Pub Date : 2010-05-28DOI: 10.4314/NJSR.V8I3-4.54877
Ds Adeola, A. Obiadazie
Background To review the epidemiology and morbidity Oro-Facial cancers seen and managed at Ahmadu Bello University Teaching Hospital (ABUTH).To estimate the incidence and prevalence of Oro-facial Cancer presenting at the clinic. To highlight the poor prognosis inspite of better facilities for management.To evaluate the various factors affecting the poor prognosis. Patient and Method A 5-years retrospective study of 211 patients with Oro-facial cancers in the maxillo-facial unit of Ahmadu Bello University Kaduna, was carried out. The demographic pattern, clinical features, Histopathological findings and treatments modalities as obtained from the patients’ folder were studied. Result From the 211 Oro-facial cancers studied, Squanmous cell carcinoma accounted for 136 (64%), Adenocystic carcinoma 30 (14%), Adeno carcinoma 11 (5%), metastatic carcinoma 8 (4%), other 26 (13%). House wives, farmers and trader accounted for 152 (71%) of all the patients. 92% (192 patients) presented at very advanced stage of the disease when little or no help can be rendered. The age of presentation ranged between 15 to 84 years with median age at 44.5. There were 135 (64%) males affected and 76 (36%) females with a male to female ratio of 1.8:1. Conclusion : Public enlightenment is necessary to encourage early presentation, since majority of people in this environment has access to radio media.
{"title":"Oro-facial carcinoma in kaduna","authors":"Ds Adeola, A. Obiadazie","doi":"10.4314/NJSR.V8I3-4.54877","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54877","url":null,"abstract":"Background To review the epidemiology and morbidity Oro-Facial cancers seen and managed at Ahmadu Bello University Teaching Hospital (ABUTH).To estimate the incidence and prevalence of Oro-facial Cancer presenting at the clinic. To highlight the poor prognosis inspite of better facilities for management.To evaluate the various factors affecting the poor prognosis. Patient and Method A 5-years retrospective study of 211 patients with Oro-facial cancers in the maxillo-facial unit of Ahmadu Bello University Kaduna, was carried out. The demographic pattern, clinical features, Histopathological findings and treatments modalities as obtained from the patients’ folder were studied. Result From the 211 Oro-facial cancers studied, Squanmous cell carcinoma accounted for 136 (64%), Adenocystic carcinoma 30 (14%), Adeno carcinoma 11 (5%), metastatic carcinoma 8 (4%), other 26 (13%). House wives, farmers and trader accounted for 152 (71%) of all the patients. 92% (192 patients) presented at very advanced stage of the disease when little or no help can be rendered. The age of presentation ranged between 15 to 84 years with median age at 44.5. There were 135 (64%) males affected and 76 (36%) females with a male to female ratio of 1.8:1. Conclusion : Public enlightenment is necessary to encourage early presentation, since majority of people in this environment has access to radio media.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74261949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-28DOI: 10.4314/NJSR.V8I3-4.54903
M. Samaila, A. Adesiyun
Pigmented naevi (melanocytic naevi) are common and are widely distributed all over the body. The average number of naevi seen in a Caucasian is between twenty and thirty. They are either congenital or acquired benign neoplasm of melanocytes. They may occur as giant lesions at birth, and are more prone to malignant transformation. However, the risk of malignant transformation associated with naevi irrespective of size is well established and a variety of malignancies have been reported to arise from a naevus. The incidence of malignant transformation in naevi is 4% to 9%. We present two cases of malignant tumours arising from pre-existing naevus. The first was a 60-year old woman with a malignant melanoma arising in a vulva intradermal naevus. The second was a 51-year old woman with a basal cell carcinoma arising in a facial naevus.
