Papers by Segun Segun-Busari
African Health Sciences
Background: Foreign body (FB) in the aerodigestive tract presents more commonly in children and r... more Background: Foreign body (FB) in the aerodigestive tract presents more commonly in children and remains a surgical emergency with potential for fatal complications. Objectives: To describe management and outcomes of aerodigestive FB managed at University of Ilorin Teaching Hospital (UITH) and proffer preventive measures. Methods: A 9-year retrospective review of all patients with foreign body in the aerodigestive tract managed between March 2011 and July 2020. Results: Sixty-six patients were studied. Median age was 9years with M:F ratio =1.6:1. FB was ingested in 38(57.6%) patients, aspiration occurred in 28(42.4%). Denture was most common FB 20(30.3%); plastic whistle/valve placed in dolls or football accounted for 4(6.1%). When ingested, FB was impacted in cervical 17(44.7%), upper thoracic 10(26.3%) and middle thoracic 2(5.3%) oesophagus. Oesophagoscopy was used in 30(8.9%) for retrieval. When aspirated, FB was located in the right bronchus 10(35.7%), left bronchus 7(25.0%), hyp...
BLDE University Journal of Health Sciences
Annals of Tropical Paediatrics, 2004
A 3-year-old girl living with her paternal grandmother following the separation of her parents pr... more A 3-year-old girl living with her paternal grandmother following the separation of her parents presented with a 3-day history of tongue laceration, diYculty with swallowing and high-grade fever. On the day her illness started, she sustained a small cut on her tongue while playing with the back cover of a wall clock. She had diYculty swallowing and excessive salivation. A history of swallowing a foreign body was denied. There was high grade, intermittent fever with associated rigors, neck stiVness, with the neck tilted to the right, and moderate respiratory distress with inspiratory stridor worse when asleep. On examination, she looked ill and was febrile (temperature 39°C). The tongue laceration had healed. She had inspiratory stridor and a respiratory rate of 40/min with aring alae-nasi. There were bilateral discrete cervical lymph nodes measuring 1×2 cm, torticollis to the right and tenderness on FIG 1. Lateral plain radiograph of the neck showing moving the neck. There was pooling of saliva a widened retropharyngeal space with a lucency within it, suggestive of abscess collection. There is associated in the pharynx with a slight bulge of the straightening of the cervical vertebrae curvature. posterior pharyngeal wall. The chest was clinically clear. Packed cell volume was 32%, white blood cell count 23.8×10 /L with a diVerential The inspiratory stridor did not resolve count of neutrophils 73%, lymphocytes 25% and, after 2 weeks, incision of the retroand eosinophils 2%. The haemoglobin genopharyngeal swelling was performed. Only type was AA. X-ray of the neck showed a two ml of serosanguinous uid was drained, pre-vertebral soft tissue swelling with radiowith no signi cant improvement. A repeat lucency within it, suggesting a retropharyngeal neck X-ray was essentially the same as the abscess (Fig. 1). Chest X-ray showed patchy previous one. The patient was examined in ammatory opacities in both perihilar under anaesthaesia. Test aspirate of the regions. retropharynx was dry. Rigid oesophagoscopy She was promptly commenced on revealed a plastic clock pulley in the upper parenteral cefuroxime and genticin and the oesophagus, which was removed. She made fever resolved; her respiratory rate fell to an uneventful recovery and has remained 28/min, and she tolerated oral uids and semi-solids. well since.
Journal of Medical Case Reports, 2012
Introduction: Fungal infection of the paranasal sinuses is an increasingly recognized entity both... more Introduction: Fungal infection of the paranasal sinuses is an increasingly recognized entity both in immunocompetent and immunocompromised individuals. Treatment has been via use of either surgical or medical modalities, or a combination of the two. Here, we present a case of utilization of intra-antral application of an antifungal agent in the management of recurrent fungal sinusitis in an indigent Nigerian patient. Case presentation: We present the case of a 30-year-old West African Yoruba man, an indigent Nigerian clergyman, who presented to our facility with a history of recurrent nasal discharge (about one year), recurrent nasal blockage (about five months), and right facial swelling (about one week). After intra-nasal antrostomy for debulking with a systemic anti-fungal agent, our patient had a recurrence after four months. Our patient subsequently had an intra-antral application of flumetasone and clioquinol (Locacorten W -Vioform W ) weekly for six weeks with improvement of symptoms and no recurrence after six months of follow-up. Conclusions: We conclude that topical intra-antral application of anti-fungal agents is effective in patients with recurrent fungal maxillary sinusitis after surgical debulking.
