Addressing Unmet Surgical Needs in an Underserved Nigerian Community: Report of a 'Town and Gown' Initiative.

Background: Access to quality and timely care prevents unnecessary deaths and morbidity from potentially curable surgical diseases. This study describes the magnitude of unmet surgical needs in a Nigerian community and describes the experiences garnered during a surgical outreach organized by a tertiary institution in an underserved community.

Methods: This is a descriptive study highlighting details of a surgical outreach to a community in south-Western part of Nigeria.

Assessment of sleep knowledge among medical and dental students in a Nigerian tertiary institution: a cross-sectional study.

Purpose: Sleep medicine is a rapidly growing field of Medicine globally. However, studies are lacking on the knowledge of Nigerian medical and dental students on sleep and the different types of sleep disorders. Thus, we assessed the knowledge, interest and awareness of Nigerian medical and dental students about sleep medicine.

Local Epidemiology of Nosocomial Infection in a Nigerian University Teaching Hospital.

Population-based studies of contribute to understanding the epidemiology of infection. We enrolled surgical inpatients admitted to an African tertiary-care hospital in order to prospectively analyze the nosocomial impact of . Data collection included an active sampling of the anterior nares and infectious foci within 48 h after admission and subsequently when clinically indicated.

Management of Thyroglossal Cyst in Adults: A Single-Institution Experience.

Objectives: Thyroglossal duct cyst (TDC) is the most common congenital anterior neck mass in clinical practice. Due to its congenital origin, presentation in adulthood is uncommon with only 7% of cases presenting in this age group. Data are therefore limited on the management of TDC in adults, particularly in Sub-Saharan Africa.

Percutaneous Endoscopic Gastrostomy in Ile-Ife, Nigeria:An Initial Report.

Background: Protein-energy malnutrition is a common problem in critically ill patient and it is a major cause of accelerated morbidity and mortality in this group of patients. Recent dramatic advances in both enteral and parenteral nutritional support have ensured that most of these critically ill patients are adequately nutritionally supported. Unfortunately, most of these advancements in nutritional supports are far from the reach of most patients in developing countries.

Dental Arch Dimensions of Nigerian Children with Hypertrophied Adenoids.

Objective: The study objective was to assess the effect of adenoid hypertrophy on the dental arch dimensions of children in Ile-Ife, Nigeria.

Methods: Ninety patients aged 3-12 years attending the Otorhinolaryngology Clinic at Obafemi Awolowo University Teaching Hospital Ile-Ife diagnosed as having hypertrophied adenoids and 90 children from the Child Dental Health Clinic were recruited as adenoid and control subjects respectively. Arch and palatal vault dimensions, including total arch length; inter-canine, inter-premolar, and inter-molar widths; palatal length; and palatal heights measured at three levels and palatal volume were determined for both groups from dental casts.

Correlation between adenoidal nasopharyngeal ratio and symptoms of enlarged adenoids in children with adenoidal hypertrophy.

Background: Adenoid hypertrophy is one of the most common health problems affecting the paediatric population. This study aims to correlate adenoidal nasopharyngeal ratio (ANR) with symptoms of enlarged adenoids in children with enlarged adenoids.

Materials And Methods: It was a year, cross-sectional, hospital-based study conducted at Lautech Teaching Hospital, Osogbo.

Occlusal characteristics of children with hypertrophied adenoids in Nigeria.

Background: Nasorespiratory function and its relation to craniofacial growth are of great interest because of the basic biological relationship between form and function, and the accumulating findings of the relationship between mode of breathing, craniofacial growth and orthodontic treatment.

Objectives: The aim of this study was to evaluate the effect of adenoid hypertrophy and sociodemographic variables on the occlusion of children.

Methodology: A total of 180 subjects aged 3-12 years were selected at the Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria.

Percutaneous endoscopic gastrostomy in ile-ife, Nigeria: an initial report.

Background: Protein-energy malnutrition is a common problem in critically ill patient and it is a major cause of accelerated morbidity and mortality in this group of patients. Recent dramatic advances in both enteral and parenteral nutritional support have ensured that most of these critically ill patients are adequately nutritionally supported. Unfortunately, most of these advancements in nutritional supports are far from the reach of most patients in developing countries.

Characterization of colonizing Staphylococcus aureus isolated from surgical wards' patients in a Nigerian university hospital.

In contrast to developed countries, only limited data on the prevalence, resistance and clonal structure of Staphylococcus aureus are available for African countries. Since S. aureus carriage is a risk factor for postoperative wound infection, patients who had been hospitalized in surgical wards in a Nigerian University Teaching Hospital were screened for S.

Rhinocerebral mucormycosis in a diabetic case report.

