Background: Little or no attention is given to hearing health of
children with orofacial cleft.This study was carried out to determine
the prevalence of otitis media with effusion (OME) and evaluate hearing
thresholds of children with orofacial cleft in Nigeria. Methodology:
Eighty-three consecutive children with orofacial cleft comprising, 12
(14.5%) cleft lip alone, 32 (38.5%) cleft lip and palate and 39 (47.0%)
cleft palate alone, and 83 healthy controls participated in the study.
Structured questionnaire was used to collect socio-demographic and
relevant medical information. Participants had ear, nose and throat
examinations, visual reinforcement or condition play audiometry and
tympanometry tests done. Statistical analysis was done with appropriate
statistical tools, level of significance was set at p<0.05. Results:
Mean age of cases was 22.83 ± 2.71 months and controls was 23.34 ± 2.54
months. Hearing loss was found in 28 (16.9%) ears of cases and 14 (8.5%)
ears of controls (p=0.021). There was a significant difference between
mean hearing thresholds of cleft palate ± lip and control (p<0.05). OME
was present in 80 (48.2%) ears of cases and 17 (10.2%) ears of the
controls (p=0.001). There was a statistically significant association
between cleft palate ± lip and OME (p=0.0001, OR = 4.520 [2.353-8.681]).
Conclusion: Otitis media with effusion and hearing loss were more
prevalent among children with orofacial cleft palate than non-cleft
children. Hence, routine early hearing and middle ear evaluations are
recommended for inclusion in their management plan.
Keywords: Children; Conductive hearing loss; Orofacial clefts; Otitis media with effusion
Parotid haemangiomas are best diagnosed from clinical presentation,
however imaging plays a critical role in confirming the diagnosis. We
present a classic case of Parotid Haemangioma with its radiological
features which was subsequently managed medically with oral propanolol
with good clinical response and successful outcome, nil side effects of
management was noted.
Keywords: Parotid haemangioma, radiological imaging, clinical presentation, Propanolol.
Abstract: INTRODUCTION: Most audits on otorhinolaryngology have been in tertiary
and government establishments. The private facilities however form the
first point of contact with most patients both in urban and rural areas
hence the need for this audit in private facilities. AIM: To determine
the pattern of otorhinolaryngological disorders in private practice, to
highlight the challenges encountered in these facilities and proffer
possible solutions. METHOD: This was a one year prospective study
carried out after obtaining ethical clearance and permission from
relevant authorities. Four hospitals picked at random served as study
centers. They were Juno Medical Centre, Hope Hospital, Echoes Hospital
andSt.Raphael'sHospital,allindifferentlocationsin Benin City. These
private hospitals are accessed by the general public of all
socioeconomic status. Total population sampling technique was used. All
consecutive otorhinolaryngological patients who consented to the study
from 3rd May, 2016 to 2nd April, 2017 constituted the sample size. The
study commenced after obtaining duly written informed consent. History
taking, general and Ear, Nose and Throat examinations were done.
Participants were evaluated and managed accordingly. Statistical
analysis was done with SPSS Version 20. P < 0.05 was considered
statistically significant. RESULT: A total of 100 subjects were studies.
Age ranged from 1 to 90 years. Mean age was 33.02 ± 24.24 years. M:F = 1
: 1.1 (p = 0.333). Ear disorders
predominated and the commonest ear condition was Cerumen Auris in 19.8%
subjects followed by Chronic suppurative otitis media in 18.7% subjects.
(p> 0.05). Major challenges encountered were insufficient funds to
settle medical bills in 43.4% subjects, missed surgeries in 10.3%
subjects, ignorance / delayed presentation in 9.1% subjects and
insufficient equipment in 6.9% subjects. CONCLUSION: Cerumen Auris was
the commonest otorhinolaryngological disorder in the private facilities.
Challenges abound in private facilities. The recommended solutions are
government private sponsorship and exposure of the doctors, especially
young graduates, to entrepreneurship. KEY WORDS: Audit,
Otorhinolaryngology, Private facilities, Challenges
Abstract: Background: Nasoalveolar cysts are relatively rare extra osseous soft
tissue lesions located on the nasal alar region of the face. They are
slow growing and usually result in facial deformity of the facial
appearance. Their location between the floor of the nose and the
alveolar process helps in their diagnosis. This paper presents our
experience with these cysts in a tertiary health facility in the
Southern part of Nigeria. Methodology: A descriptive retrospective
review of the case records of the patients diagnosed with nasoalveolar
cyst at the Ear, Nose and Throat Department of the University of Benin
Teaching Hospital over a period of 5 years. Results: A total of 4
females had nasolabial cysts with surgical excision of the lesions.
Conclusion: Nasolabial cysts are rare non odontogenic cysts which are
amenable to surgical excision. Key words: nasoalveolar, nasolabial, cyst, excision.
Cut throat injuries can be homicidal, suicidal and very rarely
accidentalin occurrence. A good history and clinical examination by the
attending Physician are usually enough to make a diagnosis in most
cases. In the suicidal type, a history of psychiatric illness that is
either undiagnosed or diagnosed but not committed to proper treatment
can be obtained from patient's relations or close friends. The initial
management of the patient depends on the patient's condition on arrival
to the Hospital and the definitive management protocol is
multidisciplinary in nature that should include the Otolaryngologist,
Anaesthesiologist and Psychiatrist. Best outcome is achieved with early
patient's referral (within 6hours) to the appropriate Health Care
facility, good resuscitation and primary wound repair in layers.
Patient's morbidity and mortality has been found to increase withsevere
damage to vital structures in the neck,poor patient resuscitation,
delayed referral of greater than 24 hoursand when the wound has been
poorly repaired previously. The knowledge of the neck vital structures
and the extent of their damage in the anatomical neck zone involve is
important in planning the surgical wound repair of cut throat injuries.
Key word: Suicidal, cut throat, prognosis, schizophrenia and depression.