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<p class="abstract"><strong>Background:</strong> Surgery has a predominantly male-dominated population, especially in Otolaryngology. Efforts have been made worldwide to improve gender equality in medicine, including Otolaryngology. Knowing the experience will help the curriculum develop.</p><p class="abstract"><strong>Methods:</strong> An anonymous web-based survey was distributed via the WhatsApp group of the Otorhinolaryngological Society of Nigeria (ORLSON) platform using the survey monkey. A questionnaire-based study using a 10 stem questions, assessing demographics, academic progression, work life balance and factors affecting women in Otolaryngology in Nigeria was carried out in April 2020 for four weeks. All information gathered from the study was entered into Statistical Package and Service Solution (SPSS) version 20 and analyzed.</p><p class="abstract"><strong>Results: </strong>A total of 37 women responded out of 48 women in Otolaryngology practice. Twenty-nine (78%) had complete responses to all the ten stem questions. Mean age of responders is 39±7.28 years ±7.27 S.D. Thirty-eight percent are consultant cadre, 86% are married. The average duration of residency is 7 years. A quarter of responders are interested in Head and Neck as a subspecialty. Thirteen-point eight percent experienced some form of sexual harassment during the course of residency training, 62% believe women lack mentorship in Otolaryngology while 59.46% did not feel disadvantaged as females in otolaryngology compared to their male counterparts.</p><p class="abstract"><strong>Conclusions:</strong> Despite increase in women in surgical practice and a growing number of women joining residency programs, the number of female Otolaryngologists remains just a fraction of what it should be. The curriculum has many problems affected by gender.</p>

Background: The 2019 novel corona virus disease (COVID-19) pandemic broke out in Wuhan, Hubei province in China in December 2019. Available research so far showed that Otolaryngologists had an elevated risk of exposure to SARS-CoV-2 due to the high viral load in the respiratory tract, which is the primary area of examination and instrumentation. We aimed to present our findings on the impact of this pandemic on Otolaryngology practice in Nigeria. Materials and Methods: This study was conducted online in September, 2020 amongst otolaryngologists in secondary and tertiary health centers across Nigeria using the survey monkey. Analysis was done using SPSS version 20. Results: A total of 102 ORL practitioners in Nigeria were assessed in this study. The mean age of the respondents was 42.4 ± 7.9 years; majority (54.9%) were Consultants and their duration of ORL practice ranged between 1 -37 years. All the respondents felt being an ENT Surgeon exposes them to higher risk of contracting COVID-19 in their practice while 93% of them felt unsafe to perform throat examination during COVID-19 pandemic. Similarly, 74.5% feel unsafe to perform rhinoscopy while 67.7% of the respondents feel unsafe to do anterior rhinoscopy, posterior rhinoscopy and rigid nasal endoscopy. Conclusion: Otolaryngologist is at high risk of being infected with SARS COV-2 as they cope with upper respiratory tract during diagnosis, clinical review, sampling and surgery. The pandemic has affected almost all aspects of Otolaryngologic practice in Nigeria.

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Epistaxis from the posterior superior region of the nasal cavity might be fatal in some cases. It is particularly severe in an individual with hypertension, arterial aneurysm of traumatic origin, and bleeding from posterior lateral nasal artery, which is frequently difficult to reach and ligate directly on a bleeding area. Certain cases have been reported in which the bleeding could be stopped only by ligating/embolization of the external carotid artery or the internal maxillary artery at its branching off from the external carotid artery. Despite the multiple anastomoses, the effect of such ligation or cauterization is effective if properly done. We present a case of a 25-year-old young man with a 3-month history of recurrent epistaxis resulting from an internal maxillary artery aneurysm following trauma. The clinical presentation, diagnosis, and successful endoscopy treatment of posterior epistaxis are presented.