{"title":"Malignant transformation in Pre-existing Naevi. A review of two cases","authors":"M. Samaila, A. Adesiyun","doi":"10.4314/NJSR.V8I3-4.54903","DOIUrl":"https://doi.org/10.4314/NJSR.V8I3-4.54903","url":null,"abstract":"Pigmented naevi (melanocytic naevi) are common and are widely distributed all over the body. The average number of naevi seen in a Caucasian is between twenty and thirty. They are either congenital or acquired benign neoplasm of melanocytes. They may occur as giant lesions at birth, and are more prone to malignant transformation. However, the risk of malignant transformation associated with naevi irrespective of size is well established and a variety of malignancies have been reported to arise from a naevus. The incidence of malignant transformation in naevi is 4% to 9%. We present two cases of malignant tumours arising from pre-existing naevus. The first was a 60-year old woman with a malignant melanoma arising in a vulva intradermal naevus. The second was a 51-year old woman with a basal cell carcinoma arising in a facial naevus.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88234296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-27DOI: 10.4314/NJSR.V6I1-2.54769
O. Nwaorgu, F. Awobem, P. Onakoya, A. Awobem
Background : Orbital cellulitis is an infection of the orbital soft tissues behind the orbital septum. Primary sinus infection is the most common cause of orbital cellulites. It is an ocular emergency that threatens not only vision but also life from complications such as meningitis, cavernous sinus thrombosis, and brain abscess. Method : A fifteen-year retrospective review (1986 – 2000) of all cases of orbital cellulitis, but with special focus on those of sinogenic origin seen at the University College Hospital, Ibadan, Nigeria. Results : Ninety patients were managed. There was a male preponderance (M: F ratio of 2:1) while 84% of the patients were below 20 years of age. Sinogenic orbital cellulitis constituted 57% of the study population (ninety cases) with the left orbit being involved most (55%), while the maxillary sinus had the highest incidence of sinusitis either singly (18%) or combined (65%). Complication of orbital cellulitis was found to be 52%, with no death but 11% became blind due to panophthalmitis. Conclusion : Though antibiotics have altered the course of sinusitis, its grave complications still persist in our environment. It is hoped that a well-structured health education/awareness programme and early referral to specialists will improve the final outcome.
{"title":"Orbital cellulitis complicating sinusitis: a 15-year review","authors":"O. Nwaorgu, F. Awobem, P. Onakoya, A. Awobem","doi":"10.4314/NJSR.V6I1-2.54769","DOIUrl":"https://doi.org/10.4314/NJSR.V6I1-2.54769","url":null,"abstract":"Background : Orbital cellulitis is an infection of the orbital soft tissues behind the orbital septum. Primary sinus infection is the most common cause of orbital cellulites. It is an ocular emergency that threatens not only vision but also life from complications such as meningitis, cavernous sinus thrombosis, and brain abscess. Method : A fifteen-year retrospective review (1986 – 2000) of all cases of orbital cellulitis, but with special focus on those of sinogenic origin seen at the University College Hospital, Ibadan, Nigeria. Results : Ninety patients were managed. There was a male preponderance (M: F ratio of 2:1) while 84% of the patients were below 20 years of age. Sinogenic orbital cellulitis constituted 57% of the study population (ninety cases) with the left orbit being involved most (55%), while the maxillary sinus had the highest incidence of sinusitis either singly (18%) or combined (65%). Complication of orbital cellulitis was found to be 52%, with no death but 11% became blind due to panophthalmitis. Conclusion : Though antibiotics have altered the course of sinusitis, its grave complications still persist in our environment. It is hoped that a well-structured health education/awareness programme and early referral to specialists will improve the final outcome.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73365792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-27DOI: 10.4314/NJSR.V6I1-2.54793
A. Agaba, G. Duthie
Background : Whilst the incidence of anastomotic dehiscence is decreasing, it remains a significant setback to the patients and their surgeons. In most centres, minor leaks are treated conservatively but surgery remains an options. Major leaks are best treated aggressively by surgical means, as the mortality among this group of patients remains unacceptably high. Methods : We reviewed all case-notes, radiological records and histology reports of all patients who underwent major colonic restorative resection between July 1997 and September 199 in order to determine the leak rate and their outcomes. Seven Surgeons (3 Consultant Colorectal surgeons and 4 Senior Colorectal Registrars) were involved in these resections. Results : Of the 348 restorative resections performed during the study period, 6% leaked. In 52%, the leak was classified as major and all of these patients underwent further surgery. Most leaks followed anterior resection and in most patients the anastomoses were below the peritoneal reflection. Among the minor leaks, four of the patients were defunctioned primarily. Mortality rate among patients with major leaks remain significantly high. Conclusion : Anastomotic dehiscence remains a significant problem. Although blood supply, nutritional factors, the level of anastomosis and the experience of the surgeon are perhaps the two most important factors that determine the outcome of anastomosis
