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Epidemiological, Clinical and Therapeutic Aspects of Laryngeal Papillomatosis in Mali
Fatogoma Issa Kone,
Kadidiatou Singare,
Kadiatou Traore,
Oumou Coulibaly,
Naouma Cisse,
Siaka Soumaoro,
Djibril Samake,
Neuilly Tafo,
Diarra Kassim,
Konate N’faly,
Boubacary Guindo,
Timbo Samba Karim,
Keita Mohamed Amadou
Issue:
Volume 6, Issue 1, June 2020
Pages:
1-5
Received:
22 October 2019
Accepted:
5 December 2019
Published:
31 January 2020
Abstract: Objectives: To study the epidemiological and clinical aspects and to identify our therapeutic difficulties. Material and Methods: this is a quantitative retrospective study covering a 9-year period from January 2009 to March 2017. Patient on patients seen outpatient dyspnea and dysphonia or referred to the University Hospital of Gabriel Touré in Bamako. Results: The hospital prevalence was 0.05%. The age group of 7 to 12 years represents 37.5% of cases. The average age of patients has increased from 11.71 years to 1 year to 36 years. The sex ratio was 1.5. The disease spent 28 months at 28.1%. The main signs found were dysphonia, dyspnea and touch, which were 90.6%, 6.3% and 3.1% respectively. Laryngoscopy in suspension detected 68.8% of lesions in the glottic cleft. The subglottic stage in 4 cases, Susglottic in 6 cases. Peeling with the forceps has been performed in all our patients. Conclusion: laryngeal papillomatosis remains a problem in our context. Dysphonia and dyspnea are the main signs of discovery of this condition. Diagnostic delay due to ignorance by some practitioners and geographical distance. This delay in diagnosis is responsible for the aggravation of the symptoms that may justify the indication of a certain tracheotomy. Peeling with a forceps during direct laryngoscopy is the only therapeutic alternative in our context.
Abstract: Objectives: To study the epidemiological and clinical aspects and to identify our therapeutic difficulties. Material and Methods: this is a quantitative retrospective study covering a 9-year period from January 2009 to March 2017. Patient on patients seen outpatient dyspnea and dysphonia or referred to the University Hospital of Gabriel Touré in Ba...
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Study of Factors Associated with Acute Pharyngitis
Kadidiatou Doumbia-singare,
Fatogoma Issa Kone,
Lassine Dienta,
Samba Karim Timbo,
Naouma Cisse,
Djibril Samake,
Boubacary Guindo,
Lamine Traore,
Siaka Soumaoro,
N’Faly Konate,
Kassim Diarra,
Mohamed Amadou Keita,
Alhousseini A. G. Mohamed
Issue:
Volume 6, Issue 1, June 2020
Pages:
6-9
Received:
6 January 2020
Accepted:
20 January 2020
Published:
1 February 2020
Abstract: Introduction: acute pharyngitis is found in children as well as in adults. The peak incidence is between 5 and 15 years. The responsible germs are of viral or bacterial origin; the group A hemolytic beta streptococcus haunts this condition. Objective: Study the factors associated with acute pharyngitis in the ENT department of the CHU Gabriel TOURE in Bamako. Methods: A descriptive and analytical prospective study was conducted from August 30, 2015 to August 30, 2016. The study population consisted of patients admitted to the ENT department of the CHU Gabriel Touré in Bamako for acute pharyngitis. Data was collected using a questionnaire during the interview and physical examination. They were entered using Epi Data software version 3.01 and analyzed using R 3.1.2 software. Results: We collected 234 cases of pharyngitis between August 30, 2015 and August 30, 2016. The sex ratio (F / M) was 1.32. The mean age was 28.21 ± 14.20 years. The majority of patients presented with erythematous angina (81%). The group A hemolytic beta streptococcus was the predominant germ (58%). The active antibiotics on the germ were penicillin, amoxicillin, and cephalosporin. This germ was associated with erythematous angina and the risk was 3.99, CI (1.88-8.45). Complications were noted in 7 patients (3%) upon admission, including 1 case of cervical cellulitis and 6 cases of palatine tonsil phlegmon. No deaths have been recorded. Conclusion: The aspect of the palatine tonsil does not allow to evoke a viral or bacterial etiology from where the interest to carry out a bacteriological examination in particular the culture which could orient a bacterial etiology and help the practitioner to rationalize the indication of antibiotic therapy.
Abstract: Introduction: acute pharyngitis is found in children as well as in adults. The peak incidence is between 5 and 15 years. The responsible germs are of viral or bacterial origin; the group A hemolytic beta streptococcus haunts this condition. Objective: Study the factors associated with acute pharyngitis in the ENT department of the CHU Gabriel TOURE...
