Nasal parameters measurements are useful in anthropology to distinguish people into racial and ethnic groups. Materials and methods:A cross-sectional survey among Nigerians aged 18 to 70 years of Nigerian parentage randomly selected at the ENT Clinic of the University of Ilorin teaching hospital (U.I.T.H.), Ilorin, Nigeria without gender discrimination had measurement of their nasal parameters done using a sliding caliper: Nasal height, width, tip protrusion, alar thickness, nasal septal thickness and nares diameter.Results: 105 subjects were seen, the age range 18 to 70 years (mean of 28.63 + 13.06 years). There was 58 males and 47 females with a male/female ratio of 1.2:1. The mean nasal width/height (Nasal index -NI) was 90.7 in males and 88.2 in females. Males had a higher NI compared to female (p < 0.03). The commonest type of nasal variability is Type A (70.5%), Platyrrhine nose, Type B (26.7%) especially in females (mesorrhine) and Type C (leptorrhine) (2.8%). Conclusions:There is significant association between the sex of an individual and type of Nose. Platyrrhine nose, among males and mesorrhine among females, only 2.8% being leptorrhine. The nasal indices were higher in males than in females. Braz J Otorhinolaryngol. 2011;77(5):589-93. ORIGINAL ARTICLE BJORL
Summary Introduction:?Aging process is associated with degeneration in different part of the body There is scarcity of literature on the otological diseases in the elderly black African especially Nigerian which is the largest African nation. Thus this study is done with the aim of highlighting the pattern of otological diseases in elderly for careful cost-effective health care plans and to make the aging period more fulfilling and tolerable to the elderly. It is therefore hope that the information will go a long way to assist other African countries as well. Method:?The study is a ten year hospital-based retrospective study between January, 1999 and December, 2008 at the ENT Department of Unilorin Teaching Hospital Ilorin. All patients aged 65 years and above with otological complaints were included in the study. Results:?A total of 740 Elderly patients were included in the study. The male to female sex ratio was 1.5:1.0.Petty Traders accounted for 300 (40.5%) of cases; 87 (11.8%) were Farmers; 250 (33.8%) were Retired Civil Servants; 68 (9.2%) were Unskilled Laborers and 35 (4.7%) were full-time Housewives. Aural wax impaction was the commonest otological disease found, accounting for 360 (48.7%) of cases, Hearing loss (presbyacusis),158 (21.4%); Tinnitus,78 (10.5%) and Otomycosis,64 (8.5%).Other conditions were CSOM,34 (4.6%);Foreign body Impaction,32 (4.3%); Vertigo,10 (1.4%) and Aural Tumours,5 (0.6% ). Conclusion:?Aural wax impaction was the commonest disease found, thus it is important to always do full audiologic evaluation after aural syringing to rule out other conditions such as presbyacusis and aural tumours in elderly. Continuing medical education is recommended for the general practitioners for early recognition and referral.
Summary Introduction/Aim:?This study is to determine these manifestations among HIV/AIDS patients in Ilorin to update on previous study. Method:?This was a prospective study of all consecutive new patients confirmed to be HIV positive attending the HIV clinic of the University of Ilorin Teaching Hospital, Ilorin, Kwara state, Nigeria between January and July, 2009. These patients were on HAART anti retroviral drug treatment. The information retrieved included the biodata, clinical presentation, otolaryngologic clinical findings, as well as their hearing assessment with Pure tone audiometry. Results:?74 out of the 89 HIV patients(82.8%) had otorhinolaryngological manifestations with the age range of 3 to 62 years (Mean of 36.4 yrs, SD?=?2.45????0.02). The modal age range was 21-40 years (59.6%) 51males (57.3%) and 38 females (42.7%) and a sex ratio of 1.3:1. Commonest otorhinolaryngological features included nasal in 45.6% (chronic rhinosinusitis), oral/oropharyngeal in 23.9% (oral candidiasis), otological in 21.5% (Serous otitis media) and cervical adenopathy in 9%. Conclusion:?Otorhinolaryngological manifestations were found in 74 patients (82.8%) and commonest features included chronic sinusitis, oral/pharyngeal candidiasis, serous otitis media with cervical adeopathy in that order. It is important for otolaryngologists to be aware of otolaryngological manifestations, so early diagnosis and timely intervention alongside appropriate anti-retroviral therapy be instituted to improve survival rates.
Summary Introduction:?The recurrent respiratory papillomatosis (RRP), which is caused by the human papilomavirus type 6 and 11, is the most common benign neoplasm in the larynx among infants and the second more frequent cause of the hoarseness in childhood. Is a enigmatic disease that can be devastating for those whom are affected. Is way misunderstood, and the investigation is still on matter. Objective:?This review had as objective provide a global vision and an update of what is recognized about the RRP and that is ahead of interns therapies. This surgical and adjuvant was performed through the research of database PubMed, MEDLINE, Cumulative index to nursing and health, Allied Literature and Cochrane. Eletronic library sought to use the headers of the subject ?Recurrent Respiratory Papillomatosis?, ?Juvenile Laryngeal Papillomatosis?, ?Respiratory Papillomatosis?, ?Pediatric Laryngeal Obstruction? and ?Airway Management?. The obtained results were analyzed of relevance for the theme. Discussion:?The human papillomavirus (HPV) is a little DNA virus that contain. The recurrent respiratory papillomatosis can affect people of any age, with the younger patient identified in a day of age and the oldest with 84 years. The most common presentation is the supporter of the RRP, it is the hoarseness. The therapy has been repetitive and debulking. The objective is to erradicate the disease, without damaging the normal structures. None modality has proven effective in the eradication of RRP. Conclusion:?Recurrent Respiratory Papillomatosis is a frustrating disease, capricious with the potential of the morbid consequences by the cause of involvement of the airway and the risks of malignant degeneration.
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