Browsing by Author "Segun-Busari S"

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    Foreign body in the ear, nose and throat: retrieval under general anaesthesia.
    (Otorhynolaryngological society of Nigeria., 2016) Omokanye HK; Alabi BS; Afolabi OA; Ige OA; Segun-Busari S; Dunmade AD; Iyanda NO; Omotoso W; Ologe FE
    Background: Foreign body (FB) in the ear, nose or throat is a common emergency in otolaryngology practice. Majority of cases are managed by awake procedures in the clinic setting. Surgical removal under general anaesthesia is commonly used for foreign body in aero-digestive tracts and may be indicated for foreign body in other regions when patient fails to cooperate for awake removal, especially where complications have set in from previous failed attempts at removal. Aim: To audit the indications, route of anaesthesia, outcome and challenges of retrieval of foreign body in the ear, nose and throat under general anaesthesia in our practice. Methodology: We conducted a retrospective review of all cases of foreign body retrieved under general anaesthesia with the aim of auditing the indication, location of FB, route of anaesthesia and outcome of surgical management. Result: A total of 109 patients had foreign body removal under general anaesthesia. The most common foreign body were toys of various shapes and sizes in 29(26.0%) cases. Foreign bodies in the oesophagus 65(59.6%) constituted the most common indication for retrieval under general anaesthesia, while FB in the larynx 3(2.8%) was the least common location. All the 23(21.1%) patient with FB in the external auditory canal (EAC) presented with complications from pre-hospital failed attempts at removal. Post-operative ICU admission rate was 1.9%, while mortality rate was 0.95%. Conclusion: Retrieval of foreign bodies in the ear, nose and throat under general anaesthesia is not without risks, though the benefits outweigh the risk. Surgeons should be mindful of the remote risk of surgical and anaesthetic complications and even mortality.
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    Oropharyngeal Tumours in Ilorin, Nigeria: Any Change in Epidemiology Pattern?
    (Published by the College of Health Sciences, 2017) Omokanye H.K; Afolabi O.A; Segun-Busari S; Mohammed S.I; Ayodele S.O; Shittu N.O; Alabi. B.S
    Background: Oropharyngeal tumour constitute about 10% -12% of all head and neck malignancies of which about 90% are histologically squamous cell carcinomas type. Males are commonly affected. Aim is to determine the epidemiological trend and socio-demographic pattern seen in our practice. Methods: A 5years (2008-2013) Ethically approved retrospective review of clinical records of patients with diagnosis of oropharyngeal tumour seen in ENT department of UITH. All information retrieved were entered into SPSS version 20.0 and analysed descriptively and results presented in tables and figures. Results: Twenty-seven cases were seen, age range 35-65years with a mean age of 46years (SD = 42±1.5), About 27.3% were below 40 years, 54.6% were within 40-60 years and 18.2% were above 60 years.. There were 17 females (63.6%) and 10 males (36.4%) with M:F ratio of 1:1.7. About 72.7% were non-smokers while 27.3% were smokers. Only 36.4% of the patients had positive history of alcohol ingestion while 63.4% did not take alcohol. The correlation of smoking and alcohol with the oropharyngeal cancer shows a uncorrected X2 of 0.77 and a P-value of 0.3794. On the site, base of the tongue tumours constituted 55.6% of the total, closely followed by lateral wall tumours (tonsils) 27.3%, then soft palatal tumours 18.2%, none on the posterior pharyngeal wall. Only 36.4% had surgery and referred for chemoradiation while 63.4% either declined surgery or defaulted from clinic follow-up. However, 7.4% cases had associated HIV infection.