Improvised Vacuum-Assisted Closure for severe neck infection in poorly equipped conditions.

Introduction: Dental infections are common and are mainly due to dental caries. When left untreated, these infections can lead to severe life-threatening sepsis.

Case Report: The authors reported a case of a severe odontogenic deep neck space infection in a 54-year-old male.

[Primitive oto-rhino-laryngology and cervico-maxillofacial tumors: epidemiological and histological aspects].

Introduction: Establish the panorama of primitive oto-rhino-laryngology and cervico-maxillofacial tumors diagnosed at a reference center in Togo.

Methods: We conducted a retrospective, descriptive study of cancers diagnosed at the ORL and cervico-maxillofacial surgery department of the CHU Sylvanus Olympio of Lomé. It was conducted over a period of 10 years (1 January 2005 - 31 December 2014).

Left parapharyngeal ectopic goitre associated with eutopic thyroid and postoperative Horner's syndrome.

Introduction: The authors report a case of left parapharyngeal ectopic goitre, in which resection was followed by postoperative Horner's syndrome, and describe the difficult management of this entity.

Case Report: A 25-year-old woman presented with upper oesophageal dysphagia and a well-demarcated left parapharyngeal mass displacing the great vessels laterally and posteriorly. The mass was resected via an exploratory neck incision.

[Malignant parotid tumors: epidemiology in Togo].

Introduction: We had for aim to determine the epidemiological profile of malignant parotid tumors in sub-Saharan country: Togo.

Patients And Methods: We retrospectively studied the files of patients seen and treated for malignant parotid tumors, from January 1989 to December 31, 2008, at the Tokoin teaching hospital. Patients treated for another malignant tumor at the same time were excluded from the study.

A bulky dermoid cyst of the floor of the mouth.

Introduction: Bulky dermoid cysts of the floor of the mouth are very rare and may pose a problem of diagnosis. They also raise problems for the anesthesiologist and surgeon. We report the first case to be described in Togo.

Ossifying fibroma of the maxillary sinus at the Kara (Togo) Teaching Hospital.

Introduction: Ossifying fibroma of the jaw is a benign tumorous disease, somewhat rare and aggressive. It frequently targets the mandible, but seldom the maxillary.

Case Study: The present study reports the first case of left maxillary sinus fibroma treated at the Kara Teaching Hospital in North Togo.

[Mandibular tumours: epidemology, diagnostic and therapeutic aspects concerning 91 cases].

Unlabelled: Oro-facial tumours are frequent and raise post-operational functional and aesthetic problems. What might be the situation of the mandibular tumours at CHU Tokoin-Lome (University Hospital Centre of Lome-Tokion).

Objectives: The aim of this study was to determined epidemiological, diagnostic and therapeutic aspects concerning the mandibular tumours.

[Imflammatory myofibroblastic tumour of nose and paranasal sinuses in a little girl of 7-year-old].

Inflammatory myofibroblastic tumours (IMTs) are clinical and pathological distinct entities with controversial biological entities. IMTs have been described in the lungs, abdomen, retroperitoneum and extremities but rarely in the head and neck region. This case report corresponds to an IMT of the nose and the paranasal sinuses in a little girl of 7 years of age.

[Tumours of the accessory salivary glands. Epidemiological and anatomopathological aspects].

Introduction: Several series of studies on the tumours of the accessory salivary glands have shed light on their anatomopathological and epidemiological aspects in Western countries. Only a few studies of this kind have been carried out in our countries.

Objectives: To study the anatomopathological and epidemiological aspects of the accessory salivary glands in order to compare the literature data.

[Partial laryngectomies at the University Hospital Center of Dakar].

Our experience on partial laryngectomies stretched on a period of 16 years. In an unfavorable medical environment, we issue our indicative criteria throughout this experience. From January 1st 1981 to December, 31st 1996, 14 patients have had a partial laryngectomy in University Hospital Center of Dakar.

