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Biomedical subjects

O Odetoyinbo

Publications and source records attributed to O Odetoyinbo.

8 recordsLinked to original sources

Foley catheter, a simple device for removal of oesophageal foreign bodies.

An oesophageal foreign body is a common mishap in children. Removal through oesophagoscopy is a standard procedure but where this facility is not available this rather common accident could pose serious problems. A foley catheter was used repeatedly for the extraction of smooth foreign bodies from the oesophagus without fluoroscopic control. The procedure is safe and could be used whenever oesophagoscopy is not available.

Catheterization↗

Early diagnosis of tuberculous otitis media.

In an area endemic for pulmonary tuberculosis, 23 of 192 histological specimens from chronic suppurative otitis media proved to be tuberculous. A personal or family history of tuberculosis was present in 75 per cent of the patients. A pre-operative diagnosis was made in six out of 23 patients, but middle ear mucosal biopsy and aural polypectomy provided a histological diagnosis in 30 and 35 per cent respectively. It is suggested that, when tuberculosis of the middle ear is a possibility, initial surgery for chronic suppurative otitis media should be minimal and directed towards obtaining a tissue diagnosis.

Adolescent↗

Complications following total inferior turbinectomy: facts or myths?

Various surgical procedures have been described for the relief of chronic nasal obstruction due to inferior turbinate hypertrophy, but none has been consistently satisfactory. We have performed total inferior turbinectomy for this condition for 5 years. Of the 39 patients followed for at least 2 years, 90% were relieved permanently of nasal obstruction. However, only 36% and 61% of patients with rhinorrhoea and anosmia respectively were relieved of these symptoms. Complications were minimal. It is concluded that even in a dry, dusty tropical climate, inferior turbinectomy does not appear to disturb the function of the nasal cavity appreciably.

Airway Obstruction↗

A comparison of endotracheal intubation and tracheostomy in the management of acute epiglottitis in children in the tropics.

In children, acute epiglottitis is rapidly fatal due to airway obstruction by swollen supraglottic structures, but the oedema is short-lived. Therefore, in many centres short-term endotracheal intubation has replaced tracheostomy as the method of choice for relieving the obstruction. We have tried both methods in 15 children over a period of three years under conditions of limited material and human resources. Tracheostomy was found to be safer. It was concluded that it is better to have a live healthy child with a small scar in the neck than a dead child without a scar.

Acute Disease↗

Sensorineural hearing loss in children with sickle cell anemia.

Various degrees of hearing loss have been associated with sickle cell anemia. Fifty-six Nigerian children 6 to 15 years old were investigated for presence, type, and degree of hearing loss. Sensorineural hearing loss greater than or equal to 25 dB in two or more frequencies was found in 12 of 56 patients (21.4%). Tympanometry was normal in all patients, but acoustic reflex was elevated or absent in seven of 12 patients with hearing loss. Analysis of the data revealed a significant association between sensorineural hearing loss and the homozygous sickle cell disease, and a significant association between hearing loss and early occurrence of vaso-occlusive crisis. This latter finding suggest that the microvasculature of the cochlea in young infants may be more susceptible to occlusion during sickle cell crisis.

Acoustic Impedance Tests↗