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Research Article
Epidemiological Profiles of Acute Otitis Media at the Commune II Referral Health Center in the Bamako District
Sangaré Mariam*,
El Ansari Mohamed Saydi Ag Mohamed Elmehdi,
Kéïta Lassana,
Ouattara Mamadou,
Dramé Diaffé,
Haïdara Abdoul Wahab,
Dicko Ibrahim,
Ganaba Modibo Abdoulaye,
Samaké Hélène,
Koné Fatogoma Issa,
Soumaoro Siaka,
Guindo Boubacary,
Singaré Kadidiatou,
Keïta Mohamed Amadou
Issue:
Volume 10, Issue 1, June 2024
Pages:
1-5
Received:
26 January 2024
Accepted:
5 February 2024
Published:
20 February 2024
Abstract: Acute otitis media is a very common condition in children under the age of 7, most of whom suffer their first episode before the first three years of life. Despite scientific advances in its therapeutic and preventive management, this condition remains frequent and cosmopolitan, particularly in otolaryngology (ENT) and pediatric wards. In view of the possibility of disabling complications, we set out to study the epidemiological and clinical profile of this condition for the first time in the ENT department of the Commune II Reference Health Centre in the District of Bamako, Mali. This is a descriptive, retrospective study, using routine consultation data from January to December 2022. Based on exhaustive sampling, we collected 568 cases of confirmed AOM, representing an incidence of 20.63%. Patient age ranged from 3 months to 83 years, with an average of 12.49 years. Overall, the 3-7 age groups predominated, with 30.63% of cases. However, patients under 2 years of age predominate in progressive forms of the various stages. This study shows that AOM is a frequent occurrence in our department, and highlights the need for good interdisciplinary networking between pediatricians and ENT specialists in the management of AOM, in order to avoid possible recurrences and functional sequelae.
Abstract: Acute otitis media is a very common condition in children under the age of 7, most of whom suffer their first episode before the first three years of life. Despite scientific advances in its therapeutic and preventive management, this condition remains frequent and cosmopolitan, particularly in otolaryngology (ENT) and pediatric wards. In view of t...
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Research Article
Epidemio-Clinical Profile and Determinants of Paediatric ENT Pathologies in Rural Hospitals: Case of Kimpese Evangelical Medical Institute
Thierry Mpengani*,
Mireille Ngale*,
Aliocha Nkodila,
Gabriel Lema,
Damien Lumbu,
Moïse Mvitu,
Pepe Ekulu,
Richard Matanda,
Jérôme Sokolo
Issue:
Volume 10, Issue 1, June 2024
Pages:
6-12
Received:
12 February 2024
Accepted:
29 February 2024
Published:
13 March 2024
Abstract: Ear-Nose-Throat disorders in children are one of the leading causes of consultations in paediatrics, with a variety of aetiologies. The study aimed to investigate the epidemiological-clinical profile, treatment and determinants of Ear-Nose-Throat disorders in children attending the paediatric department of the KIMPESE Evangelical Medical Institute (EMI) hospital. This was a prospective cross-sectional study with a descriptive and analytical approach, which took place between October 2022 and March 2023. The KIMPESE Evangelical Medical Institute (KIMPESE/EMI/) was the setting for this study. The study included all children aged 0-16 years who had been consulted or admitted for any sign of Ear-Nose-Throat disease, whose parents had given their consent. The data collected was encoded an Excel 2016 database. They were transferred to SPSS for Windows version 21 for processing and analysis. Out of a total of 205 children cared for at the EMI, 139 had presented with at least one ENT pathology, i.e. a frequency of 67.8%. The median age of the children was 5 (2-10) years, and more than half were under 5 years of age. They were predominantly male, with a sex ratio of 1,13. The ENT pathologies presented by these children were distributed as follows: 28.8% suffered from otological pathologies, 25.4% from rhinological pathologies and 17.1% from pharyngological pathologies. The most common otological pathologies were cerumen impaction and congestive AOM, while rhinitis was the most common rhinological pathology and rhinopharyngitis was the most common pharyngological pathology. The factors associated with ENT pathologies in children, in multivariate analysis, were determined by passive smoking, a history of rhinopharyngitis, household size ≥6 people, and living in a polluted environment. This study has shown that oral diseases in children are also common in rural areas, the case of KIMPESE Evangelical Medical Institute, especially in our African countries where the population is very young. The results obtained provide ample evidence of the existence of certain factors determining the genesis of certain oral diseases in children in the town of Kimpese.
