Nigerian journal of medicine: journal of the National Association of Resident Doctors of Nigeria
Hoarseness is a major symptom of laryngeal disease. Persistent hoarseness may be an early warning... more Hoarseness is a major symptom of laryngeal disease. Persistent hoarseness may be an early warning of such sinister lesions as cancer of the larynx and nasopharynx, hence the need for increased awareness of this symptom and its causes. This is a retrospective study of all hoarse adult patients seen in the Otorhinolaryngology clinics of the University College Hospital Ibadan over an 8-year period (1995-2002). The total study population of 124 patients consisted of 72 (58.06%) males and 52 (41.94%) females with an overall mean age of 46.98 years and age range 16-84 years. The mean duration of hoarseness before presentation was 23.29 months; 56 (45.2%) patients presented within 6 months of onset of hoarseness. Chronic non-specific laryngitis including vocal cord nodules was the most common cause of hoarseness (55.6%). Chronic non-specific laryngitis patients had a mean age of 45.05 years. Fourteen point forty-nine percent (14.49%) of patients with chronic non-specific laryngitis smoked ...
Wax removal compromises the integrity of the ear's defens... more Wax removal compromises the integrity of the ear's defenses. It is a leading cause of otitis externa, Otomycosis and impaired hearing. Aims of the study are to assess the knowledge and implication of self ear cleaning among black Africans. A prospective study carried out at the Tundun-wada community and National Ear Care Centre, Kaduna with administration of structured questionnaire after an informed consent and ethical clearance. Information retrieved includes biodata, believe, reason and object for cleaning of the ear, associated problems or benefit and examination. A total of 372 form the basis for the study, age range 1-76 yr with a mean age of 30.37 yr, median age 29.00 (S.D. = 13.79) and M:F ratio of 1:1. Mother responded for their children except for grown up. About 47.3% of the subjects were unemployed who were either children or complete house wife. About 90% of the subjects interviewed do self ear cleaning and over 90% believe ear should be cleaned to remove wax, because of itching in over 50% while a few is due to cosmetic reason. Cotton bud was the commonest material used for cleaning. About one-third of the subject has formed the habit unconsciously over 10 years. The entire subjects interviewed had their ear examined; about 27% had ear discharge then wax impaction in 22% then foreign body 12%. The habit of self ear cleaning should be discouraged as it is slow otologic poison with an attendant long term effect.
No therapy is currently available to reverse the serious damage that can be caused by ototoxic dr... more No therapy is currently available to reverse the serious damage that can be caused by ototoxic drugs, such as permanent hearing loss and balance disorders. Otolaryngologists in various regions of the world have developed strategies aimed at curtailing drug-induced ototoxicity, but similar efforts in most developing nations have yet to be well established. We conducted a study to document our experience in Nigeria. Our study population was made up of 156 patients-66 males and 90 females, aged 5 to 85 years (mean: 32.1 ± 30.7)-who were diagnosed with drug-induced ototoxicity over a 3-year period. Tinnitus was the first and the predominant symptom in 140 patients (89.7%). The most common cause of drug-induced ototoxicity among the 156 patients was injection of an unknown agent (n = 55 [35.3%]); among the known agents, the most common were chloramphenicol (n = 25 [16.0%]), chloroquine (n = 22 [14.1%]), and gentamicin (n = 20 [12.8%]). One pregnant woman experienced a miscarriage at 4 mo...
