Caractéristiques de l'automédication en ORL à l'Hôpital d'Instruction des Armées-Cotonou au Bénin / Characteristics of self-medication in ENT at Military Teaching Hospital Cotonou in Benin

Etudier l'ampleur et les caractéristiques de l'automédication en consultation ORL. Méthode: Etude descriptive du 1er juin 2020 au 1er février 2021 dans le service d'ORL-CCF/ Hôpital d'Instruction des Armées. Ont été inclus tous les patients reçus en consultation ORL ayant déclaré avoir utilisé des substances actives sans prescription médicale pour soulager leur plainte actuelle. 6 Résultats: L'automédication a été retrouvée chez 373 patients soit une prévalence de 47,88%. La moyenne d'âge était 32,26 ans (02 mois et 80 ans). Les sujets âgés 0 à 20 étaient plus représenté (68,4%). La sex-ratio était de 0,86. Les professions libérales étaient plus représentées (30%). La quasi-totalité des patients (98%) a pu énumérer au moins deux effets nocifs de l'automédication. Les médicaments en cause étaient les médicament en vente libre OTC (80%). Les principales raisons ayant motivé l'automédication ont été le coût élevé des prestations médicales (41,3%) et le manque de temps (33,2%). Conclusion: L'automédication a été retrouvée chez des patients volontiers jeunes, de sexe féminin, porteurs d'affections rhinologiques. Les OTC étaient en cause dans huit cas sur dix. Les principales motivations à l'automédication ont été le coût élevé des prestations médicales et le manque de temps.

Corrélation entre les distances intercanthus, intercanine et la largeur du nez chez une population marocaine

Introduction : La sélection de la taille des dents antérieures maxillaires est l'une des étapes cliniques des plus importantes dans la réussite de l'esthétique de la prothèse amovible. Plusieurs études ont été réalisées pour établir des méthodes d'estimation de la largeur des dents antérieures maxillaires.Objectif : Déterminer l'existence d'une corrélation entre la largeur du nez, la distance inter-canthus interne et la distance inter-canine maxillaire, afin de faciliter le choix des dents antérieures maxillaires.Matériel et méthodes : Soixante-deux étudiants marocains de la faculté de médecine Dentaire de Casablanca âgés entre 18 et 26 ans ont été inclus dans cette étude ; La distance inter-canthus interne a été mesurée entre les angles médians de la fissure palpébrale. La largeur du nez a été mesurée entre les ailes du nez au point le plus large. La distance inter-canine maxillaire a été déterminée par voie intra-orale. Les mensurations ont été prises à l'aide d'un pied à coulisse électronique. Les coefficients de corrélation ont été calculés pour déterminer la relation entre les différents éléments (P < 0,05). Résultats : Bien que les corrélations soient non-significatives, il existe une relation significative entre la distance inter-canthus interne et la largeur du nez. Conclusion : Dans les limites de cette étude, les résultats suggèrent que la largeur du nez et la distance inter-canthus interne ne peuvent pas être utilisées pour déterminer la largeur des six dents antérieures maxillaires pour les patients édentés totaux ou partiels

Topical ear drop self-medication practice among the ear, nose, and throat patients in Ido Ekiti, Nigeria: A cross - sectional study

Background: Self-medication is a common habit in our country; Nigeria, especially among patients with otorhinolaryngological disorders. Medication when taken wrongly may bring dire consequences to the individual, such as masking developing diseases and may cause many other undesirable effects. The aim of this study was to determine the prevalence and to analyze topical ear drop self-medication practices among respondents attending the Ear, Nose, and Throat Clinic of Federal Teaching Hospital Ido Ekiti, Nigeria. Design and Methodology: A 6-month hospital based cross-sectional study was conducted among patients who were seen in the Ear, Nose, and Throat facility of Federal Teaching Hospital, Ido Ekiti from July to December 2016 to determine topical ear drop self-medication practices. A pretested semi-structured questionnaire was used to obtained information from respondents. Results: A total of 162 respondents out of 493 patients seen during the study had otological problems. Of which 107 (66%) respondents had engaged in self-medication with topical ear drops. Their ages ranged between 2 and 83 years with a mean age of 36.6 ± 19.1 years. There were 75 males and 87 females. The major reason for self-medication was that their ailments were minor in about 40.2% and the most common indication for self-medication was ear blockage with hearing impairment (33.6%). Pharmacy/chemist shops (42%) were major sources of information for those that self-medicated.Chloramphenicol and gentamycin were the major drugs that were used by the respondents. Conclusion: Majority of the respondents in this study practiced self-medication using different topical ear drops. Major source of information on the topical ear drops used was from pharmacy/chemist shops. There is a need for adequate public health education to create awareness among people on the danger of self-medication and to enact or enforce the law to reduce access to over the counter drugs. Healthcare should be made available and avoidable at primary health-care level

