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Otorhinolaryngology Diseases in HIV-Positive Patients: 208 Cases at the Donka National Hospital

International Journal of Otolaryngology and Head & Neck Surgery 2023年第1期12卷 1-7页

作者： Abdoulaye Keita Ibrahima Diallo Mamadou Aliou Diallo Mamadou Mouctar Ramata Diallo Sayon Kourouma fofana mamady Alpha Oumar Barry Mohamed Casimir Kaman Abdoulaye 1 Bayo Mohamed Karfalla Kaba Fodé Alpha Doumbouya Mamadou Saliou Sow Department of ENT and HNS Donka University Hospital Conakry Guinea Department of ENT and HNS Mamou Regional Hospital Mamou Guinea Department of ENT and HNS Camp Samory Touré Conakry Guinea Department of ENT and HNS Kankan Regional Hospital Kankan Guinea Department of Infectious Diseases Donka University Hospital Conakry Guinea

Introduction: Otorhinolaryngology (ENT) diseases in patients living with Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/ AIDS) are relatively common and of concern to ENT specialists and other health professionals. Aim: It was to describe the epidemiological and diagnostic aspects of ENT and cervicofacial diseases in patients living with HIV/ AIDS. Material and Methods: This was a descriptive study with prospective data collection, conducted over a period of six months (September 16, 2019 to March 16, 2020), carried out at the ENT and Infectious Diseases Departments of the Donka National Hospital. Results: Of 522 HIV-positive patients, 208 (39.8%) presented with ENT diseases. Women represented 62.5% with a sex ratio of 0.6. The mean age was 42.21 years with extremes of 16 and 64 years. Housewives were the most represented (29.8%). Married people were the most affected (76.4%). Cervical involvement was present in 7.7% of patients. Otologic involvement accounted for 43.7%. Oral cavity and pharyngolaryngeal involvement accounted for 50.9%. Nasosinus involvement accounted for 55.7%. HIV type I was the most common (99.5%). Conclusion: Otorhinolaryngology diseases were frequent in HIV positive patients. They may constitute the first reason for consultation. However, these ENT diseases remain in appendix of the opportunistic diseases of HIV/AIDS taking the front stage.

关键词： Otorhinolaryngology Diseases Epidemiology HIV/AIDS Diagnosis Sub-Saharan Africa

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Cervicofacial Cystic Lymphangiomas and Review of the Literature: About 2 Cases at Donka National Hospital

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International Journal of Otolaryngology and Head & Neck Surgery 2022年第6期11卷 292-299页

作者： Abdoulaye Keïta Ibrahima Diallo mamady fofana Sayon Kourouma Mamadou Mouctar Ramata Diallo Mamadou Aliou Diallo Sory Sacko Mohamed Casimir Kaman Department of ENT-HNS Donka University Hospital Conakry Republic of Guinea Department of ENT-HNS Kankan Regional Hospital Kankan Republic of Guinea Department of ENT-HNS Camp Samory Touré Conakry Republic of Guinea Department of ENT-HNS Mamou Regional Hospital Mamou Republic of Guinea

In this retrospective study, conducted over 7 years (2009-2016) at the ENT and Head and Neck Surgery Department of the Donka National Hospital, we report 2 cases of cervicofacial cystic lymphangiomas. They were a 28-month-old girl and a 2-year-old boy. The symptomatology was noted after their birth. Dyspnea and dysphagia were found in the boy. They had a satisfactory general condition. ENT examination noted a cystic-like tumor syndrome. Imaging showed evidence of a cystic lymphangioma of the cervicofacial region. Pathological examination confirmed the diagnosis. All patients underwent exeresis cervicotomy. We found adhesion of the lymphangioma cyst to the internal jugular vein in the children. The boy presented a paralysis of the chin branch of the facial nerve after the surgery. We did not find any tumor recurrence. However, cystic cervicofacial lymphangiomas are a particular aspect of surgical pathology in children in Africa. In spite of the advent of sclerosing products, surgery remains for us the treatment of choice.

关键词： Cystic Lymphangioma Management Literature Review African Setting

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