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Recognition of Hearing Impairment Disability: First Comprehensive Study on the Deaf in Lebanon
Jules Joel Bakhos,
Ghassan Sleilaty,
Dany Khalaf,
Rola Bou Serhal,
Karen El Boustani,
Elias Lattouf,
Gerard Elie Bakhos,
Nadira Samaha,
Fadi Abou-Mrad
Issue:
Volume 8, Issue 1, June 2022
Pages:
1-13
Received:
25 January 2021
Accepted:
18 February 2022
Published:
28 February 2022
Abstract: People with disabling hearing disabilities face multiple levels of daily-life challenges where access to services and information remain difficult. In Lebanon, no data is available about the hard-of-hearing individuals. The aim of the study is to reflect the current situation of the Deaf community in Lebanon, to compare it with that of the general Lebanese population and propose practical ways to improve their national status and quality of care. A snowball sampling method was used to recruit hard-of-hearing individuals over the age of eighteen, via institutions and schools for the Deaf. Participants were asked to anonymously fill a qualitative questionnaire, individually or in groups in the presence of interpreters. The analysis was descriptive, and 95% binomial exact confidence intervals were constructed to compare parameters with those of the general population. Deaf adults in Lebanon have poorer socioeconomic conditions, lower literacy levels and limited access to information. However, they appear to be physically healthier than the general population while presenting frequent mental health problems and facing discrimination and poorer access to services. There still is no valid data available about the Deaf community in Lebanon. Hard-of-hearing people remain underserved by the current Lebanese healthcare, education, employment and public systems.
Abstract: People with disabling hearing disabilities face multiple levels of daily-life challenges where access to services and information remain difficult. In Lebanon, no data is available about the hard-of-hearing individuals. The aim of the study is to reflect the current situation of the Deaf community in Lebanon, to compare it with that of the general ...
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Primitive Cavum Tuberculosis: An Unusual Location of Mycobacteria
N’faly Konaté,
Kassim Diarra,
Drissa Kaloga Bagayoko,
Sidibé Youssouf,
Keïta Mohamed
Issue:
Volume 8, Issue 1, June 2022
Pages:
14-16
Received:
12 May 2022
Accepted:
26 May 2022
Published:
31 May 2022
Abstract: Objective: This is a 17-year-old patient with no known history who had consulted the ENT department of the CHU-Gabriel Touré for persistent obstruction of the right nose. Its clinical history dates back to approximately 03 years, marked by a unilateral right nasal obstruction of progressive installation and permanent evolution associated with purulent posterior rhinorrhea, anosmia, right hypoacusis, headaches in helmet and an alteration of the state. general. There was no notion of cough, evening fever or epistaxis. These symptoms motivated several unspecified treatments without improvement. Before the onset of ptosis and ipsilateral blindness, he consulted us for support. We noted on otoscopy a dull right eardrum with a hearing loss of 25 decibels (db). Ophthalmological examination showed ptosis, ophthalmoplegia and blindness on the right side. Nasofibroscopy revealed a budding lesion taking up the entire right half of the roof of the nasopharynx filling the Rosenmüller fossa. There was no palpable cervical adenopathy. HIV serology was negative. Maxillofacial computed tomography revealed a rectilinear nasal sinus osteolytic expansive tumoral process extending to the optic nerve as well as to the oculomotor muscles with grade II proptosis (figure 1). Two repeated biopsies of the lesion found tuberculosis in front of a gigantocellular epithelioid granuloma with caseous necrosis. Intradermal tuberculin reaction and AFB sputum became negative. The chest X-ray was normal. We carried out the surgical excision of the lesion and the diagnosis of tuberculosis was confirmed by the anatomopathological examination. The patient was placed under anti-tuberculosis verification according to the 2RHZE / 4RH Protocol. The evolution was favorable after two months with normalization of the signs on nasofibroscopy.
Abstract: Objective: This is a 17-year-old patient with no known history who had consulted the ENT department of the CHU-Gabriel Touré for persistent obstruction of the right nose. Its clinical history dates back to approximately 03 years, marked by a unilateral right nasal obstruction of progressive installation and permanent evolution associated with purul...
