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Research Article
Prevalence of ENT, Neck and Face Diseases in Children Aged 0-14 Years in the ENT Department of the Center Hospitalier Universitaire Gabriel Toure in Bamako
Mamadou Ouattara,
Mariam Sangaré*,
Lassana Keita,
Diaffé Dramé,
Karim Diarra,
Fatoumata Ouattara,
Siriman Koné,
Mahamane Tiama,
Fatogoma Issa Koné
,
Samba Karim Timbo,
Abdoul Wahab Haidara,
Lassine Dienta
Issue:
Volume 10, Issue 2, December 2024
Pages:
50-53
Received:
2 July 2024
Accepted:
2 August 2024
Published:
20 August 2024
DOI:
10.11648/j.ijo.20241002.11
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Abstract: ENT, neck and face disorders are usually benign, but can often be grafted to complications with after-effects that affect the child's psychomotor development, with serious school and social consequences. The aim of the present study is to determine the prevalence of ENT, neck and face disorders in children aged 0 to 14 in the ENT department of the Gabriel Touré University Hospital Centre (UHC) in Bamako. This was a prospective descriptive study conducted from September 1 to November 30, 2021. The results show that the prevalence of ENT, neck and face disorders in children aged 0 to 14 years was 14.53% of department consultations during our study period. Males predominated with 53.07% of cases, a sex ratio of 1.6. The 0-4 age group was best represented, with 49.01% of cases. Otalgia was the most frequent reason for consultation, accounting for 38.60% of cases. Acute otitis media (AOM) was the most common pathology with 24.30% of cases, followed by nasopharyngitis with 17.40%. Otological conditions accounted for the majority, with 58.29% of cases. Otological conditions were followed by naso-sinus conditions with 26.57% of cases, and pharyngolaryngeal conditions with 14% of cases. ENT, neck and face infections are frequent in children. This frequency, linked to immune learning, has repercussions on social and school life. Early treatment can help reduce the morbidity of these conditions.
Abstract: ENT, neck and face disorders are usually benign, but can often be grafted to complications with after-effects that affect the child's psychomotor development, with serious school and social consequences. The aim of the present study is to determine the prevalence of ENT, neck and face disorders in children aged 0 to 14 in the ENT department of the ...
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Case Report
Foreign Body Trapped in the Oropharynx Requiring Emergency Tonsillectomy in a Case at Nianankoro Fomba Hospital in Ségou
Haidara Abdoul Wahab*,
Fofana Aminata,
Sanogo Harouna,
Coulbaly Oumou,
Doumbia Mahamadou,
Coulibaly Demba,
Mohamed Saydi Ag Mohamed Elmehdi Elansari,
Traore Bagouma,
Dembele Ali,
Amadou Coulibaly,
Sanogo Boubacar,
Mariam Sangare,
Kone Fatogoma Issa,
Boubacary Guindo,
Siaka Soumaoro,
Kadiatou Singare,
Mohamed Aamdou Keita
Issue:
Volume 10, Issue 2, December 2024
Pages:
54-57
Received:
15 August 2024
Accepted:
6 September 2024
Published:
23 September 2024
DOI:
10.11648/j.ijo.20241002.12
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Abstract: Introduction: Pharyngeal foreign bodies, particularly in oropharyngeal locations, should raise concerns about the presence of an associated wound. They constitute a common pathology. Their diagnosis is most often easy, but difficult in the case of an unknown foreign body. We report a foreign body embedded in the lateral wall of the oropharynx which required emergency tonsillectomy. Observation: This is a 6-year-old child received urgently at the Nianankoro Fomba Hospital in Ségou 6 hours after the introduction of the foreign body (wheel spoke) into the tonsillar compartment. On admission to the ENT and head and neck surgery department, the child's general condition was poor, consciousness remained and the conjunctivas were normal-colored. On oropharyngeal examination, we note a sharp metallic foreign body measuring 30 cm and 2 mm in diameter located at the level of the posterior fold of the right amygdala. Furthermore, there is hypersialorrhea with blood streaking. Faced with the failure of an extraction attempt; we decided to take him to the operating room after a minimum assessment. The immediate postoperative course was unremarkable. The evolution was very favorable on the 10th day of the intervention. Conclusion: Pharyngeal foreign bodies constitute a vital emergency due to their appearance or location. Their management requires rapid intervention with suitable equipment. Prevention remains the best solution.
