified for inclusion, the range for overall CRS-related healthcare costs was $6.9 to $9.9 billion USD per year in USA. [3] The American Academy of Otolaryngology–Head and Neck Surgery has classified rhinosinusitis per the duration of symptoms to acute, subacute, recurrent acute, and chronic. [4-6] Acute Rhinosinusitis is further classified to bacterial and viral. [4] It is commonly caused by viral and associated with the common cold. [6,7] (40%) of acute rhinosinusitis resolve without antibiotics, of viral rhinosinusitis 98% is a self-limiting condition. [2] Acute bacterial rhinosinusitis commonly results as a complication of upper respiratory tract infection, so, it is not easy to differentiate rhinosinusitis from other similar infections. [7-8] With the challenges in diagnosing rhinosinusitis, we face the common serious complications of acute bacterial sinusitis, which may include, osteomyelitis, cavernous sinus thrombosis, intracranial abscess, meningitis, and subdural abscess. [9-10] With a better understanding of the symptoms and how is the condition may go under-diagnosed will help to prevent the serious complications. Currently there is no data about rhinosinusitis in Al-Baha region. All the complications mentioned about rhinosinusitis could be avoided by picking up the symptoms and giving appropriate treatment in health care facilities. Avoidance of the risk factor by increasing the community awareness by conducting health campaigns and allocation pamphlets to the society. Also, researchers can look the risk factors of rhinosinusitis in Al-Baha, which will help us to learn more about how it can go under-diagnosed resulting in the previously