Traumatismes maxillo-faciaux par accidents de la circulation routière impliquant les engins à deux roues au Centre Hospitalier Universitaire Yalgado Ouedraogo (CHU-YO). Aspects épidémiologiques et anatomo-cliniques

Introduction : Les traumatismes maxillo-faciaux par Accident de la Circulation Routière (ACR) impliquant les engins à deux roues sont fréquents et peuvent occasionner des lésions graves.Matériels et méthodes : Il s'agit d'une étude prospective allant du 1er janvier 2017 au 31 avril 2017 dans le service de stomatologie et de chirurgie maxillo-faciale du CHUYO. Les dossiers médicaux des patients, les registres de consultation et les comptes-rendus opératoires ont été les sources de collecte des données.Résulats : Au total 230 cas ont été colligés dans le service de stomatologie et de chirurgie maxillo-faciale du CHUYO. Ces cas étaient relativement fréquents soit 84.24% des motifs de consultation de traumatologie. Les travailleurs du secteur informel (43,48%) et l'homme jeune de sexe masculin (84,35%) ont été les plus touchés. Les motocyclistes (80,70%) constituaient les principaux usagers. La consommation d'alcool (49,13%) et la méconnaissance du code de la route (77,29%) étaient les principaux facteurs favorisants. Les lésions des parties molles étaient les plus fréquentes (90,43%). Le zygoma était l'os le plus atteint (49,46%). Les fractures des membres (44,73%) ont constitué les principales lésions osseuses extra-faciales associées.Conclusion : La sensibilisation de nos populations sur la sécurité routière et la collaboration interdisciplinaire permettraient de renforcer l'efficacité de nos structures de soins

[Epidemiology of maxillo-facial traumatism s sequels at stomatology and maxillo-facial surgery service of Yalgado Ouedraogo University Hospital Center]. / Epidémiologie des séquelles de traumatismes maxillo-faciaux au service de stomatologie et chirurgie maxillo-faciale du Centre Hospitalier Universitaire Yalgado Ouedraogo (Burkina Faso).

Introduction: Our study brings back the epidemiological and anatomo-clinical characteristics of the maxillo-facial traumatisms sequels at Yalgado Ouedraogo University Hospital Center of Ouagadougou. Methodology: It was a transversal descriptive study going from May 2013 to April 2015. Results and Discussion: In all, 152 cases of post traumatisms sequels were collected. The masculine sex was more affected with a sex-ratio of 2,53. The mean age was 30,80 years. The public road accidents (73,68%) were the main etiology of initial lesions. The isolated functional and morphological sequels respectively represented 1/3 and 1/6 of cases. Half of patients had mixed sequels. The odontological sequels (41,45%), the disgracious scars (93,68%), the neurological sequels (15,79%), the ocular sequels (11,18%), and the temporo-mandibular ankylosis were the main sequels found in our study. These sequels could be explained by the nature of initial lesions and the lateness of consultations. Conclusion: Development of population's awareness and close interdisciplinary collaboration helped to reduce the frequency of these sequels.

Epidemiological and Clinical Aspects and Therapy of Chronic Otitis Media in the "ENT" and Cervicofacial Surgery Ward in the University Hospital of Ouagadougou.

Objectives. The aim of this study was to analyze the epidemiological and clinical aspects of chronic otitis media and its therapeutic processes in our context. Patients and Methods. In a prospective study over a period of 1 year (March 2009-February 2010), 79 patients with chronic otitis media have been cared for in the otolaryngology ward of the University Hospital of Ouagadougou. Results. Chronic otitis media (COM) commonly occurs in the age group from 0 to 15 years (40.50%). Otorrhea was the main reason for consultation in 53 cases (67.10%); the most frequently encountered clinicopathological forms were simple COM (71%) followed by otitis media with effusion (24.30%). Intra-auricular instillations of traditional products (46.09%) were the dominant favoring factor. Treatment was essentially through medication in 59 cases with a stabilization of lesions. Endotemporal complications were noticed in 6 cases. Conclusion. The fight against chronic otitis media is carried out through preventive measures of education the of people.