{"title":"Anastomotic leakage: experience from a colorectal unit","authors":"A. Agaba, G. Duthie","doi":"10.4314/NJSR.V6I1-2.54793","DOIUrl":"https://doi.org/10.4314/NJSR.V6I1-2.54793","url":null,"abstract":"Background : Whilst the incidence of anastomotic dehiscence is decreasing, it remains a significant setback to the patients and their surgeons. In most centres, minor leaks are treated conservatively but surgery remains an options. Major leaks are best treated aggressively by surgical means, as the mortality among this group of patients remains unacceptably high. Methods : We reviewed all case-notes, radiological records and histology reports of all patients who underwent major colonic restorative resection between July 1997 and September 199 in order to determine the leak rate and their outcomes. Seven Surgeons (3 Consultant Colorectal surgeons and 4 Senior Colorectal Registrars) were involved in these resections. Results : Of the 348 restorative resections performed during the study period, 6% leaked. In 52%, the leak was classified as major and all of these patients underwent further surgery. Most leaks followed anterior resection and in most patients the anastomoses were below the peritoneal reflection. Among the minor leaks, four of the patients were defunctioned primarily. Mortality rate among patients with major leaks remain significantly high. Conclusion : Anastomotic dehiscence remains a significant problem. Although blood supply, nutritional factors, the level of anastomosis and the experience of the surgeon are perhaps the two most important factors that determine the outcome of anastomosis","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80938531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-27DOI: 10.4314/NJSR.V6I1-2.54799
M. Abdul, L. Yusufu, D. Haggai
A 35 year old Gravida 10 Para 8+1 (7 alive) presented with three months amenorrhoea and acute onset of abdominal pain with vomiting and constipation. Clinical and sonological evaluations were supportive of an intussusception occurring in a first trimester twin pregnancy. She was resuscitated and had ileal resection with end to end anastomosis. She subsequently had home delivery at term with resultant perinatal death of the second twin and severe anaemia. As intestinal obstruction is a rare but serious event in pregnancy, the importance of high index of suspicion in the evaluation of abdominal pain in pregnancy is emphasised. The usefulness of ultrasound in the early diagnosis of intussusception in pregnancy is discussed.
一位35岁的孕妇,10 Para 8+1(7活着)表现为闭经3个月,急性腹痛伴呕吐和便秘。临床和超声评价支持肠套叠发生在早期妊娠双胞胎。术后复苏,行回肠切除术,端端吻合。随后,她在家中足月分娩,导致第二个双胞胎围产期死亡和严重贫血。由于肠梗阻是一种罕见但严重的妊娠事件,因此在评估妊娠腹痛时强调高怀疑指数的重要性。本文讨论了超声在妊娠期肠套叠早期诊断中的作用。
{"title":"Intussusception in pregnancy: report of a case","authors":"M. Abdul, L. Yusufu, D. Haggai","doi":"10.4314/NJSR.V6I1-2.54799","DOIUrl":"https://doi.org/10.4314/NJSR.V6I1-2.54799","url":null,"abstract":"A 35 year old Gravida 10 Para 8+1 (7 alive) presented with three months amenorrhoea and acute onset of abdominal pain with vomiting and constipation. Clinical and sonological evaluations were supportive of an intussusception occurring in a first trimester twin pregnancy. She was resuscitated and had ileal resection with end to end anastomosis. She subsequently had home delivery at term with resultant perinatal death of the second twin and severe anaemia. As intestinal obstruction is a rare but serious event in pregnancy, the importance of high index of suspicion in the evaluation of abdominal pain in pregnancy is emphasised. The usefulness of ultrasound in the early diagnosis of intussusception in pregnancy is discussed.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91505218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-27DOI: 10.4314/NJSR.V6I1-2.54766
J. Adeniran, L. Abdur-rahman, B. Bolaji
Background: This prospective study was designed to assess the safety, cost effectiveness, and advantages of performing posterior sagittal anorectoplasty without colostomy on males with intermediate imperforate anus. Method: Five consecutive males with intermediate imperforate anus were entered into the study. Chest and abdominal x-rays, skeletal surveys, renal ultrasound scans, and invertograms were done. Patients were resuscitated, and Pena’s posterior sagittal anorectoplasty (PSARP) done in prone positions. Two-ml syringe vents were inserted into the new anus for 10 days. Cephalosporin and metronidazole were given as peri-operative antibiotics. Results: All patients had intermediate anomalies. There were no other major associated congenital anomalies. Urethral catheter could not be inserted in one patient. One patient presented with septicaemia and jaundice. He was deemed too ill to withstand a major operation. These 2 patients therefore had diverting colostomies. There were no problems with posterior sagittal anorectoplasty in the other 3 patients. The father of one patient discharged him against medical advice on the 5 th postoperative day. The mother had post-partum haemorrhage and they went for traditional treatment because they could not provide blood donors. The skin wound of 2 patients healed completely at removal of stitches. Both are having monthly dilatations 9months and 1 year post-operatively. Conclusion: This preliminary study shows that it is feasible for males with intermediate imperforate anus to have safe posterior sagittal anorectoplasty without colostomy. The advantages of one, instead of 3 major operations, are many, especially in developing countries. If this result can be reproduced in high anomalies colostomy may be unnecessary in many cases of anorectal malformations with a lot of benefits to these unfortunate children and their poor families.
