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Tumors of the Submandibular Gland: Our Management Experience at Sylvanus Olympio University Hospital in Lomé
Winga Foma,
Bathokedeou Amana,
Haréfétéguéna Bissa,
Essobozou Pegbessou,
Koffi Amegbor,
Essohanam Boko,
Eyawèlohn Kpemissi
Issue:
Volume 5, Issue 1, June 2019
Pages:
1-4
Received:
2 January 2019
Accepted:
24 January 2019
Published:
15 February 2019
Abstract: The purpose of this survey was to describe the epidemiological, diagnostic and therapeutic aspects of submandibular gland tumors in our practice setting. This was a descriptive retrospective study of submandibular gland tumors treated in the ENT and cervico-maxillofacial surgery department of the Sylvanus Olympio University Hospital over a period of 15 years. Data were collected from patient records. During the study period, 25 tumor cases were collected and operated, representing 38.46% of the surgical pathology of the submandibular gland. The sex ratio (m / f) was 0.56. The average age was 45.68 years old with extremes of 5 and 86 years old. The 45 to 60 age group was the most represented with 11 cases (44%). Submandibulectomy was performed in all patients with supraomohyoid lymph node dissection in 4 cases based on clinical and ultrasound criteria for malignancy and intraoperative findings. The histology of the operative specimens found 6 malignant tumors (24%) and 19 benign tumors (76%). The pleomorphic adenoma was the most common histological type with 12 cases (48%). The size of the tumor did not have a statistically significant impact on the benign or malignant nature of the tumor (p = 0.55). Similarly, the histological nature was not related to sex (p = 0.19). The immediate postoperative evolution was good in 22 cases and complicated in 3 cases. Two cases of carcinoma classified pT3 were referred for complementary radiotherapy. In conclusion, tumors of the submandibular gland are relatively rare and predominantly affect women in our context. The evolution under treatment is good but could still be improved by a good preoperative exploration including the fine-needle biopsy or even the MRI.
Abstract: The purpose of this survey was to describe the epidemiological, diagnostic and therapeutic aspects of submandibular gland tumors in our practice setting. This was a descriptive retrospective study of submandibular gland tumors treated in the ENT and cervico-maxillofacial surgery department of the Sylvanus Olympio University Hospital over a period o...
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Management of Atypical Suicidal Cut Throat Injury in a Private Tertiary Hospital
Adeyeye Rachael Adetola,
Akinola Moses Ayodele,
Fasesan Oluwatoyin,
Ogundare Emmanuel,
Agbaakin Adewale Daniel
Issue:
Volume 5, Issue 1, June 2019
Pages:
5-8
Received:
31 December 2018
Accepted:
22 January 2019
Published:
19 February 2019
Abstract: Cut throat injuries are potentially life threatening due to the peculiarity of the structures traversing this region of the body. These injuries could be accidental, homicidal or suicidal and the use of a sharp weapon is the least frequent suicidal method in most cases reported. In cases of attempted suicide, hesitant marks are a common finding. Attempting suicide by cutting the throat without hesitant marks is a very rare occurrence. Generally, cases of cut throat injuries are largely under reported as many are fatal before presenting to the hospital therefore a definite incidence is not available. These patients need emergency multidisciplinary care to prevent rapid deterioration, avoidable morbidity and mortality. Adequate airway management skill in intubating and securing the airway to allow for wound exploration and surgical repair is essential for a good outcome. We present to you a rare case of suicidal cut throat injury in a 38 year old male with depressive type of schizoaffective disorder not associated with hesitant marks at Babcock University Teaching Hospital, a private tertiary hospital in south west Nigeria. The rarity of the case is the reason for presenting this case report.
Abstract: Cut throat injuries are potentially life threatening due to the peculiarity of the structures traversing this region of the body. These injuries could be accidental, homicidal or suicidal and the use of a sharp weapon is the least frequent suicidal method in most cases reported. In cases of attempted suicide, hesitant marks are a common finding. At...
