Browsing by Author "Omokanye, H.K"

Now showing 1 - 3 of 3
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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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    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.S
    Tracheostomy 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.
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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%.