{"title":"One-stage correction of intermediate imperforate anus in males: preliminary results","authors":"J. Adeniran, L. Abdur-rahman, B. Bolaji","doi":"10.4314/NJSR.V6I1-2.54766","DOIUrl":"https://doi.org/10.4314/NJSR.V6I1-2.54766","url":null,"abstract":"Background: This prospective study was designed to assess the safety, cost effectiveness, and advantages of performing posterior sagittal anorectoplasty without colostomy on males with intermediate imperforate anus. Method: Five consecutive males with intermediate imperforate anus were entered into the study. Chest and abdominal x-rays, skeletal surveys, renal ultrasound scans, and invertograms were done. Patients were resuscitated, and Pena’s posterior sagittal anorectoplasty (PSARP) done in prone positions. Two-ml syringe vents were inserted into the new anus for 10 days. Cephalosporin and metronidazole were given as peri-operative antibiotics. Results: All patients had intermediate anomalies. There were no other major associated congenital anomalies. Urethral catheter could not be inserted in one patient. One patient presented with septicaemia and jaundice. He was deemed too ill to withstand a major operation. These 2 patients therefore had diverting colostomies. There were no problems with posterior sagittal anorectoplasty in the other 3 patients. The father of one patient discharged him against medical advice on the 5 th postoperative day. The mother had post-partum haemorrhage and they went for traditional treatment because they could not provide blood donors. The skin wound of 2 patients healed completely at removal of stitches. Both are having monthly dilatations 9months and 1 year post-operatively. Conclusion: This preliminary study shows that it is feasible for males with intermediate imperforate anus to have safe posterior sagittal anorectoplasty without colostomy. The advantages of one, instead of 3 major operations, are many, especially in developing countries. If this result can be reproduced in high anomalies colostomy may be unnecessary in many cases of anorectal malformations with a lot of benefits to these unfortunate children and their poor families.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77462278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-27DOI: 10.4314/NJSR.V6I1-2.54782
C. Bekibele
Objective : To compare the outcome of cataract surgery using intracapsular/ extracapsular extraction alone to surgery with lens implantation. Methods : A retrospective review of all patients who had cataract surgery by all methods between February 1998 and October 1999 at St Mary’s Catholic eye hospital Ago-Iwoye, Ogun state, for post operative visual acuity and surgery related complications. Results : Two hundred and forty nine eyes of 211 patients were reviewed. 128 (60.7 %) were males and 83(39.3) were females. The age range was from 9years to 90years. Post op vision of 6/18 or better was present in 71% of the posterior chamber intra ocular lens (PC-IOL) group; 50% of anterior chamber lens (AC-IOL) group, 62% of intracapsular cataract extraction (ICCE) group and 31.2% of the extracapsular cataract extraction group. Preventable causes of poor visual outcome were present in 14.9% 0f the cases reviewed especially the ECCE and ICCE groups and included: posterior capsule opacity, uveitis, cystoid macular oedema and endophthalmitis. Poor outcome was associated with pre-existing ocular disease in 10.8% of the eyes operated and were due to pre-existing glaucoma, macular degeneration, optic atrophy and diabetic retinopathy. Conclusion : Best functional visual results are obtained by modern techniques of ECCE with IOL, which ensures that the patient has adequate post op vision for his needs. Adequate case selection to exclude pre-existing ocular morbidity as well as prevention or proper management of surgery related complications when they occur are also essential for satisfactory results. Older techniques of ICCE or ECCE with out IOL are associated with less satisfactory functional visual acuity and should therefore be discouraged.
