Peritonsillar abscess (PTA) or Quinsy is one of the common abscesses of the head and neck that requires urgent attention. Its treatment may often require hospital admission. Needle aspiration, incision & drainage and tonsillectomy have been the various treatment policies available depending on surgeon's preference. We present a survey of current practices in the management of PTA of practicing ENT surgeons in Nigeria. Questionnaires were mailed to members of the Otorhinolaryngological Society of Nigeria (ORLSON). Of the 60 surgeons surveyed, 56.7 % advise tonsillectomy in patients with history of recurrence, 20 % when there is previous history of tonsillitis and 23.3 % in patients with single attack of PTA. Overall 96.7 % of surgeons advises interval tonsillectomy and only 3.3 % advice abscess/quinsy tonsillectomy. There is paucity of literature on PTA in the tropical region, the survey therefore serves as a baseline information for further research especially outcome based in order to establish a standard criteria for choice of a treatment policy in our region. We suggest maintaining the policy of interval tonsillectomy in the appropriate patients for the time being.

Neurofibroma of the soft palate is an unusual tumor and probably only two cases have been reported in English literature previously. Solitary isolated neurofibroma of the soft palate not associated with von Recklinghausen's disease is even more infrequent. To the best of our knowledge, this case represents the third reported in English literature. Complete surgical excision was achieved after tracheostomy due to envisaged difficulty in intubation. We present a 40-year-old man with an uncommon soft palatal neurogenic tumor.

No abstract

Background: Hearing loss being a hidden disability attracts less sympathy from the public as well as governmental and non governmental organizations.Objective: The Objective of the study was to determine the prevalence and pattern of hearing loss among patients seen at the out patient unit of Ear, Nose and Throat clinic of the Yobe State University Teaching Hospital, Damaturu, Yobe State, Nigeria. Patients and Methods: This was a retrospective study of all registered patients with hearing impairment seen at the department of Ear, Nose and Throat, Head and Neck Surgery of the Yobe State University Teaching Hospital, Damaturu from 1st January, 2018 to 31st December, 2018. Case files were retrieved and reviewed. Data was extracted and entered into a Proforma. Extracted data include socio-demographic information, mode of presentation, examination findings, diagnosis, investigations done, treatment offered and outcome. The generated data was analyzed using SPSS version 20. Results: Seventy four, out of the total 1268 patients seen at the department of Ear, Nose and Throat clinic within the period under review, had hearing loss making a hospital prevalence of hearing loss of 5.8%. Median age of the participants was 20 years (range 2months-80years). Middle ear infections accounted for majority of the aetiologic factors and most patients presented with bilateral, moderate mixed hearing loss. Most patients had ear dressing to achieve dryness while 6 had tympano-mastoidectomy. Conclusions: The prevalence of hearing loss is low, with most patients presenting with ear discharge. The pattern found in the majority of the patients is bilateral moderate mixed hearing loss

Foreign body in the aerodigestive tract is common, but ingested foreign body lodging in the nasopharynx is rare and likely to be missed. We present an unusual case of a 3 month old infant who presented with a history of gagging, excessive crying and irritability, drooling of saliva and refusal to suck. A foreign body (mirror) was found lodged in his nasopharynx. The FB was removed under general anaesthesia with no complication.