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Intra Oral Versus External Approach in the Surgical Management of Eagle’s Syndrome
Balde Djibril,
Do Santos Zounon Alexis,
Ndiaye Ciré,
Dione Abdoulaye,
Diallo Baye Karim,
Adjibabi Wassi,
Yehouessi-Vignikin Bernadette
Issue:
Volume 5, Issue 1, June 2019
Pages:
9-14
Received:
16 January 2019
Accepted:
2 March 2019
Published:
21 March 2019
Abstract: Eagle syndrome is defined as an elongation of the styloid process. It is a radioclinic entity characterized by heterogeneous polymorphic symptomatology. Its management is essentially through intra oral or external surgery. The objective of our work is to highlight the various diagnostic means and to propose a surgical therapeutic attitude on the clinical and radiological basis. This is a retrospective study performed at the ENT department of the Heinrich Lübké Hospital in Diourbel between March 2015 and March 2017. The study involved 15 patients with confirmed Eagle's syndrome based clinical and computed tomography evidence. Epidemiological, diagnostic and therapeutic data were collected from patient records and the Operative Record register. The choice of the surgical approach was based on Langlais’ classification, the measurement of the styloid process and the complications. The study included 15 patients, counting 14 women and one man with a sex ratio (male / female) of 0.071. The age of the patients varied between 23 years and 55 years with an average of 31.33 years. The chief complaints were foreign body sensation in the throat (15 patients, 100%), headache (15 patients, 100%), dysphagia (11 patients, 66.6%), neck pain (6 patients; 40%), periorbital and temporal pain (5 patients, 33.33%), otalgia with tinnitus (4 patients, 26.66%). The average size of the styloid process was 4.085 cm (1.608 inches). Only one patient received exclusively medical treatment. The others received surgical treatment by external approach (9 patients, 64.3%) or intra-oral approach after prior tonsillectomy (5 patients, 35.7%). The styloidectomy was bilateral in 10 patients (71.14%) and unilateral in 4 patients (28.57%). Eagle syndrome is a condition considered rare. Its curative treatment is essentially surgical with an intraoral or external approach. We recommend the external approach because it offers a better exposure of the operative field, and control of the cervical neurovascular elements. The external approach generates little postoperative pain thereby shortening the period of hospitalization.
Abstract: Eagle syndrome is defined as an elongation of the styloid process. It is a radioclinic entity characterized by heterogeneous polymorphic symptomatology. Its management is essentially through intra oral or external surgery. The objective of our work is to highlight the various diagnostic means and to propose a surgical therapeutic attitude on the cl...
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Temporal Fascia Versus Tragal Perichondrial Graft in Myringoplasty and Tympanoplasty
Tallat Najeeb,
Wajahat Ullah Khan Bangash,
Nisa Siddiqui
Issue:
Volume 5, Issue 1, June 2019
Pages:
15-19
Received:
9 January 2019
Accepted:
28 March 2019
Published:
15 May 2019
Abstract: The objective of this study is to compare the results of tympanoplastywith underlay technique with respect to graft uptake, hearing improvement and complications. Thestudy was conducted between January 2006 & January 2018 at Haider clinic, Kulsum international Hospital Islamabad, MaroofInternational Hospital, Social security Hospital Islamabad and PAF hospital Islamabad. Sampling was done by non-probability convenient sampling type by random selection. Total of 1677 patients were selected had Tympanoplasty type 1. All had dry central perforations of different sizes for more than 3 months and conductive hearing loss of less than 40dB with patent Eustachian tube. Informed consent was taken from patients andethical committee. Patients with sensorineural hearing loss and with severe nasal pathology were excluded. Patients were divided into 2 groups, A and B, were subjected totympanoplasty by underlay technique by the same group of surgeons. In group A, temporalis fascia graft and in group B tragalperichondrial graft was used. Postoperative audiometry was done after 3 months in each case to calculate air bone gap. In our study there were 62% males and 38% females, mean age was 32.5. In Group A, 689 patients hadtympanoplasty with temporalis fascia and in group B 988 patients with chondro-perichondrial graft. Medialization was seen in 30(4.3%) patients in Group A and in 10(1%) in group B. Persistent Perforations happened in 32(4.6%) patients in group A and in 8(0.8%) patients group B. Graft uptake success rate using temporalis fascia was 85.9% and was 97.4% with Chondro-perichondrial graft. Hearing improvement was seen in 627(91%) patients in group A and 970(98%) patients in group B. Statistical analysis of the data was done using SPSS 16. Temporalis fascia and tragal perichondrium both are excellent material to repair tympanic membrane. Graft uptake rate and hearing improvement are better in perichondrial graft.
Abstract: The objective of this study is to compare the results of tympanoplastywith underlay technique with respect to graft uptake, hearing improvement and complications. Thestudy was conducted between January 2006 & January 2018 at Haider clinic, Kulsum international Hospital Islamabad, MaroofInternational Hospital, Social security Hospital Islamabad and ...
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Clinical Profile of Epistaxis in Sokoto: A 12-Year Analysis
Aliyu Daniel,
Yikawe Semen Stephen
Issue:
Volume 5, Issue 1, June 2019
Pages:
20-23
Received:
7 March 2019
Accepted:
25 April 2019
Published:
11 June 2019
Abstract: Epistaxis is bleeding from the Nose and Paranasal sinuses and could be a life threatening emergency requiring urgent attention. The aim is to determine the aetiological factors and highlight treatment modalities in a tertiary hospital in Northwestern Nigeria. This was a 12-year retrospective study of all patients managed with epistaxis between January 2000 and December 2011in the otorhinolaryngology department of Usmanu Danfodiyo University Teaching Hospital, Sokoto. Ninety-five patients were reviewed, out of which 61 [64%] were males and 34 [36%] were females. Age group 20-29 years had the highest prevalence [21.1%]. The commonest aetiology was hypertension in 24.2% of patients followed by idiopathic 21.1%, rhinosinusitis 20%, trauma 14.7%. Anterior nasal packing was the most common method of treatment [49.5%]. Epistaxis is a common Otorhinolaryngological condition. Hypertension was the commonest cause in this study, with most cases seen in patients’ aged 20 – 29years.
