Browsing by Author "Alabi, B.S.,"
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Item Descriptive Analysis of Salivary Gland Tumours in Ilorin, Nigeria.(Nigerian Quarterly Journal of Hospital Medicine. Published by University of Lagos. Medical Society, Lagos, Nigeria., 2013) Alabi, B.S.,; Rahman, G.A.,; Ibrahim, O.O.K.,; Afolabi, O.A; Omokanye, H.K.,Background: Salivary gland tumors are relatively uncommon lesions accounting for about 3-6% of head and neck tumors with 60 - 80% affecting the parotid glands. 0bjective: The aim is to analyse descriptively the pattern of salivary gland tumor seen in Ilorin, North-Central Nigeria. Methods: A retrospective analysis of histological slides reviewed by the pathologist of patients with primary epithelial salivary gland neoplasms operated between 2001 and 2010, in Otorhinolaryngology and General Surgery. Information regarding age, gender, and anatomical location of the tumors was retrieved from the patients' hospital records. All information was entered into a SPSS computer software and result presented in tables and figures. Results: A total of 56 case notes and slides were reviewed with 24males and 32females (M:F-1.0:1.3), with the peak age of 21-30years in males and 31-40 among the females The mean age is 38.62yrs (SD = 18.4±2.5) . There were 31 (55.4%), 17 (30.4%), 8 (14.2%), parotid, submandibular and minor salivary glands tumours respectively. Histologically pleomorphic adenoma constituted the largest with 62.5% in both the submandibular and the parotid gland specimen analysis then, mucoepidermoid tumour in 26.7%, adenoid cystic carcinoma in 5.4% and 1.8% each of acinic cell tumour (malignant), poorly differentiated carcinoma and squamous cell carcinoma. Conclusion: Salivary tumours were slightly commoner among females with pleomorphic adenoma in the third to fifth decades of life being the commonest benign tumour and mucoepidermoid the commonest malignant variants in the 5th to 6th decades of life.Item Epistaxis: A Five year Review,(Published by Medical Services Department, Saudi Arabian Armed Forces, ; Staples Printers Rochester Ltd Great Britain., 2006) Olatoke, F.,; Ologe, F.E.,; Alabi, B.S.,; Dunmade, A.D.,; Segun-Busari, S.; Afolabi, O.A.A medical emergency deserves appropriate and timely intervention. Epistaxis is one of such emergency seen by Otolaryngologists. A retrospective study carried out on patients who presented with epistaxis at the University of llorin Teaching Hospital over a 5-year (1999-2003) period. Information on these patients was retrieved from hospital's patients' attendance register and case notes after due permission from relevant hospital authorities. A total of 1153 cases of adult and pediatric emergencies were seen during the period under review; 342 (29.6%) were aural; 508 (44.1%) were nasal and 303 (26.2%) were throat related. Epistaxis constituted 46.5% of the nasal emergencies while foreign bodies in the nose constituted 20.4%, acute rhino sinusitis 11.2%, cerebrospinal fluid (CSF) rhinorrhealO.2%; nasal furunculosis 9.8% and septal hematoma/septal abscess 1.9% In conclusion, epistaxis constitutes a major ENT emergency in Nigeria; adults are dominant victims.Trauma was the most common etiological factor revealed by this study followed by idiopathic cause.Item Foreign Bodies in the Upper Aerodigestive Tract of Nigerian Children(Nigerian Journal of Surgery An Official Publication of Nigerian Surgical Research Society and Association of Surgeons of Nigeria., 2011) Alabi, B.S.,; Oyinloye, O.I.,; Omokanye, H.K.,; Aremu, S.K.,; Afolabi, O.A.,; Dunmade, A.D.,; Akande, H.J.Aim/Background This is an audit of number, nature, sites of impaction and methods of removals and treatment outcome of upper aero-digestive foreign bodies among children in an urban University hospital in Nigeria. Patients and Methods This is an 8year retrospective review of foreign body in upper aero-dgestive tract of children (January 2001 to December 2007) was conducted at the ENT department of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Case notes of the patients were retrieved and the following were data extracted: demographic, clinical, operative and outpatient visits outcome. Results 81 children aged 9months to 16years were seen (mean 4.28, SD 2.95) with 49 males and 32 females and a male: female ratio of 1.5: 1.0.The commonest age group was 9months to 4years (76.5%). Most common of impaction sites were nasal cavity in 31 cases (38.3%), oesophagus in 23 cases (28.4%), oropharynx in 16 (19.8%) and larynx in 6 (7.4%)).The commonest FBs was coins in 33 (40.7 %) in the oesophagus and 37.5% of pharyngeal FBs .Inanimate FBs in the nose constituted 31(38.3%) [Non vegetative 27(87.1%), vegetative 4(12.9 %)]. Fish bones were seen in 11 cases (13.6%) [6 in the larynx and 5 around the tonsillar fauces] and miscellaneous objects in 6 cases. Conclusion Upper aero-digestive foreign bodies are common especially among the under fours', commonest sites being the nose and pharyngooesophageal region with coins and inanimate FBs constituting about four-fifth. There is the need for parental health education on object placements, and a high index of suspicion among practitioners to facilitate early referral and avoid preventable complications.Item Parental Satisfaction with Post-Adenotonsillectomy in the Developing World(Published by Elsevier, Amsterdam., 2009) Afolabi, O.A.,; Alabi, B.S.,; Ologe, F.E.,; Dunmade, A.D.; Segun-Busari, S.Aim/background: Tonsillectomy with or without adenoidectomy is one of the most commonly performed surgical procedures by the otolaryngologists in the pediatric population. The aim of this study is to evaluate parental expectation and satisfaction following tonsillectomy with or without adenoidectomy. Materials and methods: Hospital-based prospective study of all consented parents whose children had tonsillectomy with or without adenoidectomy over a period of 13 months (February 2008 to February 2009) using a cross-sectional method. Pre- and post-surgical questionnaire-based Interview was conducted for them and information retrieved included biodata, pre- and post-surgical symptoms on follow-up in the clinic of obstructive sleep apnoea, snoring, mouth breathing and rhinorrhea, parental expectation and satisfaction after surgery. All data were entered into statistical data using SPSS version 11 and analyzed and the results are presented in tables and figures. Results: A total of 29 patients had adenotonsillar surgery, who were within the age range of 1.50–14 years with a mean age of 5.50 (SD = 4.06 0.75). M:F ratio was found to be 3:1 (22 males and 7 females). Parents were satisfied with the expected outcome in terms of symptoms post-operatively in 96.6% while only one 3.4% were not satisfied. Conclusion: Majority of the parents (96.6%) were satisfied with the expectation of immediate resolution of symptoms; however, obstructive adenotonsillar hypertrophy remains an important problem to be solved to achieve total parental satisfaction in adenotonsillar operations.