Abstract: Introduction: Pharyngeal foreign bodies, particularly in oropharyngeal locations, should raise concerns about the presence of an associated wound. They constitute a common pathology. Their diagnosis is most often easy, but difficult in the case of an unknown foreign body. We report a foreign body embedded in the lateral wall of the oropharynx which...
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Research Article
Thyroid Cancer Recurrence: Risk Factors and Preventive Strategies
Issue:
Volume 10, Issue 2, December 2024
Pages:
58-64
Received:
19 August 2024
Accepted:
7 September 2024
Published:
23 September 2024
Abstract: Introduction: Several risk factors influence the recurrence of thyroid cancer, including age, tumor size, lymph node involvement, and other prognostic indicators. The purpose of this study is to evaluate the impact of these risk factors on the recurrence rates of thyroid cancer, with the aim of improving diagnostic and treatment strategies for better patient outcomes. Aim of the study: The aim of the study was to evaluate risk factors for thyroid cancer recurrence and preventive strategies. Methods: This retrospective cohort study conducted at the Department of Otolaryngology-Head & Neck Surgery at Bangabandhu Sheikh Mujib Medical University (BSMMU) included 108 thyroid cancer patients treated between April 2023 and March 2024. Patients were categorized into low-risk and high-risk groups based on prognostic factors. Follow-up for three years assessed recurrence and survival through outpatient visits and telephone interviews. Statistical analyses using SPSS version 22.0 included descriptive statistics, chi-square tests for recurrence rates, and Kaplan-Meier survival analysis. Result: The study identified Differentiated Thyroid Carcinoma (DTC) as the most common type, with Papillary Thyroid Carcinoma being the predominant subtype. Recurrence rates were notably higher in patients aged ≥45 and in males. Significant predictors of recurrence included age, gender, tumor diameter, and lymph node metastasis. High-risk patients mostly received Total Thyroidectomy, Radioiodine ablation, and Thyroxin. Follow-up showed recurrence rates of 8.33% in low-risk and 7.55% in high-risk patients over three years. Conclusion: The study highlights the critical role of age, gender, tumor diameter, and lymph node metastasis in predicting thyroid cancer recurrence, emphasizing the need for personalized treatment and monitoring based on risk levels.
Abstract: Introduction: Several risk factors influence the recurrence of thyroid cancer, including age, tumor size, lymph node involvement, and other prognostic indicators. The purpose of this study is to evaluate the impact of these risk factors on the recurrence rates of thyroid cancer, with the aim of improving diagnostic and treatment strategies for bett...
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Research Article
Botryomycoma of the Nasal Vestibule: A Case Report from the Commune VI Referral Health Center of the District of Bamako/Mali
Mohamed Saydi Ag Mohamed Elmehdi Elansari,
Mariam Sangare*,
Moussa Keita,
Lassana Keita,
Lassine Dienta,
Mamadou Ouattara,
Diaffe Drame,
Fatogoma Issa Kone
Issue:
Volume 10, Issue 2, December 2024
Pages:
65-68
Received:
27 August 2024
Accepted:
24 September 2024
Published:
18 October 2024
Abstract: Pyogenic granuloma or botryomycoma or lobular capillary hemangioma is a benign proliferation of capillaries, precisely skin and mucous membranes. This pathology is considered rare in terms of nasal cavities. But cases are increasingly related to literature. Thus, this study concerns a case sitting at the level of the nasal vestibule. He is an adult of 58 years and male sex, who came for consultation in the ENT department at the commune VI reference health center of the district of Bamako / Mali, presenting as a reason for consultation a right nasal obstruction. The interrogation revealed that the start dates back to about eight months and marked by a serous rhinorrhea and an associated homolateral epistaxis of headaches. No predisposing factor and no medico-surgical history has been found. The scanner allowed us to define the contours of the mass and to guide the therapeutic decision. The mass was completely removed surgically into endonasal without incidence. Histological examination of the surgical sample concluded that a lobular capillary hemangioma. The patient was followed for 2 years without recurrence or complications. Because of its rarity in our context, we recommend particular attention to ENT specialists to avoid confusion and allow more studies for more discussions in the literature.
