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Impact and Factors Associated with Presbycusis among 50 Years Old People of Parakou and Over in 2021

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International Journal of Otolaryngology and Head & Neck Surgery 2022年第1期11卷 56-73页

作者： Marius Claude Flatin alexis awc do santos zounon Cocouvi Bruno Ametonou Fatiou Alabi Bouraima Mé ré Roland Kimba Spé ro HR Hounkpatin Wassi Adjibabi Bernadette Vignikin-Yehouessi Faculté de Mé decine Universit&#233 de Parakou Parakou B&#233 nin Centre Hospitalier Universitaire et Dé partemental Borgou Parakou B&#233 nin Faculté des Sciences de la Santé Universit&#233 d’Abomey Calavi Cotonou B&#233 nin

Introduction: Presbycusis or age-related hearing loss is a condition of in-sidious onset with significant socio-professional repercussions. The objec-tive of this study was to determine the impact and factors associated with presbycusis among 50 years aged people or older in Parakou commune during 2021. Methods: This was a cross-sectional, descriptive, analytical study with prospective data collection. The study has involved 541 50 years aged people or older, from February to May 2021. For each of them, a questionnaire was completed, otoscopy and tone audiometry performed. The ERSA questionnaire and the logistic regression model were used to determine the impact and factors associated with presbycusis. Results: The mean age was 59.48 ± 9.80 years and the sex ratio was 1.23. The prevalence of presbycusis was 50.28%. Age ≥ 80 years (p = 0.002), male sex (p = 0.016), low educational level (p = 0.001), family history of age-related hearing loss (p = 0.018) and presence of hearing loss (p = 0.001) were significantly associated with presbycusis in multivariate analysis. Of the life domains studied, personal life (mean score = 32.9 ± 10.52) was the most affected. Similarly, communication in a noisy environment (mean score = 4.39 ± 2.39) was the most affected aspect of personal life. Conclusion: Presbycusis leads to an impairment of personal life. A good knowledge of the associated factors and an early management could contribute to the improvement of the hearing health of the elderly.

关键词： Presbycusis Elderly Hearing Deafness

Place of Partial Arytenoidectomy in the Management of Bilateral Vocal Cord Immobilitis

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International Journal of Otolaryngology and Head & Neck Surgery 2023年第3期12卷 163-172页

作者： alexis do santos zounon Ulrich B. Vodouhe Vanessa Aissi Wassi Adjibabi Georges Lawson ENT-HNS Department FSS Cotonou Abomey Calavi University Cotonou Republic of Benin

Surgical management of laryngeal paralysis varies depending on whether the vocal cords are in abduction, adduction or paramedian position. Various surgical techniques have been described including partial arytenoidectomy which is reported to give good surgical results that are stable over time. The objective of the study was to analyze the surgical therapeutic elements of bilateral paralysis, especially to assess partial arytenoidectomy, one of the most performed techniques. This was a descriptive retrospective study of cases of bilateral immobility admitted between January 1st 2008 and March 31st 2018 and treated surgically. Socio-demographic and therapeutic data were collected. The survey involved 46 patients, with an equal number of male and female (23) with 50% of male patients and 23 patients were female, or a sex ratio of 1. The average age of the patients was 56 ± 17 years ranging between 14 and 89 years. Posterior partial arytenoidectomy was the most widely performed surgical technique (26 patients or 56.5%), followed by cordopexia or lateral-fixing of a vocal cord (19.6%) and posterior cordectomy (17.4%). Patients who received a partial arytenoidectomy and cordopexia had their vocal cords either in adduction or in the paramedian position. Those who received a posterior cordectomy had their vocal cords in adduction. 18 patients (39.13%) were taken to the operating theatre in less than 6 hours, 28 (60.9%) had no post-operative complications, and 9 patients received a surgical enlargement resumption. In post-operative follow-up, 11 patients suffered pulmonary aspiration corrected after speech therapy;26 patients (56.5%) did not. Partial arytenoidectomy remains the most performed surgical procedure in the management of closed bilateral laryngeal paralysis at the Mont-Godinne University Hospital. It allows a reliable and durable breathing function over time with less impact on the voice.

