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1. Aural foreign bodies in children in a pediatric Senegalese hospital

Author

Eric Joel Regonne, Abdou Sy, Malick Ndiaye, Yves Diandy, Mamadou Birame Faye, and Bay Karim Diallo

Subjects
foreign bodies, ears, children, complications, otitis externa, Medicine
Abstract

Introduction: aural foreign bodies (FB) are frequent in pediatric otorhinolaryngology and in pediatric emergencies. The objective of this study was to describe the socio-demographic, clinical and therapeutic aspects of aural FB in children in a pediatric hospital in Senegal. Methods: this was a four-year hospital-based descriptive study performed in the Otorhinolaryngology Department of the Children's Hospital of Diamniadio, from 1st January 2013 to 31 December 2016 including all children under 15 years of age received for aural FB. The variables studied were age, gender, provenance, presenting symptom, time to consultation, the type of FB and morbidity. Results: sixty three FB were extracted. Mean age was 6 years 4 months. Around fifty-two percent (52.4%) of patients were under 5 years old. There was a slight female predominance (32/63). Location was in the right ear canal in 55.6%. Seventy three percent of patients presented in our office were asymptomatic. The median time to consultation was 4 days. Within the first 24 hours after insertion, 22.2% of children presented to our office. Beads were the first FB (29.68%), followed by seeds and cotton (12.5% respectively). Foreign bodies' extraction were performed in consultation for 79.4% of patients. The morbidity was 20.6%. It was primarily otitis externa (8%). Myringoplasty was performed in one patient who had sequelae of tympanic membrane perforation. Conclusion: aural FB is a common accident in under-5 year-olds. In our context there is a delayed consultation. Morbidity is similar to that of the literature.

Published
2020
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2. Les corps étrangers nasaux chez les enfants dans un hôpital pédiatrique au Sénégal : une évaluation de 3 ans

Author

A.-D. Diop, P.-E.-J. Regonne, B.K. Diallo, Abdou Sy, Mapathé Ndiaye, and Yves Diandy

Subjects
03 medical and health sciences, 0302 clinical medicine, Otorhinolaryngology, 030225 pediatrics, Surgery, 030212 general & internal medicine
Abstract

Resume Objectifs Les corps etrangers nasaux (CEN) sont un accident domestique frequent chez les enfants. L’objectif de ce travail etait de presenter les particularites des CEN chez les enfants dans un hopital pediatrique senegalais et decrire notre attitude therapeutique. Materiel et methodes Etude retrospective descriptive au service d’oto-rhino-laryngologie du Centre hospitalier national pour enfants de Diamniadio du 1 er janvier 2013 au 31 decembre 2015 incluant tous les enfants de moins de 15 ans recus pour CEN. Les variables etudiees etaient l’âge, le sexe, la provenance, le motif de consultation, le delai de consultation, la nature du CEN, la methode d’extraction et les complications. Resultats Cinquante-huit CEN avaient ete recenses. L’âge moyen etait de 3 ans 4 mois. Parmi les patients, 93 % avaient moins de 5 ans. Il y avait une predominance feminine (53,45 %), soit un sex-ratio de 0,87. Les CEN etaient localises chez 43 patients (74,1 %) a droite. Le premier motif de consultation etait la rhinorrhee purulente retrouvee chez 51,7 % ; parmi les patients, 17,24 % etaient amenes en consultation dans les 24 premieres heures. La mousse etait le premier CEN (29,3 %), suivie des graines (20,7 %). L’extraction a ete realisee en consultation chez 84,5 % et chez 15,5 % au bloc operatoire. La morbidite etait de 22,41 %. Il s’agissait dans 17,24 % d’une epistaxis et dans 5,17 % d’une infection nasale. Conclusion Les CEN sont des accidents frequents chez l’enfant de moins de 5 ans. Notre contexte est marque par un retard a la consultation.

Published
2017

3. Indications and Morbidity of Reoperative Thyroid Surgeries in a Military Hospital of Senegal

Author

Abdou Sy, Aminata Fofana, Eric Joël Regonne, Yves Diandy, and Malick Ndiaye

Subjects
Fourth branchial cleft, medicine.medical_specialty, Article Subject, medicine.medical_treatment, Fistula, lcsh:Surgery, 030230 surgery, 03 medical and health sciences, 0302 clinical medicine, medicine, Pathological, Completion thyroidectomy, Palsy, business.industry, Thyroid, Thyroidectomy, lcsh:RD1-811, medicine.disease, lcsh:Otorhinolaryngology, lcsh:RF1-547, Surgery, Dissection, medicine.anatomical_structure, 030220 oncology & carcinogenesis, business, Research Article
Abstract

Objectives. To describe reoperative thyroid surgeries in our department. Study Design. Retrospective cross-sectional and descriptive study at the Ouakam Military Hospital in Dakar (Senegal), over a period of eight and a half years. Methods. The study involved all records of patients who had a reoperative thyroidectomy regardless of the indication and time of the second surgery. Parameters evaluated for first and reoperative surgery were time interval between the two surgeries, operative indications, surgical procedures, intraoperative findings, pathological examination, and morbidity. Results. 30 records of patients were selected out of a total of 698 thyroidectomies (4.3%). Thyroid cancers diagnosed on first surgical specimens were the first indications of reoperations (46.67%) followed by neck hematoma (20%). Completion thyroidectomy with a prophylactic central lymph nodes dissection was the most performed surgical procedure (43.33%) followed by haemostasis (20%). During reoperation, we found active bleeding (20%), textiloma (6.67%), and fourth branchial cleft fistula (3.33%). The morbidity accounted for 10%: lymphorrhea, permanent hypocalcemia, and permanent recurrent nerve palsy, in one case, respectively. There were no statistically significant differences between the morbidity in patients reoperated on and the one for patients operated on once. Conclusion. We did not find an increased risk of postoperative morbidity after reintervention.

Published
2017
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