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Assessment of Nasal Breathing Using Lip Taping: A Simple and Effective Screening Tool
Soroush Zaghi,
Cynthia Peterson,
Shayan Shamtoob,
Brigitte Fung,
Daniel Kwok-keung Ng,
Triin Jagomagi,
Nicole Archambault,
Bridget O’Connor,
Kathy Winslow,
Zahra Peeran,
Miche’ Lano,
Janine Murdock,
Sanda Valcu-Pinkerton,
Lenore Morrissey
Issue:
Volume 6, Issue 1, June 2020
Pages:
10-15
Received:
15 January 2020
Accepted:
12 February 2020
Published:
24 February 2020
Abstract: Objectives: Subjective assessment of nasal obstruction with patient-reported outcome measures such as visual analogue scale and NOSE score may be limited in chronic mouth breathing subjects who are not consciously aware of nasal breathing difficulties. This study investigates a simple objective screening tool to assess the capacity for comfortable nasal breathing that is based on sealing the lips and mouth with tape and assessing whether the subject can breathe comfortably through the nose for up to three minutes. Method: Cross-sectional, multi-center cohort study with 663 participants (ages: 3-83 years, 50.5% female). Lips were gently sealed using MicroPore paper tape; timer was used to assess how long the participants were able to breathe comfortably through the nose for up to 180 seconds. Other measures included subjective rating of perceived difficulty with nasal breathing (VAS, 0-100) as well as self-assessed reports of mouth breathing. Results: There were 9.3% of patients with subjective reports of moderate to severe nasal obstruction (VAS> 50) and 17.2% of patients with predominance of self-reported mouth breathing in this series. Overall, 93.4% of participants successfully passed the nasal breathing test. Among patients with habitual mouth breathing, 83.5% (91/109) were able to breathe comfortably through the nose when instructed to do so for the entire 3-minute duration tested. Similarly, there were 67% (40/59) patients with VAS score >50 who could breathe comfortably through the nose for >180 seconds despite subjective reports of moderate to severe nasal obstruction. Participants unable to breathe exclusively through the nose for 180 seconds had increased likelihood of mouth breathing while awake (OR 4.12, 95% confidence interval 2.14-7.89, p<.0001) as well as increased odds of mouth breathing while asleep (OR 3.05, 95% confidence interval 1.61-5.72, p=0.0003). Conclusion: Objectively testing whether a subject can breathe through the nose with the lips and mouth taped for three minutes can identify patients at risk of mouth breathing and is a simple and effecting screening tool to distinguish organic nasal obstruction from functional mouth breathing habit and or nasal resistance.
Abstract: Objectives: Subjective assessment of nasal obstruction with patient-reported outcome measures such as visual analogue scale and NOSE score may be limited in chronic mouth breathing subjects who are not consciously aware of nasal breathing difficulties. This study investigates a simple objective screening tool to assess the capacity for comfortable ...
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Sphenoid Sinus Fungal Ball, a Tertiary Hospital Experience
Ali Almomen,
Hussain Albaharna,
Abdullah Al Shakhs,
Mohammed Alfalah,
Mohammed Al Saeed,
Zahra Alabbad,
Zainab Aljaziri
Issue:
Volume 6, Issue 1, June 2020
Pages:
16-18
Received:
11 March 2020
Accepted:
25 March 2020
Published:
14 April 2020
Abstract: Objective: To present the different clinical manifestations and diagnostic strategies of isolated sphenoid sinus fungal ball (SSFB), in order to prevent delayed diagnosis and providing early management. Method: This study is a retrospective clinical study, conducted between January 2008 and November 2019. It was done in the ENT department of two institutes: King Fahad specialist Hospital and Qatif Central Hospital, Saudi Arabia. Only patients with sole involvement of fungal ball in the sphenoid sinus were included. Conclusions: The incidence of isolated sphenoid fungal ball is rare. However, it's clinically important because untreated SSFB can cause significant complications. The clinical features of SSFB are ambiguous and nonspecific which make its diagnosis more difficult. Post-nasal discharge and headache refractory to the medical management are the most common symptoms of isolated sphenoid sinus lesion. CT scan is still the cornerstone of radiological diagnosis of SSFB. Endoscopic sphenoidotomy and removal of fungal debris is the standard care of management. Post-operatively, the majority of patient had good results with no complication and recurrence.
Abstract: Objective: To present the different clinical manifestations and diagnostic strategies of isolated sphenoid sinus fungal ball (SSFB), in order to prevent delayed diagnosis and providing early management. Method: This study is a retrospective clinical study, conducted between January 2008 and November 2019. It was done in the ENT department of two in...
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A Case of Multiple Myeloma Revealed by a Acute Otitis Media in Adults
Samaké Djibril,
Sidibé Youssouf,
Samaké Magara,
Cissé Bana,
Bathily Moussa,
Haidara Abdoul Wahab,
Koné Fatogoma Issa,
Maïga Youma Mamadou,
Konaté Fatoumata,
Dara Yatemelou,
Traoré Sounkalo,
Doumbia-Singaré Kadidiatou,
Timbo Samba Karim,
Kéïta Mohamed Amadou
Issue:
Volume 6, Issue 1, June 2020
Pages:
19-22
Received:
28 March 2020
Accepted:
10 June 2020
Published:
20 June 2020
Abstract: Multiple myeloma or Kahler's disease is a malignant hemopathy characterized by a clonal proliferation of tumor plasma cells that invade the hematopoietic bone marrow. It is often discovered preferentially during spine, pelvis and ribs pain. Kahler's disease are rarely discovered during ENT infections. We report a case of a 58-year-old female patient that we exanimated in our ENT service for acute suppurative otitis media. The remainder of the examination revealed a swelling in the breast and functional impairment of the right upper limb. The maxillofacial CT- scan revealed lytic lacunar images of maxilla and cranial vault. Conventional X-ray displayed a fracture of the right humeral shaft. The positive diagnosis of multiple myeloma was made using bone marrow biopsy that has shown the presence of pathological plasmatic cells proliferation. Furthermore examination such as the plasma protein electrophoresis found hypo-gamma-globulinemia. Analysis of urinary sediment found κ -like Bence-Jones proteinuria. We provided Biphosphonates and analgesics treatment in addition to that of acute otitis media. Unfortunately, the death occurred six months later before he was able to benefit from a more invasive treatment protocol. This observation shows us that acute otitis media should not be trivialized, as it required a rigorous clinical examination and may surprise us.
Abstract: Multiple myeloma or Kahler's disease is a malignant hemopathy characterized by a clonal proliferation of tumor plasma cells that invade the hematopoietic bone marrow. It is often discovered preferentially during spine, pelvis and ribs pain. Kahler's disease are rarely discovered during ENT infections. We report a case of a 58-year-old female patien...
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