Title: Profile of Otolaryngology Surgical Emergencies in Port Harcourt, Nigeria
Authors: Dr Nwogbo A.C, Dr John P.
DOI: https://dx.doi.org/10.18535/jmscr/v11i4.19
Abstract
Background: Surgical emergency is a medical emergency for which immediate surgical intervention is the only way to get the patient out of the clinical problem successfully.
In this clinical state, there is usually anxious moments for the patient and relation while the surgeon must exhibit surgical life-saving procedure.
Method: This is a retrospective study of all emergency surgical cases that were done within the period of 5 years, January 2018 to December 2022 in the otolaryngology department of the University of Port Harcourt Teaching Hospital. All the case notes were retrieved from theatre records, clinic and wards. These notes were put in tables and analysed.
Results: Results showed that four hundred and eighteen (418) patient presented with various emergency medical conditions requiring different surgical procedures. Foreign body in the external ear 253 (60.1%) topped the list, followed by foreign body in the nasal cavity 80 (21%). Least in the list were vocal cord papilloma, laryngeal polyp, septal abscess with one case each (0.2%).
Conclusion: Otolaryngology surgical emergencies are life threatening conditions. Early presentation and treatment is required to avoid mortality.
Keywords: Surgical emergency, Otolaryngology, Tracheostomy.
References
- Nartison FD. Some otolaryngological emergencies in the topics. Trop Doct 1973; 3: 72-76.
- Sanchez-Alcon, Morera C, Perez-Garrigues H. ENT emergencies in a tertiary hospital. Study of frequency and etiology. Ann otorhinolaryngolIbero Am 1993; 20:235-249.
- Ologe FE, Dunmade AJ, Afolabi OA. Aural foreign bodies in children. Indian J paediatr. 2007; 74(8): 755-758.
- Francois M, Hamrioui R, Narcy P. nasal foreign bodies in children. Eur Arch Otorhinolaryngology 1998; 255: 132-133.
- Kicher E, Jangu A, Baidook. Emergency ear, nose, and throat admissions at the Korle-bu Teaching hospital. Ghana med J. 2007: 41(1): 9-11.
- Shinde K, Hashmi SIH. Clinicoopathological study of laryngeal masses. IOSR journal of Dental and Medical Science. 2015; 4: 61-79.
- Okafor BC. Foreign bodies in the pharynx and oesophagus. Niger Med J 1979; 9:321-325.
- Leclere JE, Fearon B (1987). Choanal atresia and associated anomalies. Int. J. Pediatric Otolaryngol 13: 265-272.
- Salisu AD, Mukhtar-yolam (2007). Choanal Atresia Presentation and Management in Nigeria Teaching Hospital. Niger J. Otolaryngol 4:1-5.
- Elusoji S O, Ogundiran O, Mafeni J. management of impacted dentures in the oesophagus. Nigere J med 1998; 7:120-122.
- Onyekwelu FA, Nwosu JN (2010). Bronchoscopy for foreign body removal in children: Anaesthetic challenge in a tertiary hospital J college med 15:24-28.
- Even L, Heno N, Jalmon Y et al. Diagnostic evaluation of foreign body aspiration in children: a prospective study. PediatrSurg 2005; 40:1122 -1127.
- Alibi B, Olege F, Dunmade A, Segun-Busari s, Olatoke F. Acute laryngeal obstruction in a Nigeria hospital: clinical presentation and management. Niger Postgrad med J. 2006; 13: 240-243.
- Mequirt WF, Holmes KD, Feehs et al. Tracheobronchial foreign bodies laryngoscope 1988; 98: 615-618.
- Raj A, Wadhwa V, Jain A. Epidemiological profile of ENT emergencies: our experience. Indian J otolaryngol Head and Neck Surg. 2019 Oct; 71:301-394.
- Soose RJ, Simon JP, Mandel D L. Evaluation and management of pediatric oropharyngeal trauma. Arch otolaryngol Head Neck Surg. 2006; 132: 446-51.