The prevalence of AR symptoms in Parakou was high. A non-negligible proportion of symptoms were severe. This disease merits special attention in the city.

Purpose of the work: to study the epidemiological, clinical and therapeutic aspects of diffuse cervico-facial cellulitis collected within the ENT-CCF surgery department of the CNHU of Cotonou. Materials and method: the study was a descriptive retrospective carried out from January 1 st , 2018 to December 31 st , 2020. It concerned new cases of diffuse cervico-facial cellulitis identified during the period. Results: in 3 years, 55 cases of diffuse cervico-facial cellulitis were identified out of 1101 hospitalized patients. The frequency was 4.99%. Per year, 18 cases of cervico-facial cellulitis are recorded. The mean age of the patients was 41.3 years with extremes of 15 years and 85 years. A clear male predominance was noted with a sex ratio of 1.29. Painful cervico-facial swelling was the most common reason for medical consultation (47 patients or 85.5% of cases). Thirty patients (54.5%) showed a deterioration in general condition. Several clinical forms of diffuse cervico-facial cellulitis have been described, in particular the gangrenous form, the suppurative, necrotizing form and LUDWIG's angina. The portal of entry was dental in 50 patients (91% of cases), favored by poor oral hygiene and self-medication with non-steroidal anti-inflammatory drugs (NSAIDs). The medico-surgical treatment implemented was favorable for 47 patients (85.5%). Conclusion: Diffuse cervico-facial cellulitis remains a frequent medical-surgical emergency in the CCF ENT department at the Teaching Hospital of Cotonou. Mainly of odontogenic origin, it is encountered in different clinical forms.

The study analyzed the correlation between the presence of concha bullosa with the presence of radiological sinus opacity and sinonasal functional symptoms. All patients whose computed tomography (CT) findings were positive for concha bullosa were included in the study. The CT parameters taken in consideration were the presence and volume of concha bullosa, the aspect of the ipsilateral maxillary sinus (normal transparency, presence of sinus opacity). Clinical parameters were sinonasal functional signs. Statistical comparisons were made using the Pearson Chi square test. Over a four years period, 2436 CTs were interpreted, 276 of which presenting a concha bullosa (prevalence of 11.33%). The average age was 33 (19 to 63). Females (204 either 74%) outnumbered men (72 either 26%). An opacification of the ipsilateral maxillary sinus seen upon CT was statistically related to the presence of a large concha bullosa (p = 0.02). On the other hand, the presence of a clinical symptomatology of maxillary sinusitis crossed with the presence of a large concha bullosa was not significant (p ˃ 0.50). This study has demonstrated a close correlation between the existence of a large concha-bullosa and an ipsilateral maxillary sinusitis seen on CT-Scan without necessarily having clinical manifestation of sinusitis. The diagnosis of sinusitis must remain primarily clinical.

Introduction: Goiter often poses aesthetic disgrace problem. The psychosocial impacts of goiter, in particular in woman may be significant. Objective: studying the psychological and social impacts of the disease in goiter patients within the African context and their consequences on the treatment. Methods: It was a transversal study that took place from May 1to July 31, 2011 in the Collines and Donga departments situated in the center and the north of Benin. The study consisted of a survey conducted through an individual discussion based on questionnaire submitted to goiter patients who accepted to provide their answers. Results: This survey involved 86 patients of which 83 women and 3 men. Their average age was 43.7 ± 13.41. Goiter was noticeable in the totality of the patients. 68.6% of patients declared that they experienced on daily basis the shame caused by the disease. 66% thought that it was a natural disease; however, 27.9% believed that it was caused by bewitchment or sorcery. 46.5% and 37.2% resorted to modern and indigenous medicine respectively; 16.3% made no therapeutic move. Despite the psychosocial impacts of the disease, 50% of the patients rejected surgical intervention possibility. The core motives they raised were lack of financial means (34.8%), disease recurrence fright (23.3%), anesthesia fright (16.3%), and surgical fright (14%). Conclusion: Despite the psychological impacts of the disease, strong resistance exists probably more on cultural aspect than the motives mentioned by thyroidectomy patients.

No abstract

Thyroid cancers are generally rare and represent 1% of head and neck cancers. They count for 5.39% of thyroid tumors. Among them, differentiated carcinomas are the most common, including papillary and vesicular forms. However, there are other thyroid cancers that are very rare, one of them being thyroid adenocarcinoma, which in most cases is a metastasis of lungs, breasts, colon, rectum, prostate or renal cancers. The goal of our study is to report a rare case of primary adenocarcinoma of the thyroid gland and to describe the clinical, histological, and therapeutic aspects. A 42-year-old patient with a history of lobo-isthmectomy in December 2013 for a right thyroid nodule, in the ENT department of the Heinrich Lübké Hospital in Diourbel, whose immediate and early post-operative follow-up was uneventful came back in March 2015, 16 months later, with an anterolateral mass of the neck, at the level of previous surgical site. The mass was hard, measuring 5 cm in its greater axis. Para clinical explorations revealed a recurring tumor. Anatomo-pathological examination after surgical excision resulted in a primary adenocarcinoma of the thyroid gland. Adenocarcinoma is a cancer that rarely occurs in the thyroid gland. It is often a secondary metastasis from another organ. The primary adenocarcinoma in the thyroid makes for a very poor prognosis despite good management. Frequent recurrence or persistence of the tumor are often seen during post-operative follow up.

No abstract

Introduction: Acute maxillary rhinosinusitis (AMRS) is one of the most common ear, nose and throat infections. The aim of this study was to contribute to the improvement of the management of the condition in sub-Saharan Africa. Material and Method: This was a cross-sectional, descriptive study that ran from January 1, 2017 to December 31, 2021 in the ENT-HNS department of the "Centre Hospitalier et Universitaire de Zone de Suru-Léré" (CHUZ SL) in Cotonou, Benin. It involved all patients who consulted during the study period and in whom the diagnosis of acute maxillary rhinosinusitis was made. Results: A total of 405 cases were identified. The mean age was 34.26 ± 15.26 years with extremes of 9 and 63 years. The predominance was female with a sex ratio of 0.61. Acute maxillary rhinosinusitis was bilateral in 371 cases (91.60%). The main symptoms were facial pain in 346 cases (85.43%), mucopurulent rhinorrhea: 315 cases (77.78%), headache: 283 cases (69.88%), and nasal obstruction: 244 cases (60.25%). The most frequent physical signs were pain on pressure of the maxillary sinus points in 405 cases or 100%, purulent secretions at the middle meatus: 11.35%, hyperemia of the nasal mucosa: 53.58%, hypertrophy of the middle turbinate: 41.48% and discharge of pus on the posterior pharyngeal wall: 36.79%. Amoxicillin + clavulanic acid was the main antibiotic prescribed. Vasoconstrictors were used in 228 cases 56.30%. The evolution was favorable in all cases. Conclusion: The diagnosis of acute maxillary rhinosinusitis is clinical. Treatment with antibiotic gives good results.