Publications by authors named "Ayodele O Iyun"

Background: The prevalence of chronic wounds is expected to rise with the increasing elderly population in the society. This rise in prevalence of chronic wounds comes with its consequences such as wound pain and interference with activities of daily living. There's a paucity of data on the impact of chronic wounds in our clime.

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  • Chronic wounds significantly affect patients’ quality of life and healthcare costs, with challenges in accurately assessing their prevalence due to varying definitions and study designs in different regions.
  • A study conducted between January 2007 and December 2022 analyzed data from 866 patients, revealing an annual average of 330 chronic wound cases, primarily post-traumatic wounds, most commonly affecting males aged 41.7 years.
  • There is a strong correlation between older age and the occurrence of chronic wounds, especially on the legs, highlighting the need for improved care of acute wounds to mitigate the burden of chronic wounds.
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  • * The study revealed that the majority of those with CRE had received antibiotics, particularly third-generation cephalosporins, within the past month, indicating potential links between antibiotic use and CRE colonization.
  • * Antimicrobial resistance was prominent, with a high percentage of CRE isolates showing resistance to multiple classes of antibiotics, though susceptibility to tigecycline and colistin was comparatively lower.
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Background: Preoperative localisation of perforators aids in easy intraoperative dissection. Infrared thermography is a simple, safe, and effective tool with a short learning curve that is useful in identifying perforators. It has been found to have a high concordance rate when compared with computed tomography angiography and is useful in identifying arterial perforators in the leg.

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Background: Accurate burn wound size estimation is important for resuscitation and subsequent management. It is also important for the development of referral guidelines in Nigeria.

Objective: To establish whether a significant discrepancy exists in burn size estimation between referral centers and burn units.

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The pediatric age group has been noted to be particularly vulnerable to burn injuries. Burn is the fifth most common cause of childhood injuries. Nigeria has a very young population with a median age of 18.

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Worldwide, thermal burn is the leading etiological type of burn injury accounting for 86% of burn injuries requiring admissions. Flame, Scald, and contact burn are the leading causes of thermal burn. Changes in the sociodemographic characteristics of societies have led to alterations in the epidemiology of burn.

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The coronavirus disease and the subsequent pandemic that followed drastically changed human civilization with disruptive effects on health and overall wellbeing of mankind. This disruptive effect has been shown to include changes in epidemiology of burn injuries. This study therefore aimed to determine the impact of covid-19 on acute burn presentation at the University College Hospital (UCH), Ibadan.

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  • A 16-year study at University College Hospital in Ibadan, Nigeria, analyzed the causes, symptoms, and management outcomes of Acquired Gynatresia (AG) in 31 women, with an average age of 35.6 years, mostly married and educated.
  • The main cause of AG was the use of caustic substances in the vagina, primarily for treating uterine fibroids and infertility, with a significant portion of women experiencing dyspareunia and infertility.
  • Despite an increase in education and healthcare access, there is a lack of awareness about the risks of inserting harmful substances, underscoring the importance of improving health education on AG and its complications.
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Introduction: The management of patients with cutaneous wounds entails both inpatient and outpatient care. There is scarcity of dedicated community wound clinics in Nigeria to guarantee appropriate management of especially difficult-to-heal wounds on outpatient basis. The aim of the study was to describe the pattern of presentation of patients with wounds at a community outpatient wound clinic (COWC).

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Introduction: There has been a significant improvement in the outcome of treatment of large surface area burns in developed countries. A major contributory factor is an early excision and skin grafting of burn wounds. The initial coverage of large surface area deep burn wounds requires the use of temporary skin substitutes such as allografts due to limited skin autografts.

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Context: Although congenital hand anomalies are among the more common musculoskeletal anomalies worldwide, we do not know its prevalence in our practice.

Aims: The aim of the study was to determine the pattern of congenital hand anomalies presenting to our tertiary plastic surgery outpatient service in South-Western Nigeria.

Materials And Methods: This is a cross-sectional retrospective analysis of outpatient cases of congenital hand anomalies presenting over a 10-year period.

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Background: Africa, with the largest number of paediatric burns needs to focus more attention on paediatric burn survivors. Burn injury truncates schooling in child and adolescent burn patients. The aim of this study was to determine the time to return to school and factors influencing this in child and adolescent burn patients.

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Background/objectives: Keloids are reportedly rare at the extremes of life. We sought to describe the epidemiology of pediatric keloids seen at the plastic surgery outpatient department of the University College Hospital, Ibadan.

Methods: We retrospectively reviewed all children younger than 19 years who presented with nonburn keloids between 2008 and 2014.

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Methylated spirit burns have been reported following domestic uses such as igniting fondues. It has also been used as an accelerant for self-immolation. We report the first documented case of severe methylated spirit burns sustained during traditional hair dressing.

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Background: Chronic wounds are a drain on resources both for the patient and health institution. Management of chronic wounds based on evidence-based practice requires baseline data for adequate planning.

Objectives: This study was carried out to determine the point prevalence of chronic wounds in a tertiary hospital (University College Hospital, Ibadan, Nigeria) and utilize this information for subsequent wound care planning.

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Objective: Inhalation injury is an acute respiratory tract insult caused by direct thermal injury, carbon monoxide poisoning, or toxic chemical inhalants, such as fumes, gases, and mist. The aim of this study is to review the authors' experiences in a regional burn unit in a developing country.

Methods: The University College Hospital, Ibadan, Nigeria prospective burn unit database was retrospectively reviewed from January 2001 to December 2013 and analyzed using SPSS software, version 16 (SPSS Inc, Chicago, IL).

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