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Ethmoidal Polyposis, Adenoid Hypertrophy and Tympanic Membrane Perforation—A Case Report

International Journal of Otolaryngology and Head & Neck Surgery 2024年第3期13卷 178-186页

作者： Ahmad Mahmud Mohammed Bello Fufore Abubakar Umar Hamisu Abdullahi Thomas Musa Samdi Auwal Adamu onyekwere george B. nwaorgu Department of Otorhinolaryngology Modibbo Adama University/Modibbo Adama University Teaching Hospital Yola Nigeria Department of Otorhinolaryngology Bayero University/Aminu Kano Teaching Hospital Kano Nigeria National Ear Care Centre (NECC) Kaduna Nigeria Department of ENT Abubakar Tafawa Balewa Teaching Hospital Bauchi Nigeria Department of ENT Federal University of Health Sciences Azare Bauchi Nigeria Department of Otorhinolaryngology University College Hospital Ibadan/College of Medicine University of Ibadan Ibadan Nigeria

Background: Ethmoidal polyposis coexisting with adenoid enlargement and tympanic membrane perforation is a rare condition in otolaryngological practice. Evidences have shown that antrochoanal polyp often times coexists with adenoid enlargement especially in the young which was in sharp contrast to ethmoidal polyposis occurring in the presence of adenoid enlargement. Moreover, the hidden location of nasopharynx housing the adenoids, coupled with the masking effect of bilateral sinonasal polyps, leads to inadvertent misdiagnosis of this complex pathology with subsequent difficulty in providing effective management. Case Presentation: A 24 year-old lady presented with recurrent bilateral nasal obstruction that became persistent associated with nasal discharge and anosmia. She also had recurrent right otorrhoea with associated hearing loss. Diagnostic rigid nasal endoscopy revealed mucoid discharge with bilateral polypoid masses filling both nasal cavities. Otoendoscopic finding revealed a small (about 5%) central tympanic membrane perforation. A clinical assessment of chronic rhinosinusitis with nasal polyposis complicated by chronic suppurative otitis media (CSOM) was made. A non-contrast CT scan of the paranasal sinuses showed isodense lesions in the nasal cavities, all paranasal sinuses and the entire nasopharynx. She had endoscopic sinus surgery and a nasopharyngeal clearance biopsy. The nasal, paranasal and nasopharyngeal masses had histologic confirmation of inflammatory nasal polyps and lymphoid (adenoid) hyperplasia respectively. Her condition improved remarkably with subsequent medical treatment. She was followed up for 8 months and no recurrence was observed. Conclusion: Sinonasal polyposis can coexist with adenoid hypertrophy and middle ear disease as a single pathological condition. Hence, a high index of suspicion and thorough evaluation become necessary for making timely diagnoses and instituting effective management.

关键词： Sino-Nasal Polyps Adenoid Enlargement Rhinosinusitis Otitis Media Endoscopic Sinus Surgery

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Early on Set Presbyacusis in Gwagwalada Area Council of Federal Capital Territory, Abuja

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International Journal of Otolaryngology and Head & Neck Surgery 2021年第3期10卷 238-249页

作者： David Femi Folorunso Enoch Auta Dahilo Ibeneche Onyemuchechi Gbujie Fredrick M. Damtong Oladeji Raheem Quadri Basil E. Nwankwo Titus Sunday Ibekwe onyekwere george nwaorgu Department of ENT/Head & Neck Surgery University of Abuja Teaching Hospital Gwagwalada-Abuja Nigeria Department of ENT Federal Teaching Hospital Gombe Gombe State Nigeria Chukwuemeka Odumegwu Ojukwu University Teaching Hospital Awka Anambra State Nigeria Department of Otorhinolaryngology University College Hospital Ibadan & College of Medicine University of Ibadan Oyo State Nigeria

Background: Presbyacusis is a major cause of hearing loss among seniors. The condition attracts attention following the prediction of World Health Organization that elderly population is expected to hit 1.2 billion by 2025 out of which more than 500 million of them will suffer from sensorineural hearing loss(SHL) worldwide. The studies have shown that this begins to reflect on audiograms as from the third decade, mainly in the high frequencies. Aim/objective: This study evaluated the early on-set presbyacusis at Gwagwalada Area Council of the Federal capital territory-Abuja. Method: It was a multi-stage sampling, prospective, cross-sectional study done in FCT, Abuja. Participants from age 20 years and above were recruited into the study after signing informed consent. The presumed risk factors as highlighted in the questionnaire were screened out. Results: Two hundred and two participants were recruited into the study, out of which twelve were excluded from the analysis on account of various exclusion criteria. The age range of the participants was 20 to 79 years, with an average age of 54.8 ± 5.6 years. One hundred and fourteen (60.0%) males and seventy-six (40.0%) females participated in the study. The commonly reported associated symptom was tinnitus. About 32.0% of the participants had moderate sensorineural hearing loss. However, the prevalence of presbyacusis was 28.2% for age below 65 years and 78.8% for 65 years and above. The cumulative prevalence was 54.2%. Conclusion: The study has shown that presbyacusis occur as early as the third decade of life, possibly subclinical before age 65 years. The prevalence was 28.2% before age 65 years and 78.8% from age 65 years, there was a steady increase in percentage of participants with SNHL from age 20 years, and a significant sudden increase from 65 years was observed with a sloping tracing at high frequency.

关键词： Presbyacusis Age-Related Hearing Loss Young Adults Sensorineural Hearing Loss and Pure Tone Audiometry

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