ABSTRACT ABSTRACT Physicians under-report cases of child abuse or child maltreatment. We present ... more ABSTRACT ABSTRACT Physicians under-report cases of child abuse or child maltreatment. We present a case of an impacted oesophageal foreign body in a physically abused child. S.H. is a 7-year-old male child who accidentally ingested metal clip while being assaulted by his paternal uncle whom he resides with. He presented with dysphagia, odynophagia and drooling of saliva and urgent x-ray soft tissue neck revealing the presence of the metallic foreign body in the prevertebral region. He had emergency oesophagoscopy with the removal of foreign body, did well and was discharged home 4th day postoperatively after parental counselling. It remains the responsibility of paediatric healthcare providers to consider child maltreatment as a differential diagnosis of any unexplained injury or medical problems, including oesophageal foreign body impaction. KEYWORDS Child; Maltreatment; Impacted; Oesophageal Foreign Body; Assault
Nigerian journal of medicine: journal of the National Association of Resident Doctors of Nigeria
Hoarseness is a major symptom of laryngeal disease. Persistent hoarseness may be an early warning... more Hoarseness is a major symptom of laryngeal disease. Persistent hoarseness may be an early warning of such sinister lesions as cancer of the larynx and nasopharynx, hence the need for increased awareness of this symptom and its causes. This is a retrospective study of all hoarse adult patients seen in the Otorhinolaryngology clinics of the University College Hospital Ibadan over an 8-year period (1995-2002). The total study population of 124 patients consisted of 72 (58.06%) males and 52 (41.94%) females with an overall mean age of 46.98 years and age range 16-84 years. The mean duration of hoarseness before presentation was 23.29 months; 56 (45.2%) patients presented within 6 months of onset of hoarseness. Chronic non-specific laryngitis including vocal cord nodules was the most common cause of hoarseness (55.6%). Chronic non-specific laryngitis patients had a mean age of 45.05 years. Fourteen point forty-nine percent (14.49%) of patients with chronic non-specific laryngitis smoked ...
Wax removal compromises the integrity of the ear's defens... more Wax removal compromises the integrity of the ear's defenses. It is a leading cause of otitis externa, Otomycosis and impaired hearing. Aims of the study are to assess the knowledge and implication of self ear cleaning among black Africans. A prospective study carried out at the Tundun-wada community and National Ear Care Centre, Kaduna with administration of structured questionnaire after an informed consent and ethical clearance. Information retrieved includes biodata, believe, reason and object for cleaning of the ear, associated problems or benefit and examination. A total of 372 form the basis for the study, age range 1-76 yr with a mean age of 30.37 yr, median age 29.00 (S.D. = 13.79) and M:F ratio of 1:1. Mother responded for their children except for grown up. About 47.3% of the subjects were unemployed who were either children or complete house wife. About 90% of the subjects interviewed do self ear cleaning and over 90% believe ear should be cleaned to remove wax, because of itching in over 50% while a few is due to cosmetic reason. Cotton bud was the commonest material used for cleaning. About one-third of the subject has formed the habit unconsciously over 10 years. The entire subjects interviewed had their ear examined; about 27% had ear discharge then wax impaction in 22% then foreign body 12%. The habit of self ear cleaning should be discouraged as it is slow otologic poison with an attendant long term effect.
No therapy is currently available to reverse the serious damage that can be caused by ototoxic dr... more No therapy is currently available to reverse the serious damage that can be caused by ototoxic drugs, such as permanent hearing loss and balance disorders. Otolaryngologists in various regions of the world have developed strategies aimed at curtailing drug-induced ototoxicity, but similar efforts in most developing nations have yet to be well established. We conducted a study to document our experience in Nigeria. Our study population was made up of 156 patients-66 males and 90 females, aged 5 to 85 years (mean: 32.1 ± 30.7)-who were diagnosed with drug-induced ototoxicity over a 3-year period. Tinnitus was the first and the predominant symptom in 140 patients (89.7%). The most common cause of drug-induced ototoxicity among the 156 patients was injection of an unknown agent (n = 55 [35.3%]); among the known agents, the most common were chloramphenicol (n = 25 [16.0%]), chloroquine (n = 22 [14.1%]), and gentamicin (n = 20 [12.8%]). One pregnant woman experienced a miscarriage at 4 mo...
ABSTRACT ABSTRACT Physicians under-report cases of child abuse or child maltreatment. We present ... more ABSTRACT ABSTRACT Physicians under-report cases of child abuse or child maltreatment. We present a case of an impacted oesophageal foreign body in a physically abused child. S.H. is a 7-year-old male child who accidentally ingested metal clip while being assaulted by his paternal uncle whom he resides with. He presented with dysphagia, odynophagia and drooling of saliva and urgent x-ray soft tissue neck revealing the presence of the metallic foreign body in the prevertebral region. He had emergency oesophagoscopy with the removal of foreign body, did well and was discharged home 4th day postoperatively after parental counselling. It remains the responsibility of paediatric healthcare providers to consider child maltreatment as a differential diagnosis of any unexplained injury or medical problems, including oesophageal foreign body impaction. KEYWORDS Child; Maltreatment; Impacted; Oesophageal Foreign Body; Assault
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