Browsing by Author "Ologe, F.E"

Now showing 1 - 3 of 3
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    Correlation of Bacterial Isolates from Middle Ear and Nasopharynx in Patients with Chronic Suppurative Otitis Media in Ilorin, Nigeria
    (Published by Penerbit Universiti Sains Malaysia, 2015) Afolabi, O.A; Ologe, F.E; Nwabuisi, C; Salaudeen, A.G; Ajiboye, O.A; Nwawolo, C.C.
    Purpose: To determine the association between isolates in the middle ear (ME) and nasopharynx of patients with chronic otitis media in Ilorin, north-central Nigeria. Methods: An ethically approved case control study was carried out in the Ear, Nose, and Throat clinic amongst consenting cases using normal subjects as controls. A microbiology investigation form giving the results for otoscopy, aspirate and swabs was filled out for both the ME and nasopharynx. The experimental procedure was carried out and bacteria were identified according to colony characteristics, morphological appearance, Gram-staining, and standard biochemical testing. Data obtained were analysed with SPSS version 16.0 and Epi Info 3.5.1 using the mean, standard deviation and chi-square results. Results: A total of 140 cases and 70 controls, were recruited. The Gram stain reaction of the ME aspirates were positive in 28.6% and negative in 71.4% of cases. Nasopharyngeal swabs revealed 64.3% Gram positive and 35.7% negative organisms. Overall, there was no relationship between the ME and nasopharyngeal isolates amongst cases, with a P value of 0.000. However, there was a relationship amongst the isolate from the nasopharynx of cases and controls, with the exception of Klebsiella pneumoniae, at P < 0.009. Conclusion: There was no relationship amongst the bacterial isolate from the ME and nasopharyngeal specimen of patients with otitis media.
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    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.S
    Objective: 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%.
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    Management of Epistaxis: Review article
    (Published by Vendome Group, Cleveland, OH, 2006) Afolabi, O.A; Ologe, F.E
    Epistaxis literally means nose bleed and it can be a life threatening emergency. it occur in 10-12% of the general population. Adequate knowledge of first line management is important for every medical practitioner to avoid unnecessary referral to the Otolaryngologist who are sparsely distributed.particularly in the developing countries. Th Management of epistaxis depend on the clinical state of patient at presentation; the simplest method that can control the bleeding is followed but difficult case should promptly be referred to the appropriate specialist to reduce morbidity and mortality from this common emergency.