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Complication of an Adult Oesophageal Foreign Body: Place of Cervicotomy
N’faly Konaté,
Kassim Diarra,
Yaya Dembele,
Drissa Kaloga Bagayoko,
Sidibé Youssouf,
Ibrahim Bouare,
Keïta Mohamed
Issue:
Volume 8, Issue 1, June 2022
Pages:
17-20
Received:
14 May 2022
Accepted:
27 May 2022
Published:
9 June 2022
Abstract: Objectives: Our work was aimed at exposing the methods of extraction of a foreign body enclosed in the cervical esophagus and specifying the place of cervicotomy in its management. Observation: We report the case of a 76-year-old patient admitted to the ENT emergency department for sudden onset dysphagia following the ingestion of a foreign body of dental prosthesis type (two teeth). The face and profile cervicothoracic radiography revealed a thickening of the oesophageal lumen associated with a prevertebral hyperclarity at the height of the C8 and D1 vertebrae. After two endoscopic extraction attempts to the rigid tube we performed a cervicothoracic CT that showed the dental prosthesis at the height of C8-D1 associated with a peripheral hyperclarity and a left pneumothorax. The hemoglobin level was 14 g/dl, the prothrombin rate was 84%, the activated partial thromboplastin time was 35 seconds. The cervicotomy allowed us to note a perforation of the esophagus at the height of C8-D1. We made an oesophagofissure that allowed us to extract the prosthesis. The reconstruction of the oesophageal lesion was done in two planes. Conclusion: Denture type foreign bodies carry a risk of perforation, especially when endoscopic extraction is difficult. This risk is all the more important when the extraction time is long, when there is a pre-existing oesophageal pathology and by forced extraction maneuvers. Standard surgery is the best way to prevent perforation and septic complications.
Abstract: Objectives: Our work was aimed at exposing the methods of extraction of a foreign body enclosed in the cervical esophagus and specifying the place of cervicotomy in its management. Observation: We report the case of a 76-year-old patient admitted to the ENT emergency department for sudden onset dysphagia following the ingestion of a foreign body of...
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Voluminous Solitary Neurofibroma of the Nasosinus Cavities in an Undermedicalized Context: Reflection on a Case Collected in Bamako
Kassim Diarra,
Nfaly Konate,
Yaya Dembele,
Harouna Sanogo,
Kalifa Coulibaly,
Fatogoma Issa Kone,
Cisse Naoma,
Boubacary Guindo,
Siaka Soumaoro,
Doumbia Kadidiatou Singare,
Mohamed Amadou Keita
Issue:
Volume 8, Issue 1, June 2022
Pages:
21-24
Received:
20 May 2022
Accepted:
7 June 2022
Published:
16 June 2022
Abstract: Neurofibroma is a benign tumor of the connective tissue developed mainly at the expense of the endoneurium of the peripheral nerves. Histologically, there are two types of neurofibroma: plexiform and solitary. The objective of this work was to report a case of solitary nasosinusal neurofibroma in order to discuss diagnostic and therapeutic difficulties in a developing country. BA aged 17, with no known pathological history, was admitted to the service for a left nasal obstruction which had been evolving for about 4 years. The endonasal examination found a congestive mass, not bleeding on contact, filling the entire left nasal fossa pushing back the nasal septum on the right. Computed tomography showed a heterogeneous dense tissue process with cystic areas, filling the left nasal fossa with extension to the posterior sinuses, left maxilla. The patient was operated under general anesthesia via the left paralateronasal route. The tumor was difficult to cleave but not friable and not bleeding. The histological examination concludes to a neurofibroma. Conclusion: Solitary neurofibromas are uncommon and remain poorly understood. Literature data, rare, do not answer all the questions.
Abstract: Neurofibroma is a benign tumor of the connective tissue developed mainly at the expense of the endoneurium of the peripheral nerves. Histologically, there are two types of neurofibroma: plexiform and solitary. The objective of this work was to report a case of solitary nasosinusal neurofibroma in order to discuss diagnostic and therapeutic difficul...
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Tympanic Retraction Pockets: Diagnostic and Therapeutic Aspect
N’faly Konate,
Kassim Diarra,
Ibrahim Bouare,
Sidibe Youssouf,
Lemale Ulrich Kevin,
Saydi Mohamed Ag El Ansari,
Drissa Kaloga Bagayoko,
Yaya Dembele,
Fatogoma Issa Kone,
Keita Mohamed
Issue:
Volume 8, Issue 1, June 2022
Pages:
25-28
Received:
27 May 2022
Accepted:
14 June 2022
Published:
27 June 2022
Abstract: Background: Retraction pockets represent a form of chronic otitis considered to be a precholesteatomatous stage. This study aims to study the diagnostic and therapeutic aspects of tympanic retraction pockets in the ENT department of the University Hospital Center “Gabriel Touré”. Patients and Method: This was a prospective longitudinal study extended over 15 months; from February 1, 2020 to May 31, 2021 from the files of patients received as an outpatient in the ENT and Cervicofacial Surgery department of the CHU Gabriel Touré in Bamako. Were included any patient seen in an outpatient department at the otorhinolaryngology and head and neck surgery department of the CHU Gabriel Touré in Bamako with a pocket of tympanic retraction and who had consented to the study. Data collection was done using a previously established survey form. Data were entered in Word 2016 and analyzed using SPSS software. Results: The prevalence of retraction pockets was estimated at 1.2% of all consultations. The most represented age group was that of (25-39 years), i.e. 25.0%. The average age was 44.91 ± 20.05 years. The extremes of ages were 10 years and 81 years. The female sex was the most represented, at 63.9% with a sex ratio ꞊ 0.6. A history of otitis was present in half of the cases. Tinnitus was the main reason for consultation (50% of cases) followed by hearing loss (25%). The otoendoscopic examination had noted a predominance of lesions on the left (52%) and an attical seat in 30.6% of cases. The pockets were controllable and self-cleaning in all cases, and peelable in 75% of cases (stage I of the weevil classification) and non-peelable and controllable in 25% of the cases (stage II of weevil). Conductive hearing loss was found in 8.3% of cases, mixed hearing loss in 5.6% of cases and sensorineural hearing loss in 2.8% of cases. CT of the rock was performed in two patients, and showed erosion of the attic wall associated with tissue hypodensity in the attic. Medical treatment based on systemic corticosteroids and nasal decongestant was initiated in all our patients associated with quarterly monitoring for stages I of charachon, i.e. 75% of the workforce. The placement of a tympanostomy tube was performed in 8 patients classified (stage II of charachon) ie (2, 88%). Antroatticotomy associated with reinforcement tympanoplasty was performed in a patient (0,36%).
Abstract: Background: Retraction pockets represent a form of chronic otitis considered to be a precholesteatomatous stage. This study aims to study the diagnostic and therapeutic aspects of tympanic retraction pockets in the ENT department of the University Hospital Center “Gabriel Touré”. Patients and Method: This was a prospective longitudinal study extend...
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Transfixing Penetrating Trauma of the Oropharynx Caused by an Unusual Strange Body
N’faly Konaté,
Kassim Diarra,
Kalifa Coulibaly,
Boubacary Guindo,
Youssouf Sidibé,
Fatogoma Issa Koné,
Naouma Cissé,
Siaka Soumaoro,
Kadiatou Sinkare,
Mohamed Keïta
Issue:
Volume 8, Issue 1, June 2022
Pages:
29-32
Received:
10 June 2022
Accepted:
23 June 2022
Published:
30 June 2022
Abstract: Objective: Oropharyngeal trauma is a common emergency in children. Our work aimed to expose a case of transfixing trauma of the oropharynx caused by an unusual foreign body and to review our behavior in the management of these traumas. Observation: The authors report a case of trauma to the oropharynx caused by a long tip of a hair straightener that occurred in a 06-year-old child. the mechanism of occurrence was a fall during play while the child was holding the tip in his mouth. The initial symptomatology was marked by endobuccal bleeding, hypersalivation, limitation of mouth opening and corticollis. The entrance orifice was located on the left anterior pillar and the penetrating end of the tip protruded subcutaneously at the level of the left retroauricular region. Enhanced head and neck computed tomography revealed a metallic, serrated density body transfixing from the oropharynx through the pre- and retrostylian spaces in contact with and below the jugular vein and internal carotid artery and terminates in position subcutaneously in the mastoid region. The preoperative hemoglobin level was 13g/dl, the coagulation assessments were normal. As the child's vaccination schedule was not up to date, we administered a dose of serum and tetanus vaccine concomitantly. The exploratory cervicotomy allowed us to extract a tip approximately 20 cm long which grazed the jugulