Search

Introduction: The diagnosis of jaw tumours is histological. Jaw tumours can be classified as benign or malignant. Benign jaw tumours can be classified as epithelial, mesenchymatous or epithelio-mesenchymatous based on their origin or with respect to their relation to the development of the dental organ into odontogenic and non -odontogenic. Methods: A retrospective study was conducted from the period from January 2010 to April 2020 in the Stomatology and maxillofacial surgery units and pathology units of 4 hospitals in Yaoundé. Participants who had been operated for a benign jaw tumour with available and exploitable histopathological workups were retained in this study. The histological slides found were examined by a team of pathologists in accordance with the 2005 World Health Organization classification of head and neck tumours. Results: We retained 62 participants, ameloblastoma was the most represented tumour (25.81 %) followed by fibrous dysplasia (12.9 %) and Keratocystic odontogenic tumour (12.9 %). Ameloblastoma had 5 recurrences with a recurrence rate of 31.25 %. Conclusion: Ameloblastoma was the most common benign jaw tumour and odontogenic tumour with Fibrous dysplasia being the most frequent non odontogenic tumour. Better description of histological characteristics and typing would help to prevent recurrence and complications such as malignant transformation. Digital recording of histopathological slides could help improve conservation and permit the carrying out long term retrospective studies in our settings.

Head and neck squamous cell carcinomas (HNSCCs) are aggressive cancers with high morbidity and low survival rates, as well as limited therapeutic options.We present the case of a 54-year-old patient, person living with HIV/AIDS (PLWH) who presented with a history of an ulcerating lesion in her soft palate following self-inflicted mucosal insult which later revealed as an invasive squamous cell carcinoma with high grade dysplasia.The patient underwent chemotherapy and demonstrated remarkable clinical recovery with complete remission of signs and symptoms.We present a case in which early diagnosis and interdisciplinary collaboration were critical in ensuring a good prognosis for the patient, who is at the moment of writing, asymptomatic.

Introduction: Benign jaw tumors or tumor-like swellings of the jaws can be classified as odontogenic or non-odontogenic. The type of surgery undertaken or the histological typing of the tumor could be the cause of the recurrence of these tumors. Our objective was to determine clinical and paraclinical features implicated in or that signal the recurrence of benign tumors. Material and methods: We carried out a case control study during the period from January 2010 to April 2020 in the units of Stomatology and maxillofacial surgery, radiology and pathology units of Yaoundé University Teaching Hospital, Yaoundé Central Hospital and Yaoundé Gynaecology, Obstetrics and Pediatrics Hospital. Participants who had been operated for a benign jaw tumor were included in this study. For the statistical analysis: the significant threshold was set at 0.05 that is all p values less than 0.05 were considered statistically significant. Results: We retained 89 study participants with a recurrence rate of 7.51%. In our study, we had 61.8% females and 38.2% males with a sex ratio of 0.62. The localization at the level of the angle and ramus of the mandible, tooth preservation, type of anesthesia, radiological tumor aspect and histomorphology (ameloblastic fibroma and osteoma) were statistically significant for recurrence. Conclusion: The recurrence of jaw tumors is associated with several clinical and paraclinical factors. These factors can help predict recurrences and hence reduce the complications associated with late treatment plan.

Introduction: Access to laparoscopy is low in Cameroon where customers' satisfaction has not been reported so far. We assessed patients' satisfaction with the process of care during laparoscopic surgery in a new tertiary hospital. Methods: A questionnaire was addressed to consenting patients (guardians for patients under 18) with complete medical records who underwent laparoscopy at the Douala Gynaeco-Obstetric and Paediatric Hospital (Cameroon) from November 1, 2015 to July 31, 2016. The following modified Likert's scale was used to assess satisfaction: very weak: 0-2.5; weak 2.6-5; good: 5.1-7.5; very good: 7.6-10. Only descriptive statistics were used. Results: Response rate was 90% (45/50). Of the 45 respondents, 39 (86.7%) were female, 14(31.1%) were referred and 39 (86.7%) paid by direct cash deposit. Mean age was 36.8±11.9 years. Laparoscopies were carried out in emergency for 3 (6.7%) patients. Digestive abnormalities indicated 13 (28.9%) laparoscopies while gynaecologic diseases accounted for 32 (71.1%) cases. Perception of the overall care process was good with a mean satisfaction score of 6.8 ± 1.4. Scores in categories were: 0% (Very weak); 13.3% (weak); 57.8% (good) and 28.9% (very good). Specifically mean satisfaction scores were: 7.8 ± 1.0 with doctors' care; 7.1 ± 1.3 with hospital administration; 7.0 ± 1.2 with nursing and 4.7 ± 1.4 with the costs. Main complaints were: long waiting time (73.3%), constraining geographical access (66.7%) and expensiveness (48.9%). Conclusion: Patients were globally satisfied with the process of care but financial and geographical barriers should be addressed. [ABSTRACT FROM AUTHOR]

Textiloma is the inadvertent retention of a textile foreign body on the surgical site. It is a rare complication of surgery but which carries severe consequences for both patients and surgeons in terms of morbi-mortality and medico-legal procedures respectively. We herein report the case of an abdominal textiloma in a 42 year old woman who underwent a total abdominal hysterectomy for symptomatic leiomyomas. We also depict the errors that led to this mishap in a tertiary hospital in Yaounde (Cameroon).The textiloma was recognized six weeks after the causative surgery and removed by laparotomy without further complications. [ABSTRACT FROM AUTHOR]