Skull base surgery in a large, resource-poor, developing country with few neurosurgeons: prospects, challenges, and needs.

Background: Upon returning home to Nigeria from postresidency fellowship training in skull base surgery, using expertise gained overseas, we applied appropriate treatment to various skull base pathologies. This is an audit of our initial experience.

Methods: This is a prospective, descriptive survey of all the skull base pathologies operated on during 30 months.

Delayed lymph node metastases after elective neck dissection in patients with oral and oropharyngeal cancer and pN0 neck.

Purpose: Patients with surgically treated head and neck cancer and clinical N0 neck with high risk of occult lymph node metastasis undergo elective neck dissection (ND). Late lymph node metastasis may appear in those patients with pN0 neck. The aim of the present study was to analyze the incidence and clinical relevance of late lymph node metastasis in patients with head and neck cancer.

Acanthosis nigricans in the head and neck region.

Background: The sudden appearance of acanthosis nigricans on the skin of an individual is highly suggestive of an underlying clinical disease. However, there is no information on its possible association with head and neck disease in our environment.

Objective: To determine the prevalence of acanthosis nigricans and identifying the underlying associated medical and oncologic factor in an Otorhinolaryngologic, head and neck practice.

Impacted radio-opaque glass in the oesophagus of a child.

Most ingested foreign bodies in the aero-digestive tracts in both children and adults are not radio-opaque, and as a result, a preoperative plain radiograph may not be helpful. However, incorporating radio-opaque markers into such potential foreign bodies like toys, beads, and dentures during manufacture (as illustrated in this case of a 6-year-old boy who ingested a piece of glass mirror which was easily seen on X-ray) would obviate this problem. While this may constitute some financial burden on manufacturers, the cost effectiveness on health management is non-negotiable.

Migraine and Meniere's disease: two different phenomena with frequently observed concomitant occurrences.

Background: Some variants of migraine could be indistinguishable from Meniere's disease, and this has prompted suggestions of possible association between the two disease entities.

Aim And Objectives: This study aims at determining the prevalence of migraine among Meniere's patients and a possible linkage between the two diseases in our environment.

Methodology: A 10-year retrospective study of patients diagnosed with Meniere's disease using American Academy of Otorhinolaryngology criteria, including those that had associated migranous symptoms in accordance with the International Headache Society (IHS) diagnostic criteria for migraine, between 1996 and 2005.

Otomycosis in western Nigeria.

Otomycosis is a recognized clinical entity in the tropical regions of the world. However, there is scanty information on this disease in some parts of Sub-Saharan Africa. The aim of this study was to determine the prevalence and pattern of etiological agents of otomycosis in western Nigeria.

Amyloid angiopathy of the floor of the mouth: a case report and review of the literature.

Amyloidosis is a rare disease characterised by the deposition of insoluble extracellular fibrillar proteins in various tissues of the body. The pattern of manifestation is organ dependent and also on whether the disease is localised or systemic, primary or secondary.Though the disease is usually fatal with a 5-year survival rate of 20%, there is still paucity of literature on this disease entity worldwide.