Spectrum of otorhinolaryngology diseases: A six-year review of operated patients in a tertiary institution
Main Article Content
Abstract
Background: Although the specialty of Otorhinolaryngology is regarded as one of the oldest surgical specialties that has its site of action/activity hidden in orifices, its lustre and relevance in the care of surgical pathologies have continued to grow across age groups irrespective of nationality, gender, or socio-economic class. This study aimed determine was to determine the spectrum of operated patients at the Otorhinolaryngology Department of tertiary health facility.
Materials and Methods: A descriptive retrospective study was carried out in Port Harcourt, among total population of operated patients, using the operation registers of the Otorhinolaryngology Department of the Rivers State University Teaching Hospital from February 2018 to May 2024. Data was analyzed and presented in tables.
Results: There were 168 (57.3%) males and 122 (42.3%) females, and their mean age was 34.7 years. Patients who were less than 10 years of age (n = 191, 65.9%) were in the majority. The most common surgical pathology was adeno-tonsilitis (n = 168, 57.9%) followed by foreign body impactions (n = 20, 6.9%), and tonsilitis (n = 15, 5.2%). One hundred and sixty-eight patients (60%) had adenotonsillectomies, 20 (6.9%) had EUA and foreign body extraction, while 15 (5.2%) had tonsillectomies.
Conclusion: Children under 10 years of age were the bulk of surgical workload of the ENT Department. The most commonly performed surgeries were adenotonsillectomies and foreign body extraction
Downloads
Article Details
Issue
Section
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
How to Cite
Share
References
Peer S. Otorhinolaryngology-not just tonsils and grommets: Insights into the ENT scene in South Africa. SAMJ: South African Medical Journal. 2013 Jul;103(7):455-7.
Lukama L, Aldous C, Kuhn W, Michelo C, Kalinda C. Ten years of ear, nose and throat (ENT) services in Southern Africa: a scoping review. Global Health Action. 2024 Dec 31;17(1):2370102.
Nur Husna SM, Tan HT, Md Shukri N, Mohd Ashari NS, Wong KK. Allergic rhinitis: a clinical and pathophysiological overview. Frontiers in medicine. 2022 Apr 7;9:874114.
Haile LM, Kamenov K, Briant PS, Orji AU, Steinmetz JD, Abdoli A, Abdollahi M, Abu-Gharbieh E, Afshin A, Ahmed H, Rashid TA. Hearing loss prevalence and years lived with disability, 1990–2019: findings from the Global Burden of Disease Study 2019. The Lancet. 2021
Mar 13;397(10278):996-1009.
Alkire BC, Bergmark RW, Chambers K, Lin DT, Deschler DG, Cheney ML, Meara JG. Head and neck cancer in South Asia: Macroeconomic consequences and the role of the head and neck surgeon. Head & neck. 2016 Aug;38(8):1242-7.
Patel R, Acharya R, Shah S, Desai C, Raveshia D, Panesar H, Patel N, Mcconaghie G, Cain DC, Parmar D, Banerjee R. Five historical innovations that have shaped modern otolaryngological surgery. Journal of Perioperative Practice. 2024 Jun 3:17504589241244996.
Flores JM, Barros JJ, Audor GA, Rizo JS, Andrade AD, Cervantes CG, Mancero FR, Montalvo VA. Efficacy of combined surgical approaches in the management of sinonasal and orbital pathologies: innovations in minimally invasive techniques and their impact on postoperative outcomes. Ibero-American Journal of Health Science Research. 2024 Oct 15;4(2):189-96.
Kumari A, Gupta SK, Singh A, Swami H, Gupta V, Goyal S, Dwivedi G, Sreejith VS. A comparison of surgical outcomes of endoscopic versus microscopic myringoplasty.
Moulic AG, Gaurkar SS, Deshmukh PT. Artificial Intelligence in Otology, Rhinology, and Laryngology: ANarrative Review of Its Current and Evolving Picture.Cureus. 2024 Aug 2;16(8):e66036.