Abstract: Pyogenic granuloma or botryomycoma or lobular capillary hemangioma is a benign proliferation of capillaries, precisely skin and mucous membranes. This pathology is considered rare in terms of nasal cavities. But cases are increasingly related to literature. Thus, this study concerns a case sitting at the level of the nasal vestibule. He is an adult...
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Case Report
Open Trauma to the Larynx by a Stab Wound: A Case Report
Abdoul Wahab Haidara*,
Bagouma Traore,
Moussa Flantié Dembele,
Aminata Fofana,
Ali Dembele,
Mohamed Saydi Ag Med Elmehdi Elansari,
Mariam Sangare,
Harouna Sanogo,
Mahamadou Doumbia,
Boubacar Sanogo,
Abdoulaye Traoré,
Demba Coulibaly,
Oumou Coulibaly,
Djibril Samake,
Sidiki Dao,
Youssouf Sidibe,
Kalifa Coulibaly,
Boubacary Guindo,
Siaka Soumaoro,
Hamidou Baba Sacko,
Kadiatou Singare,
Mohamed Amadou Keita,
Fatogoma Issa Kone
Issue:
Volume 10, Issue 2, December 2024
Pages:
69-73
Received:
11 September 2024
Accepted:
29 September 2024
Published:
18 October 2024
Abstract: Introduction: Open laryngeal trauma is rare. Only early and appropriate diagnosis and treatment can preserve or restore the respiratory and phonatory functions of the larynx and prevent the appearance of disabling functional sequelae. Material and method: This was a 50-year-old patient with a history of psychiatric illness, admitted for treatment of a penetrating wound to the neck following an attempted self-lysis with a bladed weapon (knife). On examination, we objectified a conscious patient with a makeshift bandage soiled with blood at the neck. A respiratory murmur was also perceived. Given this picture, the patient was immediately taken in a lying position to the operating room for surgical management. The postoperative course was marked on D13 by a decannulation process and a complete decanution on D15 postoperatively. We proceeded to remove the nasogastric tube on D21. A cure without respiratory or vocal sequelae was obtained on D28 postoperatively. Conclusion: Open trauma is a diagnostic and therapeutic emergency. If unrecognized or poorly managed, it can be life-threatening in the immediate term or cause serious long-term after-effects.
Abstract: Introduction: Open laryngeal trauma is rare. Only early and appropriate diagnosis and treatment can preserve or restore the respiratory and phonatory functions of the larynx and prevent the appearance of disabling functional sequelae. Material and method: This was a 50-year-old patient with a history of psychiatric illness, admitted for treatment o...
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Research Article
Reflections of an Otorhinolaryngologist Based on Genetics Concepts
Candido Adalberto Benitez-Lorenzo*
Issue:
Volume 10, Issue 2, December 2024
Pages:
74-81
Received:
17 October 2024
Accepted:
19 November 2024
Published:
29 November 2024
Abstract: Otorhinolaryngology is rich in a large number of hypothetical approaches related to anatomical and functional concepts as well as in theories concerning the etiopathogenesis and physiopathology of various diseases. The function of the paranasal sinuses, the pneumatization of the temporal bone and the factors that predispose to the appearance and evolution of otitis media, mainly. Following the path of the nonconformists and with the aim of presenting new concepts based on the principle that Genetics as the universal science capable of explaining everything related to life in the animal and plant kingdoms, we present our concepts. This paper is composed of a compendium of 3 articles created by the author with the aim of presenting a new theory of the etiopathogenesis and physiopathology of otitis media, taking as its main element the genetic factors as the only elements capable of explaining its appearance, development and evolution, mainly its transition to chronicity. In addition, the current paper includes reflections related to the “Auditory System” and the elements that influence individual constitutional characteristics that could help to understand the enormous variety in auditory quality, including gifted ears. Criteria related to the controversial, mysterious and still unresolved “Havana neurosensory syndrome” are also included with the intention of contributing to solving a health problem.
Abstract: Otorhinolaryngology is rich in a large number of hypothetical approaches related to anatomical and functional concepts as well as in theories concerning the etiopathogenesis and physiopathology of various diseases. The function of the paranasal sinuses, the pneumatization of the temporal bone and the factors that predispose to the appearance and ev...
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