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This updated review based on the largest number of AOT cases ever presented, confirms the distinctive, although not pathognomonic clinicopathological profile of the AOT, its worldwide occurrence, and its consistently benign behaviour.

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The pattern of prescription drug use in Nigerian Army hospitals is unsatisfactory. It is characterised by high number of drugs per prescription, high rate of antibiotic usage and unscientific prescription by doctors. There is a need for further education and research on rational drug use among prescribers in Nigerian military health facilities.

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Background: There is an upward trend in facial injuries following changes in population pattern, increasing industrialization and urbanization, hence maxillofacial trauma is becoming a burden and a leading medical problem in emergency rooms worldwide. Method: A retrospective study of patients with maxillofacial fractures seen and treated at the Oral and Maxillofacial Unit, Ahmadu Bello University Teaching Hospital, Kaduna, Nigeria between January 1993 to January 2003. Data extracted from the patients' records include aetiology, age, sex, types and sites of fractures, treatment modality and concomitant injuries. Results: There were 820 fractures of the maxillofacial skeleton and 70 concomitant injuries from 543 patients. Road traffic accident (50.8%) was the most common aetiologic factor, followed by falls (22.3%) and fights (18.8%). The age range was from 3½ years to 67 years (mean=39.7) with a peak incidence in the 4 th decade (n=197, 36.3%) with a male-female sex ratio of 3.7:1. The most common location of maxillofacial fractures was the mandible 615(75%) and middle third 205(25%). There were 316(58.2%) isolated mandibular fracture, 124(22.8%) isolated middle third fractures and 65(12%) combined mandibular and middle third fractures. Majority of the patients were treated by closed reduction. Concomitant injuries were 8.5% with orthopaedic injuries accounting for the majority (67.10%). Conclusion: Maxillofacial fractures are on the increase. We advocate the establishment of regionalized trauma centers.

Management of salivary glands tumours in our environment is a challenge due to late presentation and the size of the tumour.