Nakayama M, Holsinger FC, Chevalier D, Orosco RK. The dawn of robotic surgery in otolaryngology-head and neck surgery. Japanese journal of clinical oncology. 2019 May;49(5):404-11.
Weir N. Otorhinolaryngology. Postgraduate medical journal. 2000 Feb;76(892):65-9.
Ta NH. ENT in the context of global health. The Annals of The Royal College of Surgeons of England. 2019 Feb;101(2):93-6.
Maharjan A, Dhungana S, Acharya A. PATTERNS OF ENT-HEAD AND NECK SURGERIES IN A TERTIARY HOSPITAL OF NEPAL. Journal of
Chitwan Medical College. 2024 Jun 17;14(2):10-3.
Mulwafu W, Ensink R, Kuper H, Fagan J. Survey of ENT services in sub-Saharan Africa: little progress between 2009 and 2015. Global health action. 2017 Jan 1;10(1):1289736.
Fagan J, Jacobs M. Survey of ENT services in Africa: need for a comprehensive intervention. Global Health Action. 2009 Nov 11;2(1):1932.
Lukama L, Kalinda C, Kuhn W, Aldous C. Availability of ENT Surgical Procedures and Medication in Low‐ Income Nation Hospitals: Cause for Concern in Zambia. BioMed research international. 2020;2020(1):1980123.
Bhamjee A, Le Roux T, Schlemmer K, Graham MA, Mahomed-Asmail F. Audiologists’ perceptions of hearing healthcare resources and services in South Africa’s public healthcare system. Health Services Insights. 2022 Nov;15:11786329221135424.
Lukama L, Kalinda C, Aldous C. Africa’s challenged ENT services: highlighting challenges in Zambia. BMC health services research. 2019;19:1-9.
Fagan JJ. Workforce considerations, training, and diseases in Africa. Otolaryngologic Clinics of North America. 2018 Feb 27;51(3):643-9.
Peer S, Vial I, Numanoglu A, Fagan JJ. What is the availability of services for paediatric ENT surgery and paediatric surgery in Africa?. European annals of otorhinolaryngology, head and neck diseases. 2018 Sep 1;135(5):S79-83.
do Santos AA, Vodouhe UB, Oke F, Wannou B, Fanou L, Adjibabi W, Vignikin BY. Ambulatory ENT Surgery: Eight Years of Experience in A Tropical Environment. Bengal Journal of Otolaryngology and Head Neck Surgery. 2022 Dec 3;30(1):86-94.
Aremu SK. The Spectrum of Otorhinolaryngology, Head and Neck Emergencies: Our Experience. Nigerian Journal of Medicine. 2023 May 3;32(1):88-92.
Amutta SB, Abdullahi M, Aliyu D, Manya C, Yikawe SS, Solomon JH. Pattern of otorhinolaryngeal, head and neck diseases in the in-patient unit of a tertiary health institution in Sokoto, North Western Nigeria. Borno Med J. 2015;12:102-7.
Sambo GU, Bakari A, Samdi MT, Mainasara GM, Yohanna J, Kirfi AM. Otologic surgeries in National Ear Care Centre, Kaduna, Nigeria: A 5 years review. Indian Journal of Otology. 2015 Jul 1;21(3):190-3.
Adegbiji WA, Aremu SK, Aluko AA, Olubi O. Pattern of paediatric Adenoid and tonsillar surgery in Ekiti. International Journal of Clinical Medicine. 2018:841-53.
Iseh KR, Aliyu D. Surgical considerations in the management of tumours of the nose and paranasal sinuses in a Northern Nigerian Teaching Hospital. West African Journal of Medicine. 2009;28(6).
Onotai LO, Mbalaso OC. Rhinologic surgeries in the University of Port Harcourt Teaching Hospital: A 5 years retrospective analysis. Gaz Med. 2015;3:241-5.
Adegbiji WA, Olajide GT, Olubi O, Aluko AA, Olajuyin AO, Eletta PA, Yahya AI. Characteristics and management of childhood tinnitus in a developing country. The International Tinnitus Journal. 2018 Jun 11;22(1):66-71.