Background:The study aims to highlight common indications as well as outcome of treatment among patients with tracheostomy in Ilorin, North-Central Nigeria.Methods:A review of clinical records of all patients with tracheostomy over a period of ten years (2002-2011), using the Theatre, Ward, ICU and the emergency register after approval from the ethical review committee. Data retrieved included; demographic profile, primary diagnosis, indication for tracheostomy, surgical technique, hospital admission and care outcome of management. All information retrieved input and analysed using an SPSS version 17.0 and data analyzed descriptively.Results:Seventy-six patients had complete data for analysis, age range from 1-89yrs, and mean age of 41.9yrs. There are 48males and 28 females with M:F ratio of 1.6:1. Majority of the patients were in the 3rd–5th decade. About 47.4% had temporary tracheostomy. The commonest indication for tracheostomy is upper airway obstruction secondary to aerodigestive tract tumors in 60.5%, then trauma in 26.3%. The complications are higher among the under tens’. Out of the 36 temporary tracheostomy only 18 were successfully decannulated. The mean hospital stay was 22±2days. Overall 15% mortality was recorded.Conclusion:Common reason for tracheostomy is essentially same earlier documentation in developing countries, common among males, emergency type still most common, neoplasm, prolonged intubation and trauma are the commonest indications, its complication is still high among the under tens’. The outcome is good with 15% mortality due to the primary disease and not from tracheostomy.
Objective: The aim of this study was to determine the prevalence of traumatic dental injuries among new orthodontic patients.
Method: The dental records of 150 patients consisting of 57 males (38%) and 93 females (62%) with a mean age of 18.4 ± 7.6 years who presented for orthodontic treatment at the University of Benin Teaching Hospital Dental Centre were assessed for data relating to traumatic Injuries to the permanent anterior teeth. The causes and types of dental trauma, type of tooth involved and number of affected teeth were evaluated with patients' histories, study casts and pretreatment radiographs. Descriptive statistics were performed for the study variables, age and gender differences In the frequency of traumatized teeth were evaluated with the chi-square test.
Result: The results revealed dental trauma prevalence of 21.3% among the new patients before the onset of their orthodontic treatment. The prevalence of dental trauma was significantly higher in males (p<0.05) and most frequently observed In patients aged 6 to 10 years. Falls was the commonest cause of dental traumatic Injuries among the patients (37.5%). The most common type of trauma to the teeth was enamel fracture (46. 9%) followed by avulslon (28.1 %). Most traumatic Injuries affected the right and left maxillary central Incisors. Frequency of trauma to only one tooth was observed in 68.8% of the patients and multiple teeth Involvement seen In 31.2%.
Conclusion: This study revealed a high prevalence of traumatic dental injuries among new patients seeking orthodontic treatment at Benin City, Nigeria. An early orthodontic evaluation and interceptive therapy where appropriate is recommended to reduce risk of dental trauma in Nigerian young population.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.