Browsing by Author "Alabi, B.S"
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Item Accidental Decannulation of Tracheostomy Tubes Case Series.(West African College of Surgeons, 2016) Omokanye, H.K; Dumade, A.D; Segun-Busari, S; Afolabi, O.A; Habeeb, O.G; Adegboye, M.B; Alabi, B.STracheostomy tube (TT) is usually removed in a planned manner once the patient ceases to have the condition that necessitated the procedure. Accidental decannulation or extubation refers to inadvertent removal of tracheostomy tube out of the stoma. It could prove fatal in an otherwise stable patient. We review a variety of unexpected and often-overlooked causes of accidental decannulation with suggestions on preventive measures. We therefore present three cases of accidental decannulation of tracheostomy tubes in order to report our experiences in the management of the condition. Conclusion: Accidental decannulation occurs both in hospitalized as well as in patients on home care of their tracheostomy tubes. Reduction in neck circumference due to weight loss predisposes to accidental decannulation, which could be prevented by suturing the flanges to the skin.Item Clinico-Pathological Pattern of Nasopharyngeal Carcinoma in Ilorin, Nigeria.(Published by Medical and Dental Consultants' Association of Nigeria., 2010) Alabi, B.S; Badmos, K.B,; Afolabi, O.A.,; Buhari, M.O.; Segun-Busari, S.Item Endoscopic Endonasal Trans-Sphenoidal Pituitary Surgery (EETSS): Clinico-Radiological Presentation and Outcome in Ilorin: Our Experience(Otorhinolaryngology Society of Nigeria., 2021) Afolabi, O.A,; Yusuf, A.S; Adeleke, N.A; Balogun, J.A; Omokanye, H.K; Adeyeye, A.A; Adegboye, M.B; Adegboye, K.A; Shittu, N.O; Odebode, T.O; Bolaji, B.O; Ologe, F.E; Alabi, B.SObjective: To share our experience on the clinical presentation and management of patients with pituitary adenoma using Endoscopic Endo-Nasal Trans-Sphenoidal Surgery (EETSS Materials and Method: A retrospective review of all patients with non-functional pituitary macro-adenoma seen in who underwent EETS approach between May 2012 and April 2018. The clinical presentations of the patients were documented. All Patients had pre and postoperative visual assessment and they had radiologic investigation. Endocrine evaluations were done pre and postoperatively. All patients were operated by a combined team of Ear, Nose and Throat (ENT) surgeons and Neurosurgeons using rigid endoscope 18cm (4mm; 0 and 30 degree). Results: A total of 18 patients; 12 females and 6 males, were operated via EETS. All patients had visual impairments at presentation which improved postoperatively in 14 patients. 6 patients were postmenopausal, 5 had amenorrhea with secondary infertility. There were two postoperative deaths in intensive care unit. The Mean hospital stay was 4.9 days. Histological diagnosis of pituitary adenoma in was made in 17 patients and one patient had malignant mucoepithelial tumour. Conclusion: Pituitary tumour constituted about 10.5% of all intracranial tumors in our centre, visual impairment is the commonest presentation and total tumor resection via the EETS is about 78%. The approach showed improve vision in 2/3rd postoperatively, mean hospital stay was about 4.9days with nasal crust formation being the most observed complication and mortality of 11.1%.Item Macrotia –Acquired as against Congenital: A case report.(Tropical Journal of Health sciences. Published by the College of Health Sciences, University of Ilorin, 2009) Segun-Busari, S; Afolabi, O.A; Ibrahim, O.K; Alabi, B.S; Dunmade, A.DWasp belongs to a group of insect that does not intentionally attack human unless threatened1. It is a member of the Hymenoptera order (which also includes bees and ants). Its consists of various proteins and enzymes. It also contains an acetylcholine-like substance, histamine, serotonin and a kinin (peptides which cause slow muscle contractions and lower the arterial blood pressure)1. In most people the wasp sting causes an initial sharp localized pain followed by swelling and itching of the affected part. We present a case of a seventeen year old male student who presented with persistently protruding ear following a wasp sting on the affected left ear ten years duration. On the protruding ear, fine needle aspiration cytology was done but the result was inconclusive. A skin snip revealed only inflammatory cells with no evidence of microfilaria. A wedged incisional biopsy of the hypertrophied pinna was done under local anaesthesia. Biopsy was taken from anterior helix and the post auricular sulci area. The Histology report revealed inflammatory cell with no evidence of malignancy. Acquired Macrotia may be an unusual presentation in wasp sting, information on bites and stings should be incorporated within injury prevention programs in West Africa such as those developed by Farmsafe Australia.