Abstract: Epistaxis is bleeding from the Nose and Paranasal sinuses and could be a life threatening emergency requiring urgent attention. The aim is to determine the aetiological factors and highlight treatment modalities in a tertiary hospital in Northwestern Nigeria. This was a 12-year retrospective study of all patients managed with epistaxis between Janu...
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The Correlation Between SNOT-22 and Visual Analogue Scale in the Assessment of Symptom Severity in Chronic Rhinosinusitis
Omoregie Joseph Idugboe,
Adebolajo Adeyemo,
Ebidisemene Linda Totyen
Issue:
Volume 5, Issue 1, June 2019
Pages:
24-30
Received:
25 May 2019
Accepted:
1 July 2019
Published:
13 July 2019
Abstract: Chronic rhinosinusitis is an inflammatory process involving the sinonasal mucosa, lasting 12 weeks or longer. It is often characterized by a complex of debilitating symptoms usually classified into minor and major symptoms. Estimating symptom/ disease severity using structured questionnaires can be challenging. This is especially so in rural areas where a combination of low literacy levels and language barrier may present communication difficulties. In view of the aforementioned challenges, it has become imperative to explore the correlation between the 22- item sino-nasal outcome test (SNOT-22) and a simpler means of evaluating symptom severity in chronic rhinosinusitis; hence this study. To determine the correlation between SNOT-22 and visual analogue scale (VAS) questionnaire scoring of symptom severity in chronic rhinosinusitis. This was a twelve month prospective cross sectional study of fifty- two consecutive newly diagnosed adult patients with chronic rhinosinusitis. Age of patients ranged from 19 – 91 years. Male to female ratio was 1: 1.26. There was a significant positive correlation between VAS and SNOT-22 in moderate and high symptom severity in patients with CRS. This study found a positive correlation between SNOT-22 and VAS scoring of disease severity in moderate and severe diseases and an insignificant correlation between these two instruments in mild disease. VAS can be used as a guide to symptom severity in the pre-treatment patients with CRS.
Abstract: Chronic rhinosinusitis is an inflammatory process involving the sinonasal mucosa, lasting 12 weeks or longer. It is often characterized by a complex of debilitating symptoms usually classified into minor and major symptoms. Estimating symptom/ disease severity using structured questionnaires can be challenging. This is especially so in rural areas ...
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Thyroid Gland Adenocarcinoma: A Primary Localisation Is Possible
Alexis Do Santos Zounon,
Djibril Balde,
Gilles Attolou,
Ulrich Vodouhe,
Wassi Adjibabi,
Bernadette Yehouessi-Vigninkin
Issue:
Volume 5, Issue 1, June 2019
Pages:
31-34
Received:
5 June 2019
Accepted:
10 July 2019
Published:
23 July 2019
Abstract: Thyroid cancers are generally rare and represent 1% of head and neck cancers. They count for 5.39% of thyroid tumors. Among them, differentiated carcinomas are the most common, including papillary and vesicular forms. However, there are other thyroid cancers that are very rare, one of them being thyroid adenocarcinoma, which in most cases is a metastasis of lungs, breasts, colon, rectum, prostate or renal cancers. The goal of our study is to report a rare case of primary adenocarcinoma of the thyroid gland and to describe the clinical, histological, and therapeutic aspects. A 42-year-old patient with a history of lobo-isthmectomy in December 2013 for a right thyroid nodule, in the ENT department of the Heinrich Lübké Hospital in Diourbel, whose immediate and early post-operative follow-up was uneventful came back in March 2015, 16 months later, with an anterolateral mass of the neck, at the level of previous surgical site. The mass was hard, measuring 5 cm in its greater axis. Para clinical explorations revealed a recurring tumor. Anatomo-pathological examination after surgical excision resulted in a primary adenocarcinoma of the thyroid gland. Adenocarcinoma is a cancer that rarely occurs in the thyroid gland. It is often a secondary metastasis from another organ. The primary adenocarcinoma in the thyroid makes for a very poor prognosis despite good management. Frequent recurrence or persistence of the tumor are often seen during post-operative follow up.
Abstract: Thyroid cancers are generally rare and represent 1% of head and neck cancers. They count for 5.39% of thyroid tumors. Among them, differentiated carcinomas are the most common, including papillary and vesicular forms. However, there are other thyroid cancers that are very rare, one of them being thyroid adenocarcinoma, which in most cases is a meta...
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