Abstract: Ear-Nose-Throat disorders in children are one of the leading causes of consultations in paediatrics, with a variety of aetiologies. The study aimed to investigate the epidemiological-clinical profile, treatment and determinants of Ear-Nose-Throat disorders in children attending the paediatric department of the KIMPESE Evangelical Medical Institute ...
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Research Article
The Contralateral Ear in Unilateral CSOM, Endoscopic, Audiologic and Radiologic Evaluation
Ahmed Ibrahim Zaghloul,
Ahmed Seddik Abdelglil Mohamed,
Ahmed Younes,
Ahmed Mohamed Elsheikh,
Ahmed Abdalrahman Mahmoud,
Elsayed Mohamed Abd El-Hamid,
Hesham Mohamed Esmail,
Mahmoud Ahmed Shawky*
Issue:
Volume 10, Issue 1, June 2024
Pages:
13-18
Received:
3 February 2024
Accepted:
7 March 2024
Published:
2 April 2024
Abstract: Background: The aim of this study was to assess the contralateral ears in patients with unilateral CSOM with and without cholesteatoma, clinically (using otoendoscpy), auiologically and radiologically, then analyzing and comparing results between the 2 types of CSOM in a trial to examine the continuum theory for the development of the disease process in CSOM. Patients and methods: A prospective, observational study including 85 patients with unilateral COM (with or without cholesteatoma), the study was conducted at the Otorhinolaryngology Department, Damietta Faculty of Medicine, Al-Azhar University, Egypt between August 2020 and December 2021. Results: In the present study (30.59%) of cases were having a unilateral squamous disease and (69.41 %) were mucosal CSOM, (70.6%) of patients having a diseased contralateral ear, of which (76.9%) having squamous disease and (67.8%) having mucosal CSOM. Pars tensa retraction was the most common abnormality (60%) seen in cases with squamous OM while thin TM was the most common abnormality (50%) of cases with mucosal CSOM. Pars tensa retraction was more severe in CLE of patients with squamous disease, (41.7%) were grade 4, while in mucosal type (50%) were grade 1. HRCT of mastoid reveled abnormalities in (24.7%) of all CLEs, more prevalent (62%) in the CLEs of cases with squamous disease than cases with mucosal COM. Audiologic examination of the CLE revealed (47%) having conductive hearing loss CHL of average 32.1 dB {36.5 dB average hearing loss in (70%) of cases with squamous type and 27.7 dB average hearing loss in (30%) of cases with mucosal CSOM}. Tympanometric evaluation of the CLEs revealed (50.6%) having abnormal curve {(73%) of cases with squamous type where type C curve was found in (84.2%) and type B curve in (15.8%)}, and in (40.7%) of cases with mucosal CSOM. where type C curve was found in (83.33%) and type B curve in (16.7%). Conclusions: The present study has confirmed the presence of high incidence of abnormalities in the CLEs of unilateral squamous and mucosal COM which is more in squamous type, it emphasizes the importance of considering both ears as a pair. Disease in one ear especially in squamous type needs a close follow up of other ear, as in most cases there a hidden pathology which needs attention for complete cure. Otoendoscopy can be helpful in diagnosing and documenting masked pathologies.
Abstract: Background: The aim of this study was to assess the contralateral ears in patients with unilateral CSOM with and without cholesteatoma, clinically (using otoendoscpy), auiologically and radiologically, then analyzing and comparing results between the 2 types of CSOM in a trial to examine the continuum theory for the development of the disease proce...