[Cancers of the larynx: what therapeutic strategy to use in Senegal?].

The technical method's deficiency limits the respect of therapeutic principles of cervico-facial oncology in our practice. In a period of 16 years, 116 patients, aged of 24 to 81 years, sex male in a majority have had laryngectomy for extended cancer. In 88% of cases total laryngectomy has been realized and in 12% of cases a partial laryngectomy has been realized.

[Malignant non-Hodgkin's lymphoma of the lip: a case report].

The non Hodgkin's lymphoma of the lip is rare. A 3-year-old child with non-Hodgkin's lymphoma of the upper lip (stage I in the Ann Harbor system) was reported. An immunodeficiency, been in correspondence with a food deficiency, was probably a causal factor.

[Our experience of carcinoma of the larynx in Togo].

This is a retrospective study of 33 patients with squamous cell carcinoma of the larynx from the end ward at Tokoin Teaching Hospital in Lomé. This series is from 1981 and 1995 (1 T1, 6 T2, 15 T3, 11 T4). This is an uncommon cancer.

Peripheral facial paralysis (PFP) and HIV infection in Togo.

Objectives: The purpose of this study was to determine the seroprevalence of HIV in a group of 150 patients with PFP and to study the semiological and evolutive aspect of PFP in patients with or without HIV.

Material And Methods: This semilongitudinal study was conducted during 6 years (1990-1995) at the Lomé teaching hospital. Patients consulting for PFP had the HIV test and regular controls.

[Foreign bodies of the esophagus: etiologic and therapeutic aspects. Experience at the CHU of Lomé (Togo)].

Aim: To give details of the management of esophageal foreign bodies (EFB) at our hospital.

Design: Retrospective case review.

Setting: ENT ward of Tokoin Teaching Hospital, Lome, Togo.

[Sinus mucoceles. Apropos of 5 cases].

Our retrospective study of 5 cases of sinus mucocele confirmed its rarity and occurrence at any age. This uncommon disease might be due to an association of inflammation, ostium closure and hypersecretion. The volume of the fronto-ethmoidal mucocele let us operate on patients either by orbito-superciliary route or through the frontal scalp.

[Tracheotomy: review of five years at the University Hospital of Lome, Togo].

From a review of 37 cases, this retrospective study relates the activity of the Otorhinolaryngology service at the University Hospital Center of Lomé, as regards tracheostomy. It details: - a high rate of urgent tracheostomy (76%) for laryngeal carcinoma and papillomatosis; - a high rate of complication (29%) and death (5%). This is due to the urgency of tracheostomies, unsuitable cannulae, irregular nursing and prolonged cannula carrying.

[Thyroid oncology in ORL practice. Apropos of 87 cases].

The authors report a high thyroid cancer incidence. The thyroidite and the patient age explain it. The thyroidectomy is not subordonated by an extemporane histologic examination.

[Bilateral choanal atresia in the newborn. Recommended management apropos of 1 case observed in Lomé, Togo].

The bilateral choanal atresia is a neonatal emergency. Its diagnosis is easily evoked when faced with a respiratory distress and cyanosis. It is quickly confirmed by a nasal optic endoscopy or when a nasopharyngeal aspiration catheter is held up by an obstacle.

[Choanal atresia. An unrecognized malformation. Report of 3 cases at the Lomé University Hospital Center].

The choanal atresia is a rare congenital malformation. Its clinical diagnosis is easy and must be done at the birth by the midwife or the obstetrician. We recommend the aspiration in all hospital maternity wards.

[Intracranial and cranial complications of paranasal sinusitis. Report of 4 cases at the Lomé University Hospital Center].

The complications of paranasal sinusitis are rare (only 4 cases have been observed during 5 years). The acute frontal sinusitis is the most frequent cause. The diagnosis of the frontal osteitis and the extradural abscess is made during the course of the surgical intervention.