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Management of Vulnating Esophageal Foreign Bodies in Burkina Faso

International Journal of Otolaryngology and Head & Neck Surgery 2024年第2期13卷 135-148页

作者： Ibrahima Diallo Aboubacar Gouéta Alseny Camara Assoumi Anatou Biga Mama Brigitte ouoba Edi Emmanuel Martial Nao Moustapha Sérémé bertin priva ouédraogo Yvette Marie Chantal Gyébré Abdoulaye Keita Alpha oumar Diallo ENT and HNS Department Yalgado Ouédraogo University Hospital Ouagadougou Burkina Faso ENT and HNS Department Bogodogo University Hospital Ouagadougou Burkina Faso ENT and HNS Department Tengandogo University Hospital Ouagadougou Burkina Faso ENT and HNS Department Conakry University Hospital Conakry Guinea

Introduction: Esophageal foreign bodies (EFB) are a diagnostic and therapeutic emergency because of the serious complications they can cause. Aim: This paper aimed to study the vulnating esophageal foreign bodies in the ENT and Head and Neck Surgery departments of the Yalgado ouedraogo and Bogodogo University Hospital. Methodology: This was an analytic cross-sectional study with retrospective data collection over 10 years (2012-2021). Results: We collected 91 cases of vulnating esophageal foreign bodies, i.e. 9.1 cases/year (4.7%). The mean age of the patients was 14 ± 19 years. The sex ratio was 1.6. The circumstances of occurrence were dominated by accidental ingestion of vulnating esophageal foreign bodies (98.9%). The average time to consultation was 7.5 hours. Dysphagia was the dominant symptom (64.8%). Cervico-thoracic radiography found dual contour radiopaque images in 71.4%. Esophagoscopy with rigid tube was performed in 97.8%. The average time for extraction of the vulnating esophageal foreign bodies was 8 hours. Vulnerating esophageal foreign bodies were non-organic in 84.6%. The button cell represented 64.8%. Their location was cervical in 61.5% intraoperatively. The lesion assessment found ulcerative lesions in 42.9% (p Conclusion: Vulnating esophageal foreign bodies are relatively frequent in our ENT practice. Although their diagnosis is often easy, their treatment is still difficult and requires multidisciplinary management. Thus, for us, prevention remains the first effective weapon.

关键词： Foreign Bodies Esophagus Vulnerable Management Sequelae

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Complications of Cervicofacial Cellulitis Supported in University Hospital Yalgado ouedraogo

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International Journal of Otolaryngology and Head & Neck Surgery 2016年第3期5卷 115-120页

作者： Yvette Marie Chantal Gyé bré Aboubacar Goué ta Noé Zaghré Moustapha Sé ré mé bertin priva oué draogo Kampadilemba ouoba Service d’ORL et de CC-F CHU-YO Ouagadougou Burkina Faso Service d’ORL et de CC-F Blaise Compaoré Ouagadougou Burkina Faso

Introduction: The complications of cervicofacial cellulitis are one of the most serious emergencies Oto-Rhino-Laryngology (ORL). These complications are still observed in our context despite the advent of antibiotics. The aim of our study was to describe the clinical presentation and management of patients admitted to our institution for complications of cervicofacial cellulitis. Patients and Methods: It came from a retrospective study in the ORL service, a department of Yalgado ouédraogo Hospital of ouagadougou, between January 2005 and December 2014, during which all patients with cervicofacial cellulitis complications were identified. Results: We collected over 10 years, 69 cases of complicated cellulitis, a frequency of 54.3% of cervicofacial cellulitis and 2.3% of all hospitalizations. The group included 33% women and 67% men to 29 years of average age. The non-steroidal anti-inflammatory isolated was the main factor contributing 59.4%. The front door was mainly dental 43.5% and pharyngeal 36.2%. The most frequent complications were mediastinitis thoracic dissemination 24.6%, sepsis 21.7% and spontaneous fistula 20.3% with orostome or pharyngostome. Medico-surgical treatment was associated with a reanimation in most cases. The outcome was favorable in 79.7% of cases. Mortality was 17.4%. Conclusion: The complications of cervicofacial cellulitis are frequent and often life-threatening. Their management is done in a multidisciplinary framework. The prevention and early treatment remain the pledge of their control.