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Case Report
Sinonasal Inverted Papilloma: A Case Report from Mali
Mohamed Saydi Ag Mohamed Elmehdi Elansari,
Mariam Sangare,
Moussa Bourama Keita,
Lassine Dienta,
Lassana Keita,
Kadidiatou Traore,
Mamadou Ouattara,
Diaffé Dramé,
Kalifa Coulibaly,
Nagnouma Camara,
Mamadou Diallo,
Boubacary Guindo,
Fatogoma Issa Koné,
Kadidiatou Singaré,
Siaka Soumaoro,
Mohamed Amadou Keita
Issue:
Volume 10, Issue 1, June 2024
Pages:
19-22
Received:
29 February 2024
Accepted:
26 March 2024
Published:
11 April 2024
Abstract: Inverted papilloma (IP) or also called Schneiderian Papilloma is an unusual and rare type of nasal tumor. Generally benign, but can have osteolytic powers and the possibility of transformation into malignancy during its evolution. Several hypotheses emerge in the literature, however the most frequent remains viral origin with the involvement of human papillomavirus (HPV). This is a case of bilateral inverted papilloma in a 60-year-old male patient at the Reference Health Center of the VI commune of the Bamako-Mali district. The symptoms appeared about 14 months ago, marked by a bilateral anterior rhinorrhea, of gradual appearance, associated with nasal obstruction, epistaxis, headaches and anosmia. Thus the diagnosis was made using physical examination and additional examinations such as the scanner of the facial massif, the anatomopathological examination of the operating room, and the test of the human papillomavirus, which turned out to be positive for HPV16 and HPV18. The management consisted of endonasal surgery, with the complete macroscopic removal of the mass and an average meatotomy accompanied by two years of follow-up after the surgical procedure. Since the PI is an aggressive tumor, its management must require long-term surveillance due to the possibility of recidivism and malignant degeneration finally to act early for these eventualities.
Abstract: Inverted papilloma (IP) or also called Schneiderian Papilloma is an unusual and rare type of nasal tumor. Generally benign, but can have osteolytic powers and the possibility of transformation into malignancy during its evolution. Several hypotheses emerge in the literature, however the most frequent remains viral origin with the involvement of hum...
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Research Article
Lemierre's Syndrome and Nasopharyngitis in Children: DIAGNOSIS and Treatment
Samaké Djibril*,
Sidibé Youssouf,
Kanté Maimouna,
Traoré Ya,
Kéita Cheick Oumar,
Ngniée Tafo Neuilly Ghislaine,
El Ansary Mohamed Saydi Ag Mohamed El-Mehdi,
Koné Fatogoma Issa,
Timbo Samba Karim,
Kéïta Mohamed Amadou
Issue:
Volume 10, Issue 1, June 2024
Pages:
23-27
Received:
16 March 2024
Accepted:
1 April 2024
Published:
17 April 2024
Abstract: Introduction: Lemierre’s syndrome (LS) is a rare but serious infectious emergency. It can be life threatening. It is a sepsis difficult to recognize and most often due to Fusobacterium necrophorum. The purpose of this case report was to discuss the diagnosis and treatment of Lemierre syndrome in children. Observation: A three-year-old child consulted for rhinopharyngitis complicated by an abscessed cervical adenophlegmon. The symptomatology had been evolving for 7 days with a notion of self-medication. The blood cell count showed hyperleukocytosis at 14.06.103 elements/mm3, anemia at 8.2.106 elements/mm3, and platelets at 102.103 elements/mm3. CRP was 258.5 mg/dL. HIV serology was negative. Bacteriological culture of the biological fluids collected (abscess pus, blood and joint fluid) was sterile. The CT scan revealed a collection of abscesses in the right sub-angulo-mandibular region. It was associated with thrombophlebitis of the internal jugular vein, as well as pulmonary and joint infections. The diagnosis of Lemierre syndrome was done. Cervicotomy allowed drainage of the abscess. A triple parenteral antibiotic therapy (Ceftriaxone, Metronidazole, Gentamycin) with per-os relay by Amoxicillin + Clavulanic Acid allowed to obtain the cure in one month of treatement without complications. Conclusion: LS is difficult to diagnose due to its non-specific clinical presentation and low incidence. Early clinical and imaging diagnosis guarantees a good outcome by allowing adequate treatment.
Abstract: Introduction: Lemierre’s syndrome (LS) is a rare but serious infectious emergency. It can be life threatening. It is a sepsis difficult to recognize and most often due to Fusobacterium necrophorum. The purpose of this case report was to discuss the diagnosis and treatment of Lemierre syndrome in children. Observation: A three-year-old child consult...
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Research Article
Laryngo-Tracheo-Bronchial Foreign Bodies: Assessment of 10 Years of Activity at the Luxembourg Mother-Child University Hospital
Youssouf Sidibé,
Djibril Samaké*,
Abraham Diarra,
Idrissa Konaté,
Boubacar Sanogo,
Abdoul Moumine Traoré,
Kassim Diarra,
Amady Coulibaly,
Kadidia Singaré,
Mohamed Amadou Keita
Issue:
Volume 10, Issue 1, June 2024
Pages:
28-33
Received:
22 April 2024
Accepted:
6 May 2024
Published:
17 May 2024
Abstract: Aim: Study the epidemiological, clinical and therapeutic aspects of laryngo-tracheo-bronchial foreign bodies. Materials and method: This was a retrospective cross-sectional study which focused on 41 cases of laryngo-tracheo-bronchial foreign bodies collected at the Mother-Child University Hospital Center “Le Luxembourg”, from March 31, 2013 to March 31, 2023. Results: Forty-one cases of laryngo-tracheobronchial foreign bodies were collected. The male gender represented 65.9%. Children under 2 years old accounted for 56.1%. The reasons for consultation were dyspnea in 73.2% and cough in 26.8%. The consultation time was 51.2% in the first 48 hours with extremes of 6 hours to 11 months. The history revealed a penetration syndrome in 78% of cases. The complementary examination of first resort was the front and lateral chest radiography. He did not visualize a foreign body in 75.6% of cases. Endoscopy was performed in all cases except for one case who died during transfer to the emergency room. The location was the right main bronchus in 63.4% of cases. The foreign bodies were organic in nature in 70.7% and 21 cases of peanut seed was found (51.21%). The postoperative course was simple in all cases under antibiotic-corticotherapy treatment. Conclusion: Laryngo-tracheo-bronchial foreign bodies predominate in young children. The most suggestive sign is penetration syndrome. The extraction must take place in the best conditions with a team experienced in this exercise.
Abstract: Aim: Study the epidemiological, clinical and therapeutic aspects of laryngo-tracheo-bronchial foreign bodies. Materials and method: This was a retrospective cross-sectional study which focused on 41 cases of laryngo-tracheo-bronchial foreign bodies collected at the Mother-Child University Hospital Center “Le Luxembourg”, from March 31, 2013 to Marc...
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Review Article
Genetics and Otitis Media, Role in the Occurrence, Development and Evolution to Chronicity
Cándido Adalberto Benítez Lorenzo*
Issue:
Volume 10, Issue 1, June 2024
Pages:
34-38
Received:
8 April 2024
Accepted:
7 May 2024
Published:
24 May 2024
Abstract: The explanatory theories of the etiopathogenesis and physiopathology of Otitis Media are many and unconvincing; however, they have remained with very few variations for decades. The therapeutic results (medical and surgical), despite scientific advances, do not fully satisfy the desired expectations. Nature is perfect. The animal and plant kingdoms are also. The human species has achieved this through evolution experienced over millions of years. Genetics, as a universal science, has taken care of this, being the only alternative capable of explaining and providing solutions to everything related to diseases. In fact, countless genetic factors that identify them have been discovered. The appearance, development and evolution of otitis media are due to predisposing genetic factors. These inflammations can be of primary or secondary origin. The path towards chronicity is directly related to the degree of pneumatic development of the tympanic cavity, especially the diameter of the tubal isthmus. The middle ear and the structures that are part of and correlated with it were conceived without errors. Considering that the security mechanism created to defend the tympanic cavity can be easily violated by neighborhood factors is to undervalue the role played by the evolution of the species. The reflections presented are intended to serve as motivation to create and perfect new effective therapeutic variants in the control and treatment of otitis media in its evolutionary course towards chronicity.
Abstract: The explanatory theories of the etiopathogenesis and physiopathology of Otitis Media are many and unconvincing; however, they have remained with very few variations for decades. The therapeutic results (medical and surgical), despite scientific advances, do not fully satisfy the desired expectations. Nature is perfect. The animal and plant kingdoms...