A 40 year old female Nigerian with uncontrolled diabetes mellitus was referred to a teaching hospital with four week history of facial rash that progressed to extensive ulceration of the mid face and bilateral visual loss. She had complete nasal bridge collapse, nasopalatal fistula with black eschars on the mucosa and markedly elevated fasting blood sugar. Her blood glucose was controlled on insulin, She had surgical debridement and histopathological study done revealed fungi hyphae.

Laryngeal carcinoma: experience in Ile-Ife, Nigeria.

Objectives: This study aimed to determine the prevalent age, pattern of presentation, histopathology type, and outcome of management of laryngeal carcinoma in our environment.

Design And Setting: This was a 10-year retrospective study carried out at a teaching hospital.

Materials And Methods: Records of patients managed for laryngeal carcinoma from January 1994 to December 2004 were reviewed.

Review of skull base surgery in a Nigerian teaching hospital.

Background And Objectives: There is dearth of information on skull base surgery in Nigerians. This study was conducted to determine types of skull base lesions describe surgical approaches to the lesions and determine outcome of surgical management of the lesions over the study period.

Methods: We retrospectively reviewed the case notes of the patients who underwent skull base neurosurgical procedures between January 2001 and June 2007 in our centre.

A retrospective analysis of aetiology and management of epistaxis in a south-western Nigerian teaching hospital.

Background: Epistaxis is a common otolaryngological emergency and is often due to lesions within or around the nose and systemic conditions. Controlling epistaxis presents a challenge in the underdeveloped, resource-poor centres where there are limited facilities.

Objective: To describe the aetiopatogenesis of epistaxis in our hospitals.

Laryngeal carcinoma: our experience at Obafemi Awolowo University Teaching Hospital complex, Ile-Ife, Nigeria.

Objectives: To determine the prevalent age, frequency, pattern ofpresentation, investigations and outcome of management of laryngeal carcinoma in our environment.

Design: 10 year retrospective study (January 1994 to December 2003).

Setting: Teaching hospital.

The role of human immunodeficiency virus infection in infranuclear facial paralysis.

Background: This study describes the pattern of idiopathic infranuclear facial palsy (facial neuropathy) and highlights the role of human immunodeficiency virus (HIV)/AIDS in its occurrence and management.

Patients And Methods: This study conducted in Ile-Ife, Nigeria, assessed individuals with idiopathic facial neuropathy seen at the neurology; maxillofacial surgery; and ear, nose and throat outpatient clinics between 1994 and 2006.

Results: Eighty-eight patients with idiopathic facial neuropathy were seen during the 13-year study period.

Oesophageal denture impaction producing Horner's syndrome: a case report.

Background: Dentures in the oesophagus have been associated with various complications; however, Horner's syndrome following denture impaction has not been reported in our locality.

Case Report: Horner's syndrome developed in a 26-year-old woman following accidental swallowing of an upper denture which then became impacted in the oesophagus. The denture was retrieved via cervical oesophagotomy.

Challenges in management of chronic suppurative otitis media in a developing country.

Background: In developing countries, the rate of complications from chronic suppurative otitis media is still high, due to factors associated with poverty. This study aimed to determine the prevalence of chronic suppurative otitis media and associated complications.

Patients And Methods: We prospectively studied all patients presenting with chronic suppurative otitis media to the ear, nose and throat unit of the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, over a two-year period.

Challenges of managing nasopharyngeal carcinoma in a developing country.

The maxillofacial unit is an uncommon entry point for cases of nasopharyngeal carcinoma (NPC). This report documents involvement of the maxillofacial unit in the management of NPC in Obafemi Awolowo University Teaching Hospitals Complex, Ile-lfe, Nigeria, with the aim of highlighting the challenges associated with recognition and management of the disease. Almost all cases (86.

Compound elevated skull fracture: a forgotten type of skull fracture.

Background And Objective: We report 4 patients who presented with a rare type of vault fracture. This form of fracture has only been described in few instances in the literature.

Case Description: All the patients presented with elevation of free skull fracture fragments.

Acute Otitis media, malaria and pyrexia in the under five age group.

Background: Acute Otitis media is one of the most common childhood infections. It is responsible for every third visit to a pediatrician in a developed world. However, in Nigeria there is scanty knowledge about the incidence of Acute Otitis Media (AOM).

Epidemiology of otitis media in a local tropical African population.

Background: Otitis media is one of the most common childhood infections. There are however very few community based studies on the prevalence of this disease in Nigeria children.

Objectives: To establish the community prevalence of otitis media: and to identify associated environmental and the host risk factors in Nigerian children.

Burkitt's lymphoma of the head and neck region in a Nigerian tertiary hospital.

Background: Burkitt's lymphoma is endemic in Nigeria; it forms about 39% of all childhood cancers. In recent times more of these cases are being seen presenting first to the Ear Nose and Throat clinic.

Objective: This study is designed to look at the pattern of presentation of head and Neck Burkitt's lymphoma at a Nigerian Tertiary hospital and to evaluate current treatment modality.