关键词： Vocal Cords Bilateral Laryngeal Paralysis Surgery Partial Arytenoidectomy

A Rare Tumor of the Scalp: Papilliferous Cystadenoma

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International Journal of Otolaryngology and Head & Neck Surgery 2023年第6期12卷 390-396页

作者： alexis do santos zounon Bidossessi Ulrich Vodouhe Wilfrid Akpo Sonia Lawson Afouda François Avakoudjo Wassi Adjibabi Faculty of Health Sciences Abomey-Calavi University Abomey Calavi Bénin

Introduction: Papilliferous cystadenoma is a rare adnexal tumor of early childhood. Case Report: We report a case of papilliferous cystadenoma of the scalp in a 22-year-old adult with no previous history of the disease. She had been presenting with a slowly progressing scalp mass for about 10 years. The mass was mildly pruritic and painless, but the patient reported several painful episodes treated with local herbal applications and unspecified antibiotics. On inspection, the lesion was raised, granular, sessile and vegetated, greyish in color, with an irregular surface, nippled and hemispherical in shape. On palpation, the lesion was painless, fleshy and surrounded by crusts that were easily removed by applying a saline-moistened compress. The patient underwent excision with at least 4-mm margins. Pathological examination of the operative specimen revealed a papilliferous syringocystadenoma. There was no tumor recurrence after three years. Conclusion: Papilliferous cystadenoma is a rare benign tumor of the scalp requiring clinical analysis and surgical excision to confirm its histological nature. Post-operative follow-up is necessary due to frequent recurrences.

关键词： Scalp Tumor Papilliferous Cystadenoma

Clinical and Therapeutic Characteristics of Acute Maxillary Rhinosinusitis in a Hospital of Cotonou

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International Journal of Otolaryngology and Head & Neck Surgery 2023年第3期12卷 140-150页

作者： Ulrich Bidossèssi Vodouhe alexis do santos zounon Mystère Djenontin Agossou François Avakoudjo Sonia Lawson Afouda Wassi Adjibabi Faculty of Health Sciences The University of Abomey-Calavi (R. BENIN) Cotonou Benin

Introduction: Acute maxillary rhinosinusitis (AMRS) is one of the most common ear, nose and throat infections. The aim of this study was to contribute to the improvement of the management of the condition in sub-Saharan Africa. Material and Method: This was a cross-sectional, descriptive study that ran from January 1, 2017 to December 31, 2021 in the ENT-HNS department of the “Centre Hospitalier et Universitaire de Zone de Suru-Léré” (CHUZ SL) in Cotonou, Benin. It involved all patients who consulted during the study period and in whom the diagnosis of acute maxillary rhinosinusitis was made. Results: A total of 405 cases were identified. The mean age was 34.26 ± 15.26 years with extremes of 9 and 63 years. The predominance was female with a sex ratio of 0.61. Acute maxillary rhinosinusitis was bilateral in 371 cases (91.60%). The main symptoms were facial pain in 346 cases (85.43%), mucopurulent rhinorrhea: 315 cases (77.78%), headache: 283 cases (69.88%), and nasal obstruction: 244 cases (60.25%). The most frequent physical signs were pain on pressure of the maxillary sinus points in 405 cases or 100%, purulent secretions at the middle meatus: 11.35%, hyperemia of the nasal mucosa: 53.58%, hypertrophy of the middle turbinate: 41.48% and discharge of pus on the posterior pharyngeal wall: 36.79%. Amoxicillin + clavulanic acid was the main antibiotic prescribed. Vasoconstrictors were used in 228 cases 56.30%. The evolution was favorable in all cases. Conclusion: The diagnosis of acute maxillary rhinosinusitis is clinical. Treatment with antibiotic gives good results.

关键词： Acute Maxillary Rhinosinusitis

Characteristics of Ent Foreign Bodies in a Hospital at Cotonou, Benin

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International Journal of Otolaryngology and Head & Neck Surgery 2023年第4期12卷 259-268页

作者： Ulrich Bidossèssi Vodouhe Faridath Daouda François Avakoudjo alexis do santos-zounon Fatiou Bouraima Bruno Ametonou Sonia Lawson-Afouda Wassi Adjibabi Faculty of Health Sciences of the University of Abomey-Calavi Abomey-Calavi Benin Medical Faculty of the University of Parakou Parakou Benin

Introduction: Foreign bodies (FB) can constitute a life-threatening emergency by their nature or their location. The objective of this study was to describe the socio-demographic, diagnostic and therapeutic characteristics of FB in the ENT department of CHUZ-Suru Léré in Cotonou. Methods: This was a descriptive and analytical cross-sectional study, with retrospective data collection spanning a period of ten (10) years from January 1st, 2013 to December 31st, 2022. Patients of all ages seen in consultations in the ENT and CCF department of the CHUZ-Suru Léré during the study period and meeting the inclusion criteria were taken into account. Results: During the study period, 1810 cases of FB were collected among the 13,947 consultations, i.e. a hospital frequency of 12.98%. The age of the patients varied from 19 days to 94 years with a predominance of children under 10 years (60.2%). The sex ratio (male/female) was 1.13. The duration between the onset of FB and the medical consultation was greater than 72 hours in 88.49% of cases. The circumstances of occurrence of FB were unknown in 86.34% of cases. The external acoustic meatus was the most common location (90.22%). The nature of FB was inorganic in 86.80% of cases dominated by earwax plugs (77.90%), and organic FB in 7.96% of cases dominated by cotton (3.98%). All FB were extracted by the route of introduction except one case. The extraction was performed most often in the consultation chair (97.07% of cases). The evolution was generally favorable (99.94%). Conclusion: ENT foreign bodies are a frequent reason for consultation and mainly affect male children. They are usually inorganic. Evolution is generally favorable after extraction. Prevention remains the best solution.

