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|Title: ||Prevalence and Prognostic Profile of Otologic Emergencies in a Low Resource Country|
|Authors: ||Kokong, Daniel D.|
Ijaduola, Gbolagonte T.
|Issue Date: ||2015|
|Publisher: ||Archives of Medicine|
|Series/Report no.: ||Vol. 7;Iss. 5,6; Pp 1-6|
|Abstract: ||Background: Emergency care is a measure of quality of care in a health system.
Method: Cases that met the inclusion criteria for otologic emergencies over a
3-year period, January 1, 2003- December 31, 2005 in the Otorhinolaryngology,
Head and Neck Surgery department, University College Hospital, Ibadan, Nigeria,
were studied. Retrieval of files utilised the ICD-10 version 10 standard codes.
Results: We evaluated 231 otologic emergencies (OE) of the 346 otolaryngologic
emergencies with 113 males (48.9%) and 118 females (51.1%). These constitute
66.7% otolaryngologic emergencies and 22.5% ENT outpatients, respectively.
Their ages ranged from 2weeks-101 years, with a mean age of 29.4years ± 22.3.
Age group 0-10 yr had 58(25.1%), the highest. Bloody otorrhoea was the most
common presentation with 94 (40.7%). Of this, 39(16.9%), constituting 1.0%
oto-laryngologic consultations, being from domestic violence (slaps). Women
and children accounted for 94.9% of the victims. Sixty-one patients (26.4%) had
acute otitis media while forty-five (19.5%) were cases of road traffic accident
with CSF leak. The study recorded 23 (10.0%) cases of vertigo which were majorly
BPPV (n=11, 4.8%). Sixteen cases (6.9%) had facial nerve palsy of which 2 (0.9%)
were secondary to malignant otitis external that expired. Fifteen patients (6.5%)
had sudden hearing loss. All the 3 (1.3%) cases of otogenic tetanus, 2 (0.9%) of
intracranial complications of chronic suppurative otitis media (CSOM) and the 4
(1.7%) cases of middle ear tumours succumbed. Overall morbidity 27 (11.7%) and
fatality was 11 (4.8%).
Conclusion: Otologic emergencies are the most prevalent in Otolaryngologic
practice with a significant grave prognosis.|
|Appears in Collections:||Surgery|
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