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Pediatric Otorhinolaryngology Emergencies at the Jos University Teaching Hospital: Study of Frequency, Management, and Outcomes

BACKGROUND: Studies from Nigeria on pediatric otorhinolaryngology (ORL) emergencies are rare in literature with most focusing on emergencies involving individual systems. OBJECTIVE: The aim of this study is to determine the prevalence of all ORL emergencies among children in our region to provide a...

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Autores principales: Adoga, Adeyi A., Okwori, Emoche T., Yaro, John P., Iduh, Andrew A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5452715/
https://www.ncbi.nlm.nih.gov/pubmed/28469122
http://dx.doi.org/10.4103/aam.aam_21_16
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author Adoga, Adeyi A.
Okwori, Emoche T.
Yaro, John P.
Iduh, Andrew A.
author_facet Adoga, Adeyi A.
Okwori, Emoche T.
Yaro, John P.
Iduh, Andrew A.
author_sort Adoga, Adeyi A.
collection PubMed
description BACKGROUND: Studies from Nigeria on pediatric otorhinolaryngology (ORL) emergencies are rare in literature with most focusing on emergencies involving individual systems. OBJECTIVE: The aim of this study is to determine the prevalence of all ORL emergencies among children in our region to provide a baseline data for future health planning. PATIENTS AND METHODS: This is a 1-year retrospective cross-sectional study of patients aged 16 years and below presenting to the Accident and Emergency Department of the Jos University Teaching Hospital, Jos, Nigeria. RESULTS: A total of 203 otolaryngology emergencies were attended of which 129 (63.5%) were pediatric emergencies. Records of 87 patients were retrievable with age range 2 months to 15 years (mean 3.44 years; standard deviation ± 3.35). There were 55 males and 32 females with a male to female ratio of 1.7:1. The majority of cases were aged under 5 years (64; 73.6%). Acute tonsillitis accounted for 32 (36.7%) cases with 6 (6.9%) having peritonsillar abscesses. Acute pharyngitis accounted for 11 (12.6%) presentations followed closely by foreign bodies (FBs) in the ear with 10 (11.5%) presentations. FB in the throat occurred in 4 (4.6%) patients who had removal under general anesthesia. Three (3.4%) cases of maxillofacial injuries occurred as a result of insurgent terror attacks and 3.4% presented following corrosive substance ingestion. Conservative management was commenced in 76 (87.4%) patients, 23 (26.4%) had surgery with 68 (78.2%) admitted and discharged, 18 (20.7%) treated as outpatients, and 1 (1.1%) died on admission. Otolaryngologists attended most (95.4%) patients. CONCLUSION: Pediatric ORL emergencies are common in our region involving a wide range of pathologies. Expansion is required in the ORL training of the emergency room physician to enhance emergency services.
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spelling pubmed-54527152017-08-01 Pediatric Otorhinolaryngology Emergencies at the Jos University Teaching Hospital: Study of Frequency, Management, and Outcomes Adoga, Adeyi A. Okwori, Emoche T. Yaro, John P. Iduh, Andrew A. Ann Afr Med Original Article BACKGROUND: Studies from Nigeria on pediatric otorhinolaryngology (ORL) emergencies are rare in literature with most focusing on emergencies involving individual systems. OBJECTIVE: The aim of this study is to determine the prevalence of all ORL emergencies among children in our region to provide a baseline data for future health planning. PATIENTS AND METHODS: This is a 1-year retrospective cross-sectional study of patients aged 16 years and below presenting to the Accident and Emergency Department of the Jos University Teaching Hospital, Jos, Nigeria. RESULTS: A total of 203 otolaryngology emergencies were attended of which 129 (63.5%) were pediatric emergencies. Records of 87 patients were retrievable with age range 2 months to 15 years (mean 3.44 years; standard deviation ± 3.35). There were 55 males and 32 females with a male to female ratio of 1.7:1. The majority of cases were aged under 5 years (64; 73.6%). Acute tonsillitis accounted for 32 (36.7%) cases with 6 (6.9%) having peritonsillar abscesses. Acute pharyngitis accounted for 11 (12.6%) presentations followed closely by foreign bodies (FBs) in the ear with 10 (11.5%) presentations. FB in the throat occurred in 4 (4.6%) patients who had removal under general anesthesia. Three (3.4%) cases of maxillofacial injuries occurred as a result of insurgent terror attacks and 3.4% presented following corrosive substance ingestion. Conservative management was commenced in 76 (87.4%) patients, 23 (26.4%) had surgery with 68 (78.2%) admitted and discharged, 18 (20.7%) treated as outpatients, and 1 (1.1%) died on admission. Otolaryngologists attended most (95.4%) patients. CONCLUSION: Pediatric ORL emergencies are common in our region involving a wide range of pathologies. Expansion is required in the ORL training of the emergency room physician to enhance emergency services. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5452715/ /pubmed/28469122 http://dx.doi.org/10.4103/aam.aam_21_16 Text en Copyright: © 2017 Annals of African Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Adoga, Adeyi A.
Okwori, Emoche T.
Yaro, John P.
Iduh, Andrew A.
Pediatric Otorhinolaryngology Emergencies at the Jos University Teaching Hospital: Study of Frequency, Management, and Outcomes
title Pediatric Otorhinolaryngology Emergencies at the Jos University Teaching Hospital: Study of Frequency, Management, and Outcomes
title_full Pediatric Otorhinolaryngology Emergencies at the Jos University Teaching Hospital: Study of Frequency, Management, and Outcomes
title_fullStr Pediatric Otorhinolaryngology Emergencies at the Jos University Teaching Hospital: Study of Frequency, Management, and Outcomes
title_full_unstemmed Pediatric Otorhinolaryngology Emergencies at the Jos University Teaching Hospital: Study of Frequency, Management, and Outcomes
title_short Pediatric Otorhinolaryngology Emergencies at the Jos University Teaching Hospital: Study of Frequency, Management, and Outcomes
title_sort pediatric otorhinolaryngology emergencies at the jos university teaching hospital: study of frequency, management, and outcomes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5452715/
https://www.ncbi.nlm.nih.gov/pubmed/28469122
http://dx.doi.org/10.4103/aam.aam_21_16
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