Browsing by Author "Dunmade, A.D"

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    A Review of Fatal and Near-Fatal Foreign Body in the Paediatric Airway: Airway Timely Intervention Counts.
    (Otorhinolaryngology Society of Nigeria., 2021) Omokanye, H.K; Adegboye, K.A; Nasir, AA; Adegboye, M.B; Afolabi, O.A; Patric, E.W; Thimnu Ari Elam, W; Isa, A.B,; Segun-Busari, S; Dunmade, A.D
    Background: Accidental ingestion or aspiration of foreign bodies carries a potential risk of fatality in children and early intervention is vital. The urgency often dictates prompt referral to otolaryngologist. However, at the referral center, time may not always permit the most skilled specialist to arrive the point of care. Hence, the life-saving task may fall on any other doctor or ENT trained-nurse available in the emergency room at the time of patient’s arrival. Objective: We analyzed contributory factors to morbidity and mortality in four selected cases; two near-fatal foreign body in infants, along with two others were delayed or no intervention led to fatal outcome. Method: In the current study, a retrospective review of case files of four patients with foreign body aspiration was conducted. Result: Two out of the 4 (50%) airway foreign bodies were successfully removed one with and the other without anesthesia. One of the lifesaving foreign body retrievals was done by an ENT trained nurse using available instruments and the other by an anaesthetist. The other two died either because of delayed presentation or refusal to consent to surgical intervention. Conclusion: The findings revealed that prompt imaging and referral to specialist center for early intervention are important factors to the outcome. However, absence of the most skilled manpower or the best instrument should not be allowed to preclude timely intervention
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    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.D
    Wasp 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.