{"title":"A comparative evaluation of outcome of cataract surgery at Ago- Iwoye, Ogun State","authors":"C. Bekibele","doi":"10.4314/NJSR.V6I1-2.54782","DOIUrl":"https://doi.org/10.4314/NJSR.V6I1-2.54782","url":null,"abstract":"Objective : To compare the outcome of cataract surgery using intracapsular/ extracapsular extraction alone to surgery with lens implantation. Methods : A retrospective review of all patients who had cataract surgery by all methods between February 1998 and October 1999 at St Mary’s Catholic eye hospital Ago-Iwoye, Ogun state, for post operative visual acuity and surgery related complications. Results : Two hundred and forty nine eyes of 211 patients were reviewed. 128 (60.7 %) were males and 83(39.3) were females. The age range was from 9years to 90years. Post op vision of 6/18 or better was present in 71% of the posterior chamber intra ocular lens (PC-IOL) group; 50% of anterior chamber lens (AC-IOL) group, 62% of intracapsular cataract extraction (ICCE) group and 31.2% of the extracapsular cataract extraction group. Preventable causes of poor visual outcome were present in 14.9% 0f the cases reviewed especially the ECCE and ICCE groups and included: posterior capsule opacity, uveitis, cystoid macular oedema and endophthalmitis. Poor outcome was associated with pre-existing ocular disease in 10.8% of the eyes operated and were due to pre-existing glaucoma, macular degeneration, optic atrophy and diabetic retinopathy. Conclusion : Best functional visual results are obtained by modern techniques of ECCE with IOL, which ensures that the patient has adequate post op vision for his needs. Adequate case selection to exclude pre-existing ocular morbidity as well as prevention or proper management of surgery related complications when they occur are also essential for satisfactory results. Older techniques of ICCE or ECCE with out IOL are associated with less satisfactory functional visual acuity and should therefore be discouraged.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75749090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-27DOI: 10.4314/NJSR.V6I1-2.54784
E. Adebayo, S. Ajike
Background : Metastatic tumours make up approximately one per cent of all oral malignancies. Such tumours may present in the jawbones and oral soft tissues. The commonest oral site is the mandible. Nigerian reports of metastatic tumours to the jaws are very rare. Method : This is a retrospective study of six cases of metastatic tumours to the jaws seen at the Maxillofacial Unit, Ahmadu Bello University Hospital, Kaduna from1979-1998,representing 1% of all histologically confirmed malignant jaw tumours in the hospital. Results : Unlike in other reports, most (three of our six cases) originated from the thyroid gland while the rest were from the breast, uterus and the nasopharynx. More of our lesions occurred in the mandible (4) than the maxilla (2) and almost all patients presented with oral complaints oblivious of the primary malignancy. These complaints resemble those from odontogenic infections and benign neoplasms. The most common histological type of metastatic tumours in this study was the adenocarcinoma (50%). Conclusion : In view of the similarity in presentation of metastatic lesions to the jaws and other odontogenic tumours and even infections, a high index of clinical suspicion is advocated to ensure early, multidisciplinary care of patients.
{"title":"Report of six cases of metastatic jaw tumours in Nigerians","authors":"E. Adebayo, S. Ajike","doi":"10.4314/NJSR.V6I1-2.54784","DOIUrl":"https://doi.org/10.4314/NJSR.V6I1-2.54784","url":null,"abstract":"Background : Metastatic tumours make up approximately one per cent of all oral malignancies. Such tumours may present in the jawbones and oral soft tissues. The commonest oral site is the mandible. Nigerian reports of metastatic tumours to the jaws are very rare. Method : This is a retrospective study of six cases of metastatic tumours to the jaws seen at the Maxillofacial Unit, Ahmadu Bello University Hospital, Kaduna from1979-1998,representing 1% of all histologically confirmed malignant jaw tumours in the hospital. Results : Unlike in other reports, most (three of our six cases) originated from the thyroid gland while the rest were from the breast, uterus and the nasopharynx. More of our lesions occurred in the mandible (4) than the maxilla (2) and almost all patients presented with oral complaints oblivious of the primary malignancy. These complaints resemble those from odontogenic infections and benign neoplasms. The most common histological type of metastatic tumours in this study was the adenocarcinoma (50%). Conclusion : In view of the similarity in presentation of metastatic lesions to the jaws and other odontogenic tumours and even infections, a high index of clinical suspicion is advocated to ensure early, multidisciplinary care of patients.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78464957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-27DOI: 10.4314/NJSR.V6I1-2.54797
L. Chirdan, Uba Af, D. Iya, N. Dakum
A 21 day old boy with spontaneous scrotal faecal fistula following a neglected strangulated right inguinal hernia is reported. He had necrotizing fasciitis of the right scrotum with sparing of the testis. He successfully had debridement, herniotomy and bowel resection with end-to-end anastomosis. This is a rare occurrence in infants and seems to result from late presentation. Health education coupled with early referral and prompt repair of inguinal hernia in neonates and infants would reduce this complication.