关键词： Complications Cervicofacials Cellulitis

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Ent Emergencies in Elderly People in ouagadougou

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International Journal of Otolaryngology and Head & Neck Surgery 2018年第1期7卷 1-6页

作者： ouedraogo bertin priva Sawadogo Mathurine Bambara Céline ouoba Kampadilemba Service ORL CHU-Blaise Compaoré Ouagadougou Burkina Faso Service ORL CHU-Yalgado Ouedraogo Ouagadougou Burkina Faso Service ORL et CCF CHU-YO Ouagadougou Burkina Faso

Introduction: The world’s population over 60 years old is experiencing a significant increase. They represent 5.1% of Burkina Faso’s population. This specific group because of the much specificity that characterizes, is more vulnerable because of aging. What are the clinical, therapeutic and evolving aspects of ENT emergencies in this group? The aim of this study is to describe the clinical, therapeutic and evolutionary aspects of ENT emergencies in elderly people in ENT department of the Universitary Hospital Yalgado ouedraogo at ouagadougou (Burkina Faso). Patients and methods We conducted a retrospective, descriptive and analytical study from January 1, 2009 to December 31, 2015, for a period of 7 years. It included all patients aged 60 years and over who received a consultation or hospitalization in the period in an emergency table. Results: We recorded 129 cases of ENT emergency out of a total of 27890 patients, a frequency of 0.46% and an annual average of 19 cases. These ENT emergencies represented 26.7% of the general ENT pathology in the elderly for the same period. We noted a male predominance with a sex ratio of 1.1. Admission mode was the reference in 76% of cases. Absolute or true emergencies accounted for 55.8%. Etiologies of emergencies were dominated by infections, dyspneising tumors and pharyngoesophageal foreign bodies. Endoscopic exploration under general anesthesia was the most performed surgical procedure followed by drainage incision. A total of 41.1% of patients were hospitalized with an average hospital stay of 5 days. We recorded 13 deaths or 10.1%. Conclusion: The etiologies of ENT emergencies in the elderly were dominated by infections and tumors seen late, hence the interest of a better organization of hospital services to promote early consultation.

关键词： ENT Emergencies Elderly ouagadougou

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Unusual Foreign Body of Oropharynx

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International Journal of Otolaryngology and Head & Neck Surgery 2016年第5期5卷 189-194页

作者： Yvette Marie Chantal Gyebre Aboubacar Goueta bertin priva ouedraogo Moustapha Sereme Omar Zamtako Kampadilemba ouoba Maitre de Conférences Agrégé (MCA) Service ORL et CCF CHU-YO Ouagadougou Burkina Faso Interne des Hopitaux DES en ORL Service ORL et CCF CHU-YO Ouagadougou Burkina Faso MCA Service ORL et CCF CHU-YO Ouagadougou Burkina Faso Medecin Service ORL et CCF CHU-YO Ouagadougou Burkina Faso Professeur Titulaire Service ORL et CCF CHU-YO Ouagadougou Burkina Faso

Introduction: The foreign bodies of the oropharynx are mainly encountered in children. They rarely raise diagnostic problem, but remain a haunting of the CCF and ENT surgeon. Objective: We report a special case of foreign body entering the oropharynx and measuring 15 cm of long in a boy of 7 years, in order to discuss the diagnostic and therapeutic approach. Observation: A 7 year old male student has been received in emergency for accidental trauma of the oropharynx by a particular object, a pencil. The diagnosis has been essentially clinical. The exhibition of the oropharynx using the open mouth of Boyles Davis has obviously shown the foreign body penetrating the right anterior pillar crossing the parapharyngeal spaces till the right posterolateral prevertebral space. The extraction of the foreign body was done by endoscopic route under general anesthesia. As a remarkable fact, it was the gumming end that was penetrating. The postoperative course was uneventful. Conclusion: This type of foreign body of oropharynx constitutes a medical and surgical emergency. From an easy and positive diagnosis, these foreign bodies especially raise a problem of lesion diagnostic and therapeutic approach. Prevention through education and awareness of all the actors (students, children, parents) remain the pledge of their control.

关键词： Foreign Body Pencil Oropharynx

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