Background: The number of recurrent tonsillitis and tonsillar hyperplasia requiring tonsillectomies annually is huge. Poor oral hygiene has been linked with the occurrence of these tonsillar diseases. The main objective of the present study is to determine the oral hygiene status of patients treated for tonsillitis and/or tonsillar hyperplasia at our hospital. Methods: This was a prospective case series of participants with tonsillitis or tonsillar hyperplasia at our hospital from 2018 to 2020. Results: A total of 80 participants with tonsillitis/or tonsillar hyperplasia were recruited into the study within August 2016 and March 2017 comprising 49 (61.3%) females and 31 (38.7%) males, with age ranging from 16 to 32 years (18.27 ± 4.21). Conclusions: The present study demonstrated a high proportion of less than optimal oral hygiene status in participants with tonsillitis/or tonsilar hyperplasia. This suggests that there might be an association between oral hygiene and tonsillitis/or tonsilar hyperplasia. Further research is, however, needed to prove this.
<p>Sudden Hearing loss has been rarely reported as a presenting symptom of malaria fever. It’s even more rare to have a bilateral profound sudden sensorineural hearing loss. A 19 years old female student presented with fever, body weakness, hearing loss with tinnitus. Laboratory investigations done were essentially normal except blood film for malaria parasite which showed a high concentration of the parasite in blood on both occasions. Otoacoustics emission test was passed bilaterally while auditory steady state response showed profound hearing loss bilaterally. Normal hearing was restored within 48 hrs of commencement of anti-malaria drugs and low dose steroids. </p>
Pleomorphic salivary adenoma (PSA) is a benign tumor composed of epithelial and mesenchymal elements. Approximately 10% of pleomorphic adenomas occur in the minor salivary glands, with the palate being the most common site. Mesenchymal elements in PSA are capable of giving rise to various components that are usually seen in the tumor. Still, the presence of calcifications either from degenerations or the mesenchymal elements is rare. We are reporting a case of giant pleomorphic adenoma of the soft palate with dystrophic calcification and significant upper aerodigestive obstruction in a 49-year-old Nigerian. Surgical excision was done under general anesthesia via oral route.
The Temporomandibular Joint (TMJ) is a unique joint because both the right and left joints must open synchronously for function, Ankylosis of the TMJ refers to bony or fibrous adhesion of the anatomical components of the joint and their ensuing loss of function. Early presentation means that the patient will require a less extensive surgical treatment. The reality, however, is that many patients present to the surgeons, years or decades after the initial injury, and so TMJ ankylosis would have been fully established. Causes of TMJ ankylosis include trauma and infections. Surgery with aggressive post-operative physiotherapy is the mainstay of management. There is paucity of reports on the presentation and management of this condition from our centre. We present two patients, 16 and 20 years old, with TMJ ankylosis in our centre. Both of them presented after 12 and 18 years, respectively, of initial injury to the TMJs.
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