{"title":"Spontaneous scrotal faecal fistula in a neonate: report of a case","authors":"L. Chirdan, Uba Af, D. Iya, N. Dakum","doi":"10.4314/NJSR.V6I1-2.54797","DOIUrl":"https://doi.org/10.4314/NJSR.V6I1-2.54797","url":null,"abstract":"A 21 day old boy with spontaneous scrotal faecal fistula following a neglected strangulated right inguinal hernia is reported. He had necrotizing fasciitis of the right scrotum with sparing of the testis. He successfully had debridement, herniotomy and bowel resection with end-to-end anastomosis. This is a rare occurrence in infants and seems to result from late presentation. Health education coupled with early referral and prompt repair of inguinal hernia in neonates and infants would reduce this complication.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74087773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2010-05-27DOI: 10.4314/NJSR.V6I1-2.54789
Pravin J. Gupta
Background : Postoperative wound complications have always been the main cause of concern followed by the risk of recurrence, in the surgical treatment of the pilonidal sinus disease. Various techniques evolved so far mainly aimed at solving these problems. This clinical study compares the results obtained through random allocation of patients between those subjected to, a) using the excision and marsupialisation technique and b) the technique of excision of the sinus tracts using a radiofrequency device. Methods : A total of 28 patients of chronic pilonidal sinus disease were randomised to undergo radiofrequency sinus excision technique (n=14) or excision and marsupialisation (n=14). The demographic data. Postoperative results complications and recurrence were documented for comparison of the results. Patients from both the groups were recalled after 12 months to assess recurrence. Results : Radiofrequency technique resulted to reducing the execution time (13 versus 34 minutes) as well as the hospital stay (9 versus 30 hrs). The postoperative pain (p=0.0044) and period off work (p=0.0019) was more with the marsupialisation technique. Two patients from marsupialisation developed wound infection. At subsequent follow-up, there was one case of recurrence in each group. Conclusion : in dealing with a limited, chronic pilonidal disease, the radiofrequency sinus excision technique has definite advantages over sinus excision and marsupialisation technique. It needed a shorter hospital stay with reduction on postoperative pain and early resumption to work.
{"title":"A comparison of two operations for pilonidal sinus disease","authors":"Pravin J. Gupta","doi":"10.4314/NJSR.V6I1-2.54789","DOIUrl":"https://doi.org/10.4314/NJSR.V6I1-2.54789","url":null,"abstract":"Background : Postoperative wound complications have always been the main cause of concern followed by the risk of recurrence, in the surgical treatment of the pilonidal sinus disease. Various techniques evolved so far mainly aimed at solving these problems. This clinical study compares the results obtained through random allocation of patients between those subjected to, a) using the excision and marsupialisation technique and b) the technique of excision of the sinus tracts using a radiofrequency device. Methods : A total of 28 patients of chronic pilonidal sinus disease were randomised to undergo radiofrequency sinus excision technique (n=14) or excision and marsupialisation (n=14). The demographic data. Postoperative results complications and recurrence were documented for comparison of the results. Patients from both the groups were recalled after 12 months to assess recurrence. Results : Radiofrequency technique resulted to reducing the execution time (13 versus 34 minutes) as well as the hospital stay (9 versus 30 hrs). The postoperative pain (p=0.0044) and period off work (p=0.0019) was more with the marsupialisation technique. Two patients from marsupialisation developed wound infection. At subsequent follow-up, there was one case of recurrence in each group. Conclusion : in dealing with a limited, chronic pilonidal disease, the radiofrequency sinus excision technique has definite advantages over sinus excision and marsupialisation technique. It needed a shorter hospital stay with reduction on postoperative pain and early resumption to work.","PeriodicalId":19188,"journal":{"name":"Nigerian Journal of Surgical Research","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2010-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89125114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}