Ear Nose And Throat
At the Surgery department office
Appointment on Visitation important
Topic: Pattern Of Adenoid And Tonsil Surgeries In Lagos, Nigeria
Objective: Adenoid and tonsil surgeries are common ear, nose and throat procedures worldwide including Nigeria. This study aimed at determining the distribution, indications and outcome of adenoidectomy, tonsillectomy and adenotonsillectomy in our practice in Lagos, Nigeria. Patients and Methods: This was a retrospective study of patients that had adenoid and tonsil surgeries in Ear, Nose and Throat Department of Lagos State University Teaching Hospital from January 2017 to December 2019. All the patients' data were retrieved from ENT out-patient clinic, theatre registers and medical records patients` case notes. The data included sociodemographic features, indications for surgery, complications and outcomes of the procedure were recorded and analyzed. Results: There were 58.7% males and 41.3% females with male to female ratio of 1.4:1. The surgeries were commonest in 56.9% preschool age group (1-5) years. Commonest indication and type of adenoid and tonsil surgeries were obstructive sleep apnea syndrome and adenotonsillectomy in 78.0% and 89.0% respectively. Major source of patients was from Paediatrician in 44.0%. Commonest indication for surgery cancellation was infection. Commonest duration of hospital admission was 5 days in 48.6%. Commonly recorded complications in this study were 1.8% tooth extraction and 2.8% reactionary haemorrhage. Blood transfusion was offered in 29.4%. Histology report revealed 82.6% reactive follicular hyperplasia. Conclusion: Adenoid and tonsil surgeries were childhood procedures. Commonest presentation was features of obstructive sleep apnea syndrome.
|1.||MD (Doctor of Medicine) (Otorhinolaryngology (ENT))||West Africa College of Surgeons||2002|
THE VALUE OF PERNASAL BIOPSIES IN THE MANAGEMENT OF NASOPHARYNGEAL TUMOURS IN RESOURCE POOR ENVIRONMENT
Background: There are increasing cases of nasopharyngeal tumors globally. This requires prompt and accurate treatment for survival. The current global task imposed by the COVID-19 pandemic further raises the need to approach investigation of diseases with cheap but standard technique. This article aimed to present the histological yield of per nasal biopsies in patients with suspected sinonasal/nasopharyngeal tumors. Methodology: This is a six years retrospective review of patients’ record from June 2016 to May 2021. Inclusion criteria were patients in whom general anaesthesia constituted high risk and who accepted local anaesthesia and those who could not afford the cost of biopsy under general anaesthesia but underwent transnasal nasopharyngeal biopsies with local anaesthesia on the ward. Results: The gender ratio was 1.4:1. with median age of 45 years. The area involved in decreasing order are the nose, ear, neck and neuro-ophthalmic in 10(83.3%), 7(58.3%), 6(50%) and 3(25.0%) respectively. The left nasal cavities were involved in 10(83.3%) and right in 2(16.7%). Flexible Rhinopharyngoscopy was done in only 4(33.3%). CT scan was carried out in 6(50.0%) with findings ranging from isodense masses in the nasal cavity extending to the maxillary, frontal and the right and left globes in 2(16.7%). The tumours were malignant in 11(91.7%) and benign (pleomorphic adenoma) in 1(8.3%). The malignant cases comprise of 10(90.9%) Nasopharyngeal carcinomas (NPCs) and 1(9.1%) sinonasal adenoid cystic carcinoma (cribriform type). Overall, early (within 6 months) and late presentations (seven months to thirty-six months) were in 33.3% and 66.7% respectively. Affordability of chemoradiation treatment were in 2(18.2%) and none in 9(81.2%). Conclusion: Despite the advantage of reducing the cost of investigations and risk of anaesthesia, most vital radiological investigations such as CT-Scan and MRI were not carried out.
OLUBI OLAWALE is a Lecturer I at the Department of Surgery
OLUBI has a MD (Doctor of Medicine) in Otorhinolaryngology (ENT) from West Africa College of Surgeons