Traditional uvulectomy in Niger: A public health problem?

Prual, Alain; Gamatie, Y.; Djakounda, Mariama; Huguet, D.

doi:10.1016/0277-9536(94)90379-4

Cited by 36 publications

(58 citation statements)

References 10 publications

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“…However, some previous studies (3,8), which were longitudinal and conducted by people who had enough medical knowledge to differentiate the named indications such tonsillitis, laryngitis and pharyngitis, carcinomas of larynx, carcinomas pharynx and carcinomas of tonsils, were more specific and therefore were able to diagnose these conditions. Also differences in the degree of cultural beliefs such as the culture of performing rituals during the naming of babies ceremonies play an important role (Prual et al 1994). Ignorance regarding health and health services utilization is a possible factor in subjecting the children to various traditional surgeries and failure in recognizing the possible harzads fo such surgeries (1,5,8,9).…”

Section: Discussionmentioning

confidence: 99%

“…Also differences in the degree of cultural beliefs such as the culture of performing rituals during the naming of babies ceremonies play an important role (Prual et al 1994). Ignorance regarding health and health services utilization is a possible factor in subjecting the children to various traditional surgeries and failure in recognizing the possible harzads fo such surgeries (1,5,8,9).…”

Section: Discussionmentioning

confidence: 99%

“…Uvulectomy was also shown to cause complications including septicemia, tetanus, gangrene, abscesses, HIV, airway obstruction, lacerations and death (3). A study done by Prual (9) in Niamey, capital of Niger in 1992, revealed that complications were infections (including tetanus), hemorrhage and passage of the uvula further down the respiratory tract.…”

Section: Discussionmentioning

confidence: 99%

“…A study done by Prual (9) in Niamey, capital of Niger in 1992, revealed that by the age of 5 years, 19.6% of children in the survey had undergone uvulectomy. The severe complications represented 7.8/1000 cases of hospitalization for children under 15 years of age.…”

Section: Introductionmentioning

confidence: 99%

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The practice of uvulectomy and related complications among children aged below 6 years in Ilemela district, Mwanza, Tanzania

Taylor¹

2009

Tanz. Dent. J.

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Aim: The aim of the study was to asses the prevalence of traditional uvulectomy , the age at which it is normally performed, the reasons as well as the associated complications. Study Design: This was a descriptive cross sectional community based study done in Mwanza region in Tanzania during the months of August-September 2007. Study subjects and Methods: The targeted respondents were 242 parents/guardians of children from 6 years and below, comprising of 45.2% males and 54.8% females. Multistage random sampling technique using ballot system was used to get the region and district. Using the same system by listing all the wards in Ilemela districts Kirumba ward was selected. All households with children in the desired age were included and the schools and ten-cells were randomly select to attain 242 children. Children below 3 months could not be available in the study population. Results: Prevalence of uvulectomy in this study was 3.6%. It was found to be higher among females (4.38%) than males (2.65%), but the difference was not statistically significant (P= 0.417). The majority (77.78% ) of those reported to have done uvulectomy did it when less than one year while few (22.22%) had the operation between age 1 and less than 2 years. The commonest indication for uvulectomy was cough (81.8%) whereas the most common reported complications were severe hemorrhage (66.57%), rejecting foods (9.1%), failure to gain weight (9.1%), and others 15.3. Conclusion: The prevalence is much less than in previous studies in Tanzania and elsewhere in Africa. The major reason for the surgery was cough and major complications were bleeding and difficult in feeding. The uvula returns to normal shape and size by 6 years.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The practice of uvulectomy and related complications among children aged below 6 years in Ilemela district, Mwanza, Tanzania

Taylor¹

2009

Tanz. Dent. J.

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“…Traditional uvulectomy is still widely practiced in the Middle East and Africa for various reasons [24][25][26] . Some of the reasons for uvulectomy include: curative of symptoms of vomiting, diarrhoea, anorexia, rejection of the mothers' breast, growth retardation and fever 21,25,27,28 and prophylactic to prevent throat infections, cough and loss of voice [29][30][31] .…”

Section: Pharynxmentioning

confidence: 99%

A critique on Avicennas (980 1037 A.D) studies on anatomy of the upper respiratory system and some otorhinolaryngologic concepts

Mazengenya

Bhikha²

2017

Bangladesh J Med Sci

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Background: Avicenna (also known as Ibn Sina) was arguably one of the outstanding medical scientists and physicians of the time. He made significant contributions in the development of various medical fields in the golden age of Islamic medicine (9-12 th century AD) and in Europe. Ibn Sina contributed immensely to human anatomy, physiology, pathology and management of most disorders of the human body. Of paramount importance was the systemic description of the anatomy of various organs and surgical interventions associated with the problems. Although neither formal dissection nor surgical training was recorded during his time, the anatomic and surgical information presented in the Canon of Medicine is congruent with modern advancement. The current study was undertaken to compare Avicenna's anatomy of the ear, nose, oral cavity, throat and larynx to modern anatomical texts. Methods: The current work analysed the anatomy information on the ear, nose, oral cavity, throat and the larynx as presented in volumes one and three of the Canon of Medicine. The information was compared to modern anatomic descriptions. Results: Avicenna described correctly the anatomy and functions of the external and internal ear, nose, oral cavity, parts of the throat and larynx. He described voice production in the larynx and subsequent contributions on the nose, uvula and tongue in shaping the syllables. The functional aspects, disorders and their management associated with the ear and the upper respiratory system were also described. Conclusions: The findings show that Ibn Sina's contributions had a major influence on the development and advancement of medical practise. His anatomic explanations are comparable to modern knowledge on the subject. They also show that the Canon of Medicine is still a valuable book in the study of the history of medicine.

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Uvulectomies and Associated Complications

Jacobson¹,

Ladizinski²,

Lee³

2013

JAMA Dermatol

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Traditional uvulectomy in Niger: A public health problem?

Cited by 36 publications

References 10 publications

The practice of uvulectomy and related complications among children aged below 6 years in Ilemela district, Mwanza, Tanzania

The practice of uvulectomy and related complications among children aged below 6 years in Ilemela district, Mwanza, Tanzania

A critique on Avicennas (980 1037 A.D) studies on anatomy of the upper respiratory system and some otorhinolaryngologic concepts

Uvulectomies and Associated Complications

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Traditional uvulectomy in Niger: A public health problem?

Cited by 36 publications

References 10 publications

The practice of uvulectomy and related complications among children aged below 6 years in Ilemela district, Mwanza, Tanzania

The practice of uvulectomy and related complications among children aged below 6 years in Ilemela district, Mwanza, Tanzania

A critique on Avicennas (980  1037 A.D) studies on anatomy of the upper respiratory system and some otorhinolaryngologic concepts

Uvulectomies and Associated Complications

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A critique on Avicennas (980 1037 A.D) studies on anatomy of the upper respiratory system and some otorhinolaryngologic concepts