Ear; Nose; and Throat Foreign Bodies in a Tertiary Health Institution in Sokoto; Nigeria

Background: Otorhinolaryngeal foreign bodies are common in ear; nose; and throat (ENT) practice. The objective of this study is to determine the pattern of otorhinolaryngeal foreign bodies in a Tertiary Health Institution in Sokoto; North-Western Nigeria. Materials and Methods: This is a 2 year retrospective study using the records of all cases of ENT foreign bodies at Usmanu Danfodiyo University Teaching Hospital; Sokoto; from January 2009 to December 2010. Data analysis was carried out using the SPSS for windows version 13.0. Results: A total of 90 cases were analysed. Ear foreign bodies 48 (53.3) were commonest; followed by nasal foreign bodies 16 (17.8); bronchial foreign bodies 15 (16.7); and esophageal foreign bodies 11 (12.2). Age range was 9 months to 64 years. High frequency of the foreign bodies was noted in the younger age group. The foreign bodies varied according to the site with plant seed being more common in the ear and the nose while meat bolus is more common in the esophagus. Bronchial foreign bodies were seen exclusively in children less than 14 years old with beads and valve of plastic toys being the most common. Conclusion: Otorhinolaryngeal foreign bodies remain frequent occurrence particularly in the younger age group 9 years old or less and high index of suspicion suggested and early intervention to prevent the morbidity and mortality from complications

A survey of facial nerve dessection techniques in benign parotid surgery among maxillofacial and ear, nose, and throat surgeons in Nigeria

Objective: The aim of the present study is to identify the facial nerve dissection technique routinely used during parotidectomy for benign parotid tumors by Nigerian Oral and Maxillofacial (OMF) and Ear; Nose; and Throat (ENT) Surgeons. Materials and Methods: A questionnaire-based study was conducted among Oral and Maxillofacial and Ear; Nose; and Throat Surgeons in Nigeria; on their experience with antegrade and retrograde facial nerve dissection techniques in parotid surgery. The respondents were asked to indicate their choice of dissection techniques in revision parotidectomy; limited superficial parotidectomy; and in obese patients with large tumors. They were also asked to indicate if they routinely used perioperative facial nerve monitoring devices in parotid surgery for benign tumors. Result: About half (47.5) of them routinely used the antegrade technique; while only a few (12.5) used the retrograde technique. A large number of them (40); however; used a combination of antegrade and retrograde routinely. Technical ease was the main reason for the choice of technique. The antegrade technique was the technique of choice by most respondents for revision parotidectomy (60) and limited superficial parotidectomy (62). However; the retrograde approach was the technique of choice by most of them (47) in case of parotidectomy in obese patients with large tumors. The routine use of perioperative facial nerve monitoring devices is an uncommon practice among OMF and ENT surgeons in Nigeria. Conclusions: The antegrade approach for facial nerve dissection is the most common technique used in parotid surgery by Nigerian OMF and ENT surgeons. Nigerian surgeons need to consider the retrograde approach in selected cases of parotid surgery especially for localized tumors that are amenable to limited superficial parotidectomy. Inclusion of perioperative facial nerve monitoring devices is also advocated

Turberculose nasale: à propos d'un cas, et revue de la litterature

La tuberculose nasale est une affection rare. Nous rapportons un cas de forme pseudo-tumorale siegeant aux depens du corner inferieur de la fosse nasale gauche; chez un homme de 40 ans; en bon etat general. Le diagnostic a ete fait grace a l'histopathologie. Le traitement a ete medico-chirurgical. Une revue de la litterature a ete faite

Actinomycose naso-sinusienne: a propos d'un cas

Les auteurs donnent une revue de quelques cas de mycoses du nez et des simnus paranasaux dans la litterature. Ils decrivent un tout premier cas d'actinomycose naso-sinusienne par Actinomyces Israeli au Zaire. Ils exposent les difficultes des cliniciens sur l'interet du diagnostic precoce et l'inefficacite du traitement medico-chirurgical dans les atteintes muco-osseuses avancees. Ils conseillent l'intervention chirugicale qui; pratiquee le plus tot possible et couplee a des antibiotiques tires de l'antibiogramme; peut donner de bons resultats lorsque l'infection est encore moderee