Summary Introduction:?Aging process is associated with degeneration in different part of the body There is scarcity of literature on the otological diseases in the elderly black African especially Nigerian which is the largest African nation. Thus this study is done with the aim of highlighting the pattern of otological diseases in elderly for careful cost-effective health care plans and to make the aging period more fulfilling and tolerable to the elderly. It is therefore hope that the information will go a long way to assist other African countries as well. Method:?The study is a ten year hospital-based retrospective study between January, 1999 and December, 2008 at the ENT Department of Unilorin Teaching Hospital Ilorin. All patients aged 65 years and above with otological complaints were included in the study. Results:?A total of 740 Elderly patients were included in the study. The male to female sex ratio was 1.5:1.0.Petty Traders accounted for 300 (40.5%) of cases; 87 (11.8%) were Farmers; 250 (33.8%) were Retired Civil Servants; 68 (9.2%) were Unskilled Laborers and 35 (4.7%) were full-time Housewives. Aural wax impaction was the commonest otological disease found, accounting for 360 (48.7%) of cases, Hearing loss (presbyacusis),158 (21.4%); Tinnitus,78 (10.5%) and Otomycosis,64 (8.5%).Other conditions were CSOM,34 (4.6%);Foreign body Impaction,32 (4.3%); Vertigo,10 (1.4%) and Aural Tumours,5 (0.6% ). Conclusion:?Aural wax impaction was the commonest disease found, thus it is important to always do full audiologic evaluation after aural syringing to rule out other conditions such as presbyacusis and aural tumours in elderly. Continuing medical education is recommended for the general practitioners for early recognition and referral.

Abstract

Background: Human beings are able to maintain their balance from a combination of proprioceptive, graviceptive, visual and the vestibular inputs integrated by the central nervous system. Hence, symptoms of imbalance can arise whenever there is a defect either in these peripheral sensors or the modulating central nervous system. The prevalence of vertigo is 20-30% and it is a major health issue all over the world. Objectives: To determine the prevalence and causes of vertigo in Federal Medical Center Lokoja, North Central Nigeria. Materials and Methods: This is a 3-year retrospective hospital based study undertaken in the ENT Unit of the Department of Surgery Federal Medical Centre, Lokoja. From the hospital Medical Records, patients' files were retrieved. Data about their age, sex, occupation, presentation, treatment modality and outcome were extracted, studied and analyzed. Results: Three thousand two hundred and fourteen patients were seen and 65 of them had vertigo with a prevalence of 2.0%. Fifteen files had incomplete information and were not include in the study. The remaining 50 patients' files that were reviewed, consisted of 32 males (64%) and 18 females (36%). Male to female ratio was 1.8:1 and a mean age of 24.8 years. Bengin Paroxysmal Positional Vertigo (BPPV) 22(44%) was the commonest aetiology found followed by Meniere's disease 8(16%), trauma 7(14%) and Vestibular Neuronitis 5(10%) respectively.

Background:Craniofacial clefts are congenital anomalies which pose a management challenge to cleft surgeons, especially in developing countries. The aim of this study is to share our experience regarding the management of these atypical facial clefts.Patients and Methods:This prospective study was carried out from May 2009 to May 2014 at Federal Medical Centre, Nguru, Nigeria. Diagnosis was based on clinical examination and Tessier classification was used to describe these clefts.Results:A total of seven patients with rare facial clefts were seen. There were four cases of midline clefts, two cases of bilateral clefts, and one case of multiple facial clefts. All cases were surgically treated, except one case of premaxillary agenesis type holoprosencephaly.Conclusion:To achieve an optimal management of patients with rare facial cleft, a well-equipped craniofacial center must be established which is still lacking in low-resource centers

Background: Knowledge of prevention and removing the barriers of stigma and discrimination is a critical public health issue for HIV/AIDS prevention strategies in Nigeria. Objective: This paper is aimed at accessing the knowledge of HIV/AIDS prevention, causes and effects of stigma and discrimination towards people living with HIV/AIDS (PLWHA), among the final year dental students. Methodology: This was a descriptive cross-sectional study among final year dental students in accredited dental schools in Nigeria, 2016. At the time of conducting this study there were 8 accredited dental schools in Nigeria. Simple random sampling technique was used to pick four schools from the existing eight. All data obtained was analysed using IBM SPSS version 21.0. Results: Out of the 70 questionnaires administered 60 were filled and returned giving a response rate of 85.7%. Half (50.0%) of the respondents exhibited a good level of knowledge of HIV prevention. About two-thirds (66.7%) of the respondents exhibited good level of knowledge of HIV discrimination and stigma. The main cause of stigma against PLWHA was lack of knowledge about HIV (86.7%). The main effect of stigma on PLWHA as stated by 83.3% is that they hide their HIV status. Conclusion: The study showed that most final year dental students have good knowledge of HIV prevention; causes; and effects of stigma and discriminations among people living with HIV/AIDS. However, they need more training on how occupational HIV exposure should be handled in the clinic.