Browsing by Author "Ologe, F.E."
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Item An Audit of Paediatric Nasal Foreign Body in Ilorin, Nigeria.(Published by: Health and Medical Pub. Group Claremont Cape Town., 2009) Afolabi, O.A.,; Suleiman, A.O.,; Aremu, S.K.,; Eletta, A.P.,; Alabi, B.S.,.; Segun-Busari, S.,; Dunmade, A.D.; Ologe, F.E.Background. Children with nasal foreign bodies are commonly seen in everyday practice. The aim of this study was to document the pattern of foreign bodies in the nose, their treatment and outcome. Methods. This was a prospective audit of all children seen in the ear, nose and throat clinic, accident and emergency unit and emergency paediatric unit at the University of Ilorin Teaching Hospital, Nigeria, from August 2005 to July 2006. Results. Of a total of 173 patients with ear, nose and throat foreign bodies seen during the study period, 71 patients had foreign bodies in the nose. The male/female ratio was 1.5:1 and the mean age was 2.5 years (range 1 - 15 years), under-5s comprising 72% of the patients. The most common foreign bodies were grains and seeds (35%). Presentation was within 24 hours in 45% of cases, between 1 and 5 days in 27%, and longer in the rest. Of the patients 51% had inserted the foreign body into the nose themselves, and in 39% of cases this had happened at school. In most cases (68%) the foreign body had been inserted into the right nostril. Most children had an offensive nasal discharge (45%) or were asymptomatic (27%). Parents were the first to make the diagnosis in 63% of cases, and in 32% of cases removal had been attempted before presentation. Most of the foreign bodies (89%) were mechanically extracted with a Jobson-Horne probe. In 61% of cases removal was done by a senior registrar. General anaesthesia was needed in a minority of cases. Minimal epistaxis after removal occurred in 50.7%, and only 1 patient had septal perforation. Conclusion. Nasal foreign bodies are still a challenge among under-5s. Public health education is needed to make parents and caregivers aware that it is hazardous for a child to insert a foreign body into the nose. Consistent with published guidelines, the majority of cases can be managed safely with direct extraction in the office setting. With adequate training, primary health care practitioners can manage most cases successfully and will know when to refer complicated ones.Item Aural Foreign Bodies in the Children(Published by: Dept. of Pediatrics, All India Institute of Medical Sciences New Delhi, India., 2007) Ologe, F.E.; Dunmade, A.D.; Afolabi, O.A.Objective Foreign body in the ear is commonly encountered in children by primary care givers, emergency department Physicians, Pediatricians and Otolaryngologists worldwide. Methods We reviewed cases of aural foreign bodies in children seen in our centre over a five-year period with the aim of auditing our current practice and suggesting possible improvements suited for developing countries. Results Grains and seeds (27.9%), beads (19.7%), cotton wool (13.6%), paper (8.8%) and eraser (8.2%) formed the bulk of the aural foreign bodies. About 96% was removed without general anesthesia by using Jobson Horne’s probe or aural dressing forceps (73.8%) under direct vision; or by syringing (22.1%). Some 4% had to be removed in the operating theatre under general anesthesia. The complications observed include bruise or laceration and bleeding from the external auditory canal (16.3%), otitis externa (6.5%) and traumatic perforation of the tympanic membrane (1.7%). Conclusion Despite a high proportion of cases managed in the office setting, complication rates were within acceptable levels. There is need to develop practical criteria that will be beneficial to primary health care givers to determine which patients could be managed in the primary care setting with acceptable outcome.Item Management and Outcome of Rhinosinusitis in Nigeria.