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Epidemiological and clinical aspects of ear nose and throat sensorineural emergencies in the Yaoundé reference hospital

INTRODUCTION: Sensorineural emergencies (SNE) are rare clinical situations. Few patients consult early explaining subsequent difficulty in having accurate data and management. Three clinical conditions are considered SNE in otolaryngology; they include sudden sensorineural hearing loss (SSHL), Bell&...

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Autores principales: Djomou, François, Nkouo, Yves Christian Andjock, Mindja, Eko David, Nchinda, Choffor, Meka, Luc, Mbamyah-Lyonga, Emilia, Ndjolo, Alexis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5075456/
https://www.ncbi.nlm.nih.gov/pubmed/27800104
http://dx.doi.org/10.11604/pamj.2016.24.251.7573
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author Djomou, François
Nkouo, Yves Christian Andjock
Mindja, Eko David
Nchinda, Choffor
Meka, Luc
Mbamyah-Lyonga, Emilia
Ndjolo, Alexis
author_facet Djomou, François
Nkouo, Yves Christian Andjock
Mindja, Eko David
Nchinda, Choffor
Meka, Luc
Mbamyah-Lyonga, Emilia
Ndjolo, Alexis
author_sort Djomou, François
collection PubMed
description INTRODUCTION: Sensorineural emergencies (SNE) are rare clinical situations. Few patients consult early explaining subsequent difficulty in having accurate data and management. Three clinical conditions are considered SNE in otolaryngology; they include sudden sensorineural hearing loss (SSHL), Bell's palsy and acute vertigo. There is very little data available on sensorineural emergencies in our setting. The aim of this study was to provide preliminary data on the management of Ear Nose and Throat (ENT) sensorineural emergency cases in Yaoundé Reference Hospital. METHODS: A descriptive retrospective study was carried out based on data collected over a period of 5 years, January 2010 to July 2014 at the Yaoundé Reference Hospital. Information was obtained from patients’ files collected from the archives of the institution. Patients presenting with SSHL, Bell's palsy, acute vertigo who consulted during the study period were included in the study. RESULTS: A total of 22 patients were included in the study out of 6406 patients who consulted at the ENT Unit. The prevalence of SNE in ENT consultations was 0.003, distributed as follows; 13 patients (59.1%) of SNE had Bell's palsy, seven (31.8%) had vestibular neuritis and two (9.1%) had SSHL. CONCLUSION: The prevalence of SNE was low with idiopathic Bell's palsy being the most frequent. There was a general delay in arrival of patients hence delay in diagnosis. This delay could equally be a factor for treatment failure and poor prognosis. More effort should be made in terms of population sensitization about the necessity of getting early medical attention.
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spelling pubmed-50754562016-10-31 Epidemiological and clinical aspects of ear nose and throat sensorineural emergencies in the Yaoundé reference hospital Djomou, François Nkouo, Yves Christian Andjock Mindja, Eko David Nchinda, Choffor Meka, Luc Mbamyah-Lyonga, Emilia Ndjolo, Alexis Pan Afr Med J Research INTRODUCTION: Sensorineural emergencies (SNE) are rare clinical situations. Few patients consult early explaining subsequent difficulty in having accurate data and management. Three clinical conditions are considered SNE in otolaryngology; they include sudden sensorineural hearing loss (SSHL), Bell's palsy and acute vertigo. There is very little data available on sensorineural emergencies in our setting. The aim of this study was to provide preliminary data on the management of Ear Nose and Throat (ENT) sensorineural emergency cases in Yaoundé Reference Hospital. METHODS: A descriptive retrospective study was carried out based on data collected over a period of 5 years, January 2010 to July 2014 at the Yaoundé Reference Hospital. Information was obtained from patients’ files collected from the archives of the institution. Patients presenting with SSHL, Bell's palsy, acute vertigo who consulted during the study period were included in the study. RESULTS: A total of 22 patients were included in the study out of 6406 patients who consulted at the ENT Unit. The prevalence of SNE in ENT consultations was 0.003, distributed as follows; 13 patients (59.1%) of SNE had Bell's palsy, seven (31.8%) had vestibular neuritis and two (9.1%) had SSHL. CONCLUSION: The prevalence of SNE was low with idiopathic Bell's palsy being the most frequent. There was a general delay in arrival of patients hence delay in diagnosis. This delay could equally be a factor for treatment failure and poor prognosis. More effort should be made in terms of population sensitization about the necessity of getting early medical attention. The African Field Epidemiology Network 2016-07-18 /pmc/articles/PMC5075456/ /pubmed/27800104 http://dx.doi.org/10.11604/pamj.2016.24.251.7573 Text en © François Djomou et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Djomou, François
Nkouo, Yves Christian Andjock
Mindja, Eko David
Nchinda, Choffor
Meka, Luc
Mbamyah-Lyonga, Emilia
Ndjolo, Alexis
Epidemiological and clinical aspects of ear nose and throat sensorineural emergencies in the Yaoundé reference hospital
title Epidemiological and clinical aspects of ear nose and throat sensorineural emergencies in the Yaoundé reference hospital
title_full Epidemiological and clinical aspects of ear nose and throat sensorineural emergencies in the Yaoundé reference hospital
title_fullStr Epidemiological and clinical aspects of ear nose and throat sensorineural emergencies in the Yaoundé reference hospital
title_full_unstemmed Epidemiological and clinical aspects of ear nose and throat sensorineural emergencies in the Yaoundé reference hospital
title_short Epidemiological and clinical aspects of ear nose and throat sensorineural emergencies in the Yaoundé reference hospital
title_sort epidemiological and clinical aspects of ear nose and throat sensorineural emergencies in the yaoundé reference hospital
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5075456/
https://www.ncbi.nlm.nih.gov/pubmed/27800104
http://dx.doi.org/10.11604/pamj.2016.24.251.7573
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