Background. Little information is available about the pattern of ear diseases in the elderly popu... more Background. Little information is available about the pattern of ear diseases in the elderly population. Therefore, the present study aims to determine the pattern of ear diseases among elderly Nigerians, so as to provide an objective basis for cost-effective health care planning for the emerging geriatric population. Methods. A retrospective study of 320 patients aged 60 years or older presenting with ear diseases at the University of Ilorin Teaching Hospital, Ilorin, Nigeria, between January 1996 and December 2001 was carried out. Results. Impacted cerumen was the most common ear disease, occurring in 110 (34.4%) patients of the study pop-ulation. Chronic suppurative otitis media (CSOM) was the most common infectious disease, affecting 28 (8.8%) patients. Of the 88 patients with hearing loss, 63 (71.6%) had sensorineural, 20 (22.7%) had presbycusis, 1 (1.1%) had conductive, and 4 (4.6%) had mixed hearing loss. Conclusion. Our data suggest that impacted cerumen, hearing loss, and i...
The Pan African Medical Journal, 2021
Introduction chronic rhinosinusitis (CRS) is characterised by inflammation of the mucosal lining ... more Introduction chronic rhinosinusitis (CRS) is characterised by inflammation of the mucosal lining of the nose and paranasal sinuses for at least 12 weeks duration. Other than the diagnostic criteria that is based on clinical features; nasoendoscopy and/or computerized tomographic scan have been included in the diagnosis. This study seeks to outline the clinical evaluation and nasoendoscopic assessment of CRS patients. Methods a hospital-based analytical study carried out on 154 participants. Clinical assessment and nasoendoscopy were performed and scored according to the discharge, inflammation and polyps/oedema (DIP) scale. Statistical analysis was carried out and results were presented in charts and tables. Results of the 154 participants, 71 (46.1%) were males and 83 (53.9%) females with a male to female ratio of 1: 1.7. Nasal discharge and blockage were the commonest symptoms. Nasoendoscopy had higher yield in the examination of intranasal polyps (NPs) over anterior rhinoscopy. T...
International Journal of Otorhinolaryngology and Head and Neck Surgery
Background: Tinnitus is a common, irritating and often disturbing symptom. It poses big challenge... more Background: Tinnitus is a common, irritating and often disturbing symptom. It poses big challenge to the patients’ management and affects their quality of life (QoL). Tinnitus is one of the most common otological symptoms associated with hearing loss. The aim of the study was to determine the quality of life of adult tinnitus patients and the effect presence of hearing loss has on the quality of life.Methods: All consenting adults presenting with tinnitus with or without associated hearing loss were recruited. Sociodemographic information, clinical assessment, pure tone audiometry (PTA) and QoL assessment with Tinnitus Functional Index (TFI) were carried out. The data collected were analysed and results were presented in tables and simple chart. Results: The age range of participants was between 18 and 80 years with a mean age of 51.94 years±17.41. Male to female ratio was 1:1.4. The relationship between tinnitus and associated hearing loss was statistically significant with modera...
Highland Medical Research Journal, 2020
Background: Head and neck cancers remain a major public health concern with increasing prevalence... more Background: Head and neck cancers remain a major public health concern with increasing prevalence in Africa. The aim of this study was to highlight the current trends of head and neck cancers and compare with previous studies.Methods: A retrospective study of head and neck cancers seen in University of Ilorin Teaching Hospital over a 6-year period (2013 – 2018) was done. Information was retrieved from the clinic, theatre and cancer registry centre. Sites of tumours, duration of symptoms before presentation, reasons for late presentation and histopathological diagnosis were extracted.Result: There were a total of 143 histologically confirmed head and neck cancers.. The age ranged from 2 – 100 years with a mean age of 52 years. The duration of symptoms at presentation was found to range from 3 months to 78 months. Over 80% presented late. Reasons for late presentation were financial constraints (60.5%), ignorance/wrong beliefs (32.4%), traditional treatment (41.6%) and delayed referra...
OTO Open, 2017
Objective The aim of this study is to present the management and outcome of treatment of rhinosin... more Objective The aim of this study is to present the management and outcome of treatment of rhinosinusitis in Nigeria. Study Design A retrospective review of the case notes of patients with rhinosinusitis between January 2009 and December 2014. Setting Study at the University of Ilorin Teaching Hospital, Nigeria, using retrieved case notes after ethical approval was received. Subjects and Methods The information retrieved included sociodemographic data, clinical presentation, duration, endoscopic examination, and other clinical management protocols with follow-up. All information was entered into SPSS version 20 and analyzed descriptively, and results are presented in tables and figure. Results A total of 5618 patients were seen in the ear, nose, and throat clinic over the 6-year period. Of the patients, 445 had rhinosinusitis, and only 410 had complete data for analysis. Patient age ranged from 2 to 75 years (mean ± SD, 31.8 ± 1.2 years). The male to female ratio was 1.2:1. The durati...
International journal of biomedical science : IJBS, 2011
Ear, Nose and throat (ENT) injuries are relatively common in children. Sometimes they may result ... more Ear, Nose and throat (ENT) injuries are relatively common in children. Sometimes they may result in disfigurement or dysfunction of the affected parts. This study was aimed at the pattern and mechanisms of ENT injuries encountered by children in Ilorin located in north central Nigeria. It is therefore our hope that the information will go a long way to assist other African countries as well in health care plans for children. The study was aimed at determining the pattern and causes of ENT injuries in children in Ilorin. This was a descriptive cross sectional, prospective study of all pediatrics patients aged 15 years and below who were managed between January 2005 and December 2009 (a period of 5 years) for ENT trauma in the accident & emergency unit, wards and clinics of University of Ilorin Teaching Hospital. Most of them were treated as out-patients; a few of them needed admission for some procedures. Patients with injuries to other areas than ENT were not included in this study....
Tropical Doctor, 2005
Eighty-nine cases of head and neck cancers were studied over a 5-year period (1997)(1998)(1999)(2... more Eighty-nine cases of head and neck cancers were studied over a 5-year period (1997)(1998)(1999)(2000)(2001) at the University of IlorinTeaching Hospital, Nigeria.The most common cancer affecting the head and neck region was carcinoma which constituted 70.8% of all th<ecases studied. It was followed by the lymphomas and blastomas which accounted for 20.2% and 9%, respectively. The nose/paranasal sinuses were the most common site of primary cancer (18%)followed by thyroid (12.4%),nasopharynx (11.3%)and larynx (4.5%).Other sites include a hypopharynx (3.4%),eye (2.2%), palate (2.2%),tongue (2.2%), skin (1.1%), lip (1.1%), salivary gland (1.1%), oropharynx (1.1%). Cervical lymph node metastasis with unknown primarylesionwas seen in10.1%. Thepeak age incidence was in the fifth decade of life.The improvement in locoregional control of head and neck cancers over the last decades does not appear to modify the final survival of these patients. It iscrucial to understand as accurately as possible the risk factors for these malignancies in order to improve primary prevention.
Sahel Medical Journal, 2013
International journal of biomedical science : IJBS, 2011
Ear, Nose and throat (ENT) injuries are relatively common in children. Sometimes they may result ... more Ear, Nose and throat (ENT) injuries are relatively common in children. Sometimes they may result in disfigurement or dysfunction of the affected parts. This study was aimed at the pattern and mechanisms of ENT injuries encountered by children in Ilorin located in north central Nigeria. It is therefore our hope that the information will go a long way to assist other African countries as well in health care plans for children. The study was aimed at determining the pattern and causes of ENT injuries in children in Ilorin. This was a descriptive cross sectional, prospective study of all pediatrics patients aged 15 years and below who were managed between January 2005 and December 2009 (a period of 5 years) for ENT trauma in the accident & emergency unit, wards and clinics of University of Ilorin Teaching Hospital. Most of them were treated as out-patients; a few of them needed admission for some procedures. Patients with injuries to other areas than ENT were not included in this study....
Ingestion of foreign bodies is a common pediatric problem. Majority of ingested foreign bodies pa... more Ingestion of foreign bodies is a common pediatric problem. Majority of ingested foreign bodies pass freely without causing any injury. Ingestion of multiple foreign objects and recurrent episodes are uncommon. Thus we present a case of multiple foreign body ingestion to caution otorhinolaryngologist. We present a six year old boy admitted eight hours following ingestion of a multiple roundish metallic object. There is associated dysphagia to solids and liquid feeds with drooling of saliva. He has had two episodes of induced non-projectile vomiting which contains recently ingested feeds prior to admission. There is no cough or difficulty in breathing. Examination of the neck revealed a positive pointing sign. Plain radiograph of the soft tissues neck revealed a spherical radio-opaque object of metallic density within the oesophagus at the level of C5 to C7. Patient had rigid oesophagoscopy under general anaesthesia with extraction of the multiple metallic foreign bodies. It was uneve...
Journal of Medical Case Reports, 2012
Introduction: Fungal infection of the paranasal sinuses is an increasingly recognized entity both... more Introduction: Fungal infection of the paranasal sinuses is an increasingly recognized entity both in immunocompetent and immunocompromised individuals. Treatment has been via use of either surgical or medical modalities, or a combination of the two. Here, we present a case of utilization of intra-antral application of an antifungal agent in the management of recurrent fungal sinusitis in an indigent Nigerian patient. Case presentation: We present the case of a 30-year-old West African Yoruba man, an indigent Nigerian clergyman, who presented to our facility with a history of recurrent nasal discharge (about one year), recurrent nasal blockage (about five months), and right facial swelling (about one week). After intra-nasal antrostomy for debulking with a systemic anti-fungal agent, our patient had a recurrence after four months. Our patient subsequently had an intra-antral application of flumetasone and clioquinol (Locacorten W -Vioform W ) weekly for six weeks with improvement of symptoms and no recurrence after six months of follow-up. Conclusions: We conclude that topical intra-antral application of anti-fungal agents is effective in patients with recurrent fungal maxillary sinusitis after surgical debulking.
Annals of Tropical Paediatrics, 2004
Nigerian journal of …, 2010
International journal of …, 2009
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Papers by Segun Segun-Busari