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Research Article
Comparison of the Efficacy of Endoscopic Tympanoplasty and Microscopic Tympanoplasty
Tallat Najeeb*,
Nisa Siddiqui,
Arshia Bilal,
Saleem,
Muhammad Aazam Khan,
Abdul Hameed Bhatti
Issue:
Volume 10, Issue 1, June 2024
Pages:
39-44
Received:
20 April 2024
Accepted:
24 May 2024
Published:
19 June 2024
Abstract: Objective of this study is to compare the endoscopic tympanoplasty (ET) and microscopic tympanoplasty (MT) regarding graft uptake, hearing improvement and cost effectiveness. The total number of patients included in the study was 68 full filling inclusion and external criteria. The total number of patients included in the study was 68, among these 50 were males and 18 were females. Mean age was 44 years. Disease was seen in right ear in 43 patients and in the left ear in 35 patients. The main procedure performed was Tympanoplasty Type 1with underlay technique. Patients were divided into two groups, MT (A) and ET (B), each of this was further divided into Tympanoplasty with Cortical Mastoidectomy (A1, B1) and Tympanoplasty without Cortical Mastoidectomy (A2, B2). Among each type, the graft was either taken from Temporalis Fascia (TF); (A1f, A2f, B1f, B2f) or from the tragal cartilage (TC); (A1c, A2c, B1c, B2c). The success rate was determined by average hearing improvement and graft uptake. According to the results, MT with Cortical Mastoidectomy had success rate of 100% and MT without Cortical Mastoidectomy had success rate of 80% (with TF, the success rate is 75% and with TC, it is 100%). ET with Cortical Mastoidectomy had success rate of 100% and ET without Cortical Mastoidectomy had success rate of 85% (with TC). Total number of patients in which tympanoplasty was done with cortical mastoidectomy (all wet ears) was 46. The results were extraordinary and graft uptake was 100%. Total number of patients who underwent tympanoplasty without cortical mastoidectomy, (all dry ears) was 22. Results were only 81.8%. It was found that patients with ET and TF, were more satisfied with the scar as it became invisible in 2 months. The scar was cosmetically unacceptable in patients having undergone cortical mastoidectomy along with either ET or MT with use of TF graft.
Abstract: Objective of this study is to compare the endoscopic tympanoplasty (ET) and microscopic tympanoplasty (MT) regarding graft uptake, hearing improvement and cost effectiveness. The total number of patients included in the study was 68 full filling inclusion and external criteria. The total number of patients included in the study was 68, among these ...
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Case Report
Jugulocarotid Trauma in Civil Practice: About Three (3) Cases
N’faly Konaté,
Sixte Nderagakura*,
Kassim Diarra,
Harouna Sanogo,
Boubakary Guindo,
Mohamed Ag El Ansari,
Fatogoma Issa Kone,
Naouma Cissé,
Kalifa Coulibaly,
Siaka Soumaoro,
Kadiatou Sinkare,
Ibrahima Bouare,
Mohamed Keïta
Issue:
Volume 10, Issue 1, June 2024
Pages:
45-49
Received:
20 May 2024
Accepted:
3 June 2024
Published:
19 June 2024
Abstract: Introduction: jugulocarotid trauma is rare and serious. They can be immediately life-threatening due to the impact of serious hemorrhage or obstruction of the upper airways. Objective: The objective of this work is to describe the clinical and therapeutic aspects of these lesions. Observations: The time taken to treat our patients was less than 12 hours in all our patients. A pressure dressing was placed in two patients. All our patients benefited from a preoperative assessment with Rh grouping and possibly a blood transfusion as needed. Exploratory cervicotomy was performed in all patients with, as appropriate, repair or ligation of the internal jugular vein and suture of the carotid wounds. All patients received antithrombotic treatment, antibiotic prophylaxis and analgesic treatment at the end of the procedure. The postoperative course was simple in all cases. Conclusion: vascular wounds of the neck constitute an emergency. Prehospital care is an essential step in the management of these lesions. Faced with massive hemorrhage, only immediate surgical exploration associated with resuscitation measures determines the survival of patients. In other cases, an imaging assessment may be necessary in stable patients.
Abstract: Introduction: jugulocarotid trauma is rare and serious. They can be immediately life-threatening due to the impact of serious hemorrhage or obstruction of the upper airways. Objective: The objective of this work is to describe the clinical and therapeutic aspects of these lesions. Observations: The time taken to treat our patients was less than 12 ...
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