<p class="abstract"><strong>Background:</strong> The degree of hearing loss is directly proportional to the size of tympanic membrane (TM) perforation. However, there is dearth of information on correlation between severity of hearing loss and location of perforation on the tympanic membrane. The objective of the study was to determine the hearing level of adolescent and adult patients with tympanic membrane perforation.</p><p class="abstract"><strong>Methods:</strong> A cross sectional study at the ENT Clinic, University of Benin Teaching Hospital (U.B.T.H), Benin City. Consecutive patients with TM perforations were examined with ‘‘Firefly video-otoscope’’, and subsequently had pure tone audiometry. The contralateral intact TMs in individuals with unilateral TM perforation and the ears of students and staff of Institute of Health Technology UBTH were used as control. Data was analyzed using statistical package for social sciences (SPSS) version 20 and Image J software. P≤0.05 was considered statistically significant. </p><p class="abstract"><strong>Results:</strong> Two hundred ears from 148 patients with TM perforation in either or both ears were studied. Conductive hearing loss (CHL) had the highest prevalence; 64.3% and 55.9% in the right and left ears respectively. Slight CHL; 67.5% was more common. However, the severity of hearing loss increased with the size and also varied with the location of TM perforation.</p><p><strong>Conclusions:</strong> The hearing level among adolescent and adult patients with TM perforation showed a significant association with the size and the location of the perforation on the TM.</p>
To call attention to the synergistic benefit of working as a team in a clinical department and to encourage others, to emulate this pattern of patients' care for better results. Patients that were seen at the Ear, Nose, Throat, Head and Neck Surgery Clinic of the University of Benin Teaching Hospital, Benin City, Nigeria, who had the benefit of their cases reviewed by more than one consultant were included into the study. Parameters retrieved from the case notes included number of consultants that reviewed each case, age, sex of patients, diagnosis, whether there was controversy, complimentary or synergistic benefit from the team work. 124 patients completed the study. 99 patients (79.84%) were reviewed by two consultants and 25 (20.16%) were reviewed by three of the four consultants available in the department. 79 (63.71%) patients had the benefit of a complimentary management, while 38 (30.65%) had synergistic benefit from the team work. Intradepartmental team work in patient management produces synergistic benefit for patients and more experience among consultant staff.
<p class="abstract"><strong>Background:</strong> In Nigeria it has been estimated that 3.6% of the population are living with HIV/AIDS. Patients with different social, family, occupational and epidemiological background present for ear, nose, throat, head and neck (ENTH&N) surgeries in our hospital. The aims of the study were to determine the prevalence of HIV infection among patients for ENTH&N surgeries and to document the ENTH&N conditions that were associated with HIV infection.</p><p class="abstract"><strong>Methods:</strong> This was a prospective study that was carried out in the ENTH&N Surgery department of UBTH, Benin City, Nigeria, between January, 2009 and December, 2010. All patients that were worked up for surgeries were enrolled into the study. Appropriate data were retrieved from the patients who gave informed consent for surgery and had retroviral screening and confirmatory tests by ELISA and Western blot methods respectively. The retroviral status of all the patients and the indications for the surgical procedures done were documented. </p><p class="abstract"><strong>Results:</strong> There were 173 patients; 100 males and 73 females, with a male to female ratio of 1.37:1. Ages ranged from 0.83 years to 72 years, with an average age of 26.82 years. Out of a total of 168 patients screened for HIV infection in this study, 6 patients were retroviral positive. This gives a prevalence of 0.036%. Out of the 6 patients that were retroviral positive, 3 patients had chronic tonsillitis, 1 patient had chronic tonsillitis and otitis media with effusion, while the other 2 patients had submandibular gland and nasopharyngeal tumours respectively.</p><p><strong>Conclusions:</strong> A prevalence of 0.036% of HIV infection was found in patients for ENTH&N surgeries. Chronic tonsillitis was the commonest presentation of HIV infection, equally followed by OME, nasopharyngeal and submandibular gland tumours. </p>
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