Informatics Publishing Limited

Abstract

Background: Adenoidectomy, Tonsillectomy or both are common surgical procedures performed by Otorhinolaryngologist worldwide. The indications for the surgeries are numerous including recurrent infection and obstruction of the upper airways.

Aims and objectives: Audit intent and comparison with similar work.

Methodology: This was a 9-year retrospective study of the patients who had adenoidectomy, adenotonsillectomy and tonsillectomy from January 2007 to December 2015 at the Ear, nose, and throat (ENT) department of the Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto, Nigeria. The case notes of the patients were retrieved from the hospital medical record department, and the biodata, indications, and types of adenoid and tonsil surgeries, surgical techniques, complications, and outcome of the surgeries were extracted. Data obtained was analysed by descriptive statistic using IBM.SPSS version 21.0

Results: A total of 123 patients were seen; comprising 88 (71.5%) children, 35 (28.5%) adults; male 51 (41.5%) and female 72 (58.5%) with a male to female ratio of 1:1.4 had adenoid and tonsil surgeries. The age ranged from six months to 50 years with the mean age of 11.9 years. Adenoidectomy alone was exclusively in children of 1-5-year age group, and nasal obstruction was the predominant indication. Similarly, adenotonsillectomy was also confined to children who were age ≤10 years, and OSA was the most frequent indication. Recurrent tonsillitis was the dominant indication for tonsillectomy alone among the children and the adults. Curettage adenoidectomy and cold steel tonsillectomy were the techniques employed, complications encountered were throat pain, convulsion and rhinolalia aperta.

Conclusion

Overall, the outcome was good. Therefore, the old traditional, cheap, effective curettage adenoidectomy and cold steel dissection tonsillectomy still have an important role in resource challenge developing country like Nigeria.Pre-operative transcranial Doppler ultrasonograhy in children with sickle cell anaemia may help in identifying those at risk of developing CVA and institute preventive measures.

Keywords

Full Text

Abstract

Background: The identified risk factors for chronic suppurative otitis media varied.

Aims and objectives: To determine the frequency of the risk factors among children with chronic suppurative otitis media and suggest preventive measures.

Methodology: This was a 9-year retrospective study from June, 2006 to May, 2015 at the ENT out-patient department of the Usmanu Danfodiyo University Teaching Hospital, Sokoto. Data from the case note were analysed for: biodata, patient education, parent education, tribe, socioeconomic status, breast feeding, bottle feeding, site, URTI, medical history, complications and treatment outcome. Data was analysed by descriptive statistic using IBM.SPSS version 21.0. 

Results: A total of five thousand six hundred and sixteen (5,616) children below the age of15 years were managed in the ENT out-patient Department during the study period. Of the 5,616 children 180 (3.2%) had chronic suppurative otitis media, comprising 93 (51.7%) males and 87 (48.3%) females with male to female ratio of 1.1: 1.

Age group 1-5 years were most affected with 89 (49.4%) patients.  Primary school children accounted for 69 (38.3%), most of the children came from large family and majority of these parents 160 (88.9%) lacked western education. One hundred and thirty-two (73.3%) of the children had upper respiratory tract infection. Surgical treatment was only done for 12 (6.7%) cases and hearing loss 32 (17.8%) was the major complication, followed by mastoid abscesses and cholesteatoma 2 (1.1%) each.

Conclusion:  The identified risk factors for the chronic suppurative otitis media in this study were overcrowding, upper respiratory tract infection and lower socioeconomic status. The disease and its’ preventable complications can be avoided by health education and effective treatment.

Keywords

Full Text

Abstract

Keywords

Full Text