RESUMO
Introduction et objectif : La pathologie developpementale du langage oral est une entite nosologique dont l'etiologie est multiforme. Cette etude avait pour objectif d'en determiner les caracteristiques epidemiologique et clinique a Abidjan. Population et methodes : cette etude retrospective et descriptive a ete realisee au CHU de Cocody et a l'institut national de sante publique ; de 2000 a 2006 (07ans). Resultats : 173 enfants parmi 1942 presentaient un trouble du langage oral (8;9). 124 enfants ont ete inclus dans l'etude. Leur age moyen etait de 3;4 ans. Il y avait 53 garcons pour 71 filles. Les motifs de consultation etaient domines par le retard de langage (39;5). Des antecedents pathologiques ont ete releves : la prematurite (5;64); la souffrance cerebrale (14;51); la meningite (5;64) et les convulsions non febriles (11;29). Ces troubles du langage etaient secondaires (46) a une affection otologique (23;4) ou neurologique (11;3). Conclusion : la pathologie developpementale du langage oral est frequente a Abidjan. Sa prise en charge doit etre codifiee afin de la rendre plus efficace
Assuntos
Desenvolvimento da Linguagem , Transtornos do Desenvolvimento da Linguagem , Patologia da Fala e LinguagemRESUMO
PURPOSE OF STUDY: To report the epidemiological, clinical, therapeutic and evolutionary aspects of rhinoscleroma in ENT departments of university hospitals (Côte d'Ivoire). MATERIAL AND METHOD: Retrospective study of rhinoscleroma conducted in the ENT and head and neck surgery departments in Côte d'Ivoire from January 1980 to December 2008 including the cases of confirmed rhinoscleroma and the treated cases. RESULTS: Fourteen cases of rhinoscleroma were found in 28 years. The early manifestations were not specific enough so the patients were seen with clinical status with obvious disorders or physical discomfort. Treatment was medical and surgical. Medical therapy was based on streptomycin, thiopenicol or ciprofloxacin administration. Surgery consisted in removing the fibrous adhesions to correct the functional and aesthetic disorders. CONCLUSION: Rhinoscleroma has become a more and more rare disease because of the sensitivity to the new molecules. Diagnosis can be difficult and delayed because of its clinical polymorphism.
