Early outcome of endoscopic trans-nasal trans-sphenoidal pituitary surgery in Kano, Nigeria

Kolo, Emmanuel Sara; Hassan, Iffat; Ibrahim, Musa; Misbahu, Ahmad Haruna; Adamu, Auwal; Ismail, Nasiru Jinjiri; Salahu, Dalhat; Ramalan, Mansur

doi:10.4103/njbcs.njbcs_17_2

Cited by 4 publications

(2 citation statements)

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“…[ 13 ] Other indications include contact point headache, provision of better access during endoscopic sinus surgery, and a source of graft or flap during endoscopic skull base surgery. [ 13 14 ] Most of patients in this study had endoscopic septoplasty together with endoscopic sinus surgery. This is similar to a study conducted in Jordan where they reported that majority of the cases of septoplasty were performed in conjunction with endoscopic sinus surgery.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Septoplasty

Ngamdu,

Kirfi,

Adamu

et al. 2023

Journal of West African College of Surgeons

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Background: Endoscopic septoplasty is a minimally invasive surgical procedure for the correction of nasal septal deformity. Globally, nasal septal surgeries are rarely performed, and in our country these procedures are even more scarcely undertaken, partly due to dearth of facilities and to some extent, the expertise of embarking on this specialised surgical procedure. Therefore, we aimed to document the indications and the outcome of endoscopic septoplasty in our environment. Materials and Methods: This was a retrospective study of all consecutive patients that had endoscopic septoplasty at a state tertiary hospital over three years period. Ethical approval was obtained before commencement of the study. Patients’ medical records were retrieved. Biodata, clinical presentation, operative procedure and outcome were extracted and analyzed descriptively. Results: Fourteen patients had endoscopic septoplasty over the period under review, constituting 11 (78.6%) males and 3 (21.4%) females. Predominant clinical features were nasal obstruction (100%) and nasal septal deviation (100%). The main indication for procedure was deviated nasal septum. The outcome of the surgery was good, 2(14.3%) of the patients had nasal adhesions but no major complication was recorded. The length of hospital stay ranged between 3 and 5 days with a mean of 3.7 ± 0.9 days, and all the patients were discharged successfully. Conclusions: Endoscopic septoplasty is a safe surgery. The main indication for the procedure was deviated nasal septum, and the procedure has a favourable outcome among the operated patients.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Septoplasty

Ngamdu,

Kirfi,

Adamu

et al. 2023

Journal of West African College of Surgeons

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“…Those with pituitary tumours had endoscopic endonasal transsphenoidal surgery. This treatment modality is gradually becoming increasingly available in Nigeria [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Profile and Outcome of Management of Brain Tumours in Kaduna Northwestern Nigeria

Sale

Dauda

Kene

et al. 2022

J Korean Neurosurg Soc

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Objective : Tumours of the brain are a rare occurrence accounting for approximately 2% of all neoplasms in adults. Few studies have been done in Nigeria on the profile of brain tumours. The aim of this study is to determine the profile of brain tumours in general and determine the change in Kanofsky Performance Score (KPS) after treatment.Methods : This is a prospective hospital-based study in Kaduna. All consecutive patients over 18 years of age with diagnosis of brain tumours from January 2016 to December 2019 were included in the study. Demographic and clinical data was collected using a proforma during the study. Patients who received treatment were followed up for 12 months. The primary outcome data was the difference in the quality of life as measured by KPS at the point of first contact and at 1-month after treatment and at 12-month follow up. Data obtained was analysed with SPSS version 25.0 for Windows. Descriptive statistics was done to determine the profile. Paired t-test at 95% confidence interval was done to check for significant correlation between the mean KPS.Results : A total of 39 consecutive patients were included in the study. There was a slight male preponderance with a M : F of 1.17 : 1. Meningioma and metastasis were more common in females while gliomas and pituitary tumours were more common in males. The mean age of patients was 49.8 years and standard deviation of 11.8 years. Pituitary tumours were the most common tumours. The most common location of the tumour was frontal lobe followed by the pituitary gland. The mean duration of symptoms before neurosurgical consultation was 38 weeks. The most common presenting symptoms of patient with brain tumour was headache. The quality of life improve compare to the baseline in 81% of patient at discharge and at 1 year follow up. The overall mortality rate was 25.6%.Conclusion : The most common brain tumour in our study is pituitary tumour. Most patients present late. The most common presenting symptoms is headache. There is significant improvement in the KPS of patients following treatment. The overall mortality rate at 1-year post treatment is 25.6%.

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Incidence of post-operative diabetes insipidus and associated factors after pituitary surgery in two teaching hospitals, in Addis Ababa, Ethiopia: A prospective observational study

Chanie,

Sahlu

2024

Interdisciplinary Neurosurgery

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Early outcome of endoscopic trans-nasal trans-sphenoidal pituitary surgery in Kano, Nigeria

Cited by 4 publications

References 20 publications

Endoscopic Septoplasty

Endoscopic Septoplasty

Profile and Outcome of Management of Brain Tumours in Kaduna Northwestern Nigeria

Incidence of post-operative diabetes insipidus and associated factors after pituitary surgery in two teaching hospitals, in Addis Ababa, Ethiopia: A prospective observational study

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