(Published by American Academy of Otolaryngology - Head and Neck Surgery., 2017) Afolabi, O.A; Alabi, B.S,; Omokanye, H.K,; Ayodele, S.O,; Segun-Busari, S,; Dunmade, A.D,; Ologe, F.E.Objective.The aim of this study is to present the manage-ment and outcome of treatment of rhinosinusitis in Nigeria.Study Design.A retrospective review of the case notes ofpatients with rhinosinusitis between January 2009 andDecember 2014.Setting.Study at the University of Ilorin Teaching Hospital,Nigeria, using retrieved case notes after ethical approvalwas received.Subjects and Methods.The information retrieved includedsociodemographic data, clinical presentation, duration, endo-scopic examination, and other clinical management protocolswith follow-up. All information was entered into SPSS version20 and analyzed descriptively, and results are presented intables and figure.Results.A total of 5618 patients were seen in the ear, nose,and throat clinic over the 6-year period. Of the patients,445 had rhinosinusitis, and only 410 had complete data foranalysis. Patient age ranged from 2 to 75 years (mean6SD,31.861.2 years). The male to female ratio was 1.2:1. Theduration of symptoms varied from 3 days to 10 years, with78.7% having symptoms between 3 and 120 months. About82.4% had nasal discharge, 51.3% had sneezing, 78.9% hadalternating nasal obstruction, and 49.3% had nasal itch. Ofthe patients, 61.4% had a predisposition, of which 30.9%were allergic, 23.3% were infective, and 7.2% were vasomo-tor. Ethmoidal-maxillary sinuses were commonly affectedradiologically. About 63% of patients had medical treatment,and only 28.7% had surgical intervention, of which 37%were scheduled for surgical treatment and 7.3% refused.Improved symptoms were noticed in 72.6% of patients, and 1.4% reported no improvement. Conclusion.Rhinosinusitis is still common, affecting activemales economically with more chronic cases and more aller-gic predisposition. Early medical management is still effec-tive, and endoscopic sinus surgery is now a better surgicaloption with better outcome in 72.6% Conclusion. Rhinosinusitis is still common, affecting active males economically with more chronic cases and more allergic predisposition. Early medical management is still effective, and endoscopic sinus surgery is now a better surgical option with better outcome in 72.6%Item Management and Outcome of Rhinosinusitis in Nigeria.(Published by American Academy of Otolaryngology - Head and Neck Surgery., 2017) Afolabi, O.A; Alabi, B.S,; Omokanye, H.K,; Ayodele, S.O,; Segun-Busari, S,; Dunmade, A.D,; Ologe, F.E.Objective.The aim of this study is to present the manage-ment and outcome of treatment of rhinosinusitis in Nigeria.Study Design.A retrospective review of the case notes ofpatients with rhinosinusitis between January 2009 andDecember 2014.Setting.Study at the University of Ilorin Teaching Hospital,Nigeria, using retrieved case notes after ethical approvalwas received.Subjects and Methods.The information retrieved includedsociodemographic data, clinical presentation, duration, endo-scopic examination, and other clinical management protocolswith follow-up. All information was entered into SPSS version20 and analyzed descriptively, and results are presented intables and figure.Results.A total of 5618 patients were seen in the ear, nose,and throat clinic over the 6-year period. Of the patients,445 had rhinosinusitis, and only 410 had complete data foranalysis. Patient age ranged from 2 to 75 years (mean6SD,31.861.2 years). The male to female ratio was 1.2:1. Theduration of symptoms varied from 3 days to 10 years, with78.7% having symptoms between 3 and 120 months. About82.4% had nasal discharge, 51.3% had sneezing, 78.9% hadalternating nasal obstruction, and 49.3% had nasal itch. Ofthe patients, 61.4% had a predisposition, of which 30.9%were allergic, 23.3% were infective, and 7.2% were vasomo-tor. Ethmoidal-maxillary sinuses were commonly affectedradiologically. About 63% of patients had medical treatment,and only 28.7% had surgical intervention, of which 37%were scheduled for surgical treatment and 7.3% refused.Improved symptoms were noticed in 72.6% of patients, and 1.4% reported no improvement. Conclusion. Rhinosinusitis is still common, affecting active males economically with more chronic cases and more allergic predisposition. Early medical management is still effective, and endoscopic sinus surgery is now a better surgical option with better outcome in 72.6%.