关键词： Foreign Bodies ENT CHUZ-Suru-Léré

Diffuse Cervico-Facial Cellulitis: Epidemiological, Diagnostic and Therapeutic Aspects at the Teaching Hospital CNHU HKM of Cotonou

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International Journal of Otolaryngology and Head & Neck Surgery 2022年第5期11卷 266-276页

作者： Ulrich Bidossèssi Vodouhe Nesrine Gouda alexis do santos zounon Romaric Beheton Sonia Lawson Afouda François Avakoudjo Wassi Adjibabi Bernadette Vignikin Yehouessi Faculty of Health Sciences University of Abomey-Calavi (R. BENIN) Cotonou Republic of Benin

Purpose of the work: to study the epidemiological, clinical and therapeutic aspects of diffuse cervico-facial cellulitis collected within the ENT-CCF surgery department of the CNHU of Cotonou. Materials and method: the study was a descriptive retrospective carried out from January 1st, 2018 to December 31st, 2020. It concerned new cases of diffuse cervico-facial cellulitis identified during the period. Results: in 3 years, 55 cases of diffuse cervico-facial cellulitis were identified out of 1101 hospitalized patients. The frequency was 4.99%. Per year, 18 cases of cervico-facial cellulitis are recorded. The mean age of the patients was 41.3 years with extremes of 15 years and 85 years. A clear male predominance was noted with a sex ratio of 1.29. Painful cervico-facial swelling was the most common reason for medical consultation (47 patients or 85.5% of cases). Thirty patients (54.5%) showed a deterioration in general condition. Several clinical forms of diffuse cervico-facial cellulitis have been described, in particular the gangrenous form, the suppurative, necrotizing form and LUDWIG’s angina. The portal of entry was dental in 50 patients (91% of cases), favored by poor oral hygiene and self-medication with non-steroidal anti-inflammatory drugs (NSAIDs). The medico-surgical treatment implemented was favorable for 47 patients (85.5%). Conclusion: Diffuse cervico-facial cellulitis remains a frequent medical-surgical emergency in the CCF ENT department at the Teaching Hospital of Cotonou. Mainly of odontogenic origin, it is encountered in different clinical forms.

关键词： Diffuse Cellulitis Cervico-Facial Odontogenic Antibiotic Therapy Incision Drainage

An Unusual Cervical Penetrating Wound Extended to the Right Pleural dome

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International Journal of Otolaryngology and Head & Neck Surgery 2022年第3期11卷 126-135页

作者： Ulrich Bidossèssi Vodouhe Julls Celestin Apouakone alexis do santos zounon Darius Guezo Sonia Lawson Afouda François Avakoudjo Wassi Adjibabi Bernadette Vignikin Yehouessi Faculty of Health Sciences The University of Abomey-Calavi (R. BENIN) Godomey The Republic of Benin

The solution of continuity of the tissues of the neck with rupture of the platysma muscle is called a cervical penetrating wound. The authors report a case of an unusual penetrating neck wound extended to the pleural dome by stabbing a psychiatric patient. They describe the diagnostic circumstances, the therapeutic approach and discuss data from the literature. It was a 26-year-old young woman, who was received in ENT for a penetrating neck wound with a stab wound following a suicide attempt. The diagnosis of a penetrating stab wound to the neck extending to the right pleural dome was retained. The exploratory cervicotomy with the extraction of the foreign body found a knife blade penetrating the anterior base of the right side of the neck to the right pleural dome, sparing the noble vasculo-nervous and aero-digestive organs of the neck. The postoperative course was simple and the evolution was favourable. This unusual penetrating wound of the neck is spectacular and remarkable for the absence of involvement of noble organs despite the involvement of the pleural dome. However, it remains a concern in psychiatric patients and requires multidisciplinary management and systemic management in order to avoid recurrence.

关键词： Knife Neck Penetrating Wound Pleural dome Suicide Attempt