RESUMEN
BACKGROUND: In developing countries, the rate of complications from chronic suppurative otitis media is still high, due to factors associated with poverty. This study aimed to determine the prevalence of chronic suppurative otitis media and associated complications. PATIENTS AND METHODS: We prospectively studied all patients presenting with chronic suppurative otitis media to the ear, nose and throat unit of the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, over a two-year period. RESULTS: One hundred and sixty new cases of chronic suppurative otitis media were seen. These constituted 11.1 per cent of all new cases and 21.5 per cent of all otological cases seen. About half (51.7 per cent) of these patients were younger than 15 years. Most patients were from rural areas and had been previously managed by unlicensed, untrained practitioners. Complications were mostly seen in children. Intracranial complications were seen in 10 (6.3 per cent) cases; this was associated with a high mortality rate. CONCLUSION: This study found that, in Nigeria, a developing country, 'safe' chronic suppurative otitis media was not without serious problems. Provision of adequate health facilities may reduce such problems.
Asunto(s)
Países en Desarrollo , Otitis Media Supurativa/terapia , Absceso/etiología , Adolescente , Adulto , Distribución por Edad , Anciano , Otorrea de Líquido Cefalorraquídeo/etiología , Niño , Preescolar , Enfermedad Crónica , Humanos , Lactante , Recién Nacido , Mastoiditis/etiología , Persona de Mediana Edad , Nigeria , Otitis Media Supurativa/complicaciones , Estudios Prospectivos , Distribución por SexoRESUMEN
BACKGROUND: Dentures in the oesophagus have been associated with various complications; however, Horner's syndrome following denture impaction has not been reported in our locality. CASE REPORT: Horner's syndrome developed in a 26-year-old woman following accidental swallowing of an upper denture which then became impacted in the oesophagus. The denture was retrieved via cervical oesophagotomy. The syndrome abated completely by the seventh day post-surgery. The clinical features of Horner's syndrome are discussed. CONCLUSION: Compression of the stellate ganglion, with resultant Horner's syndrome, can be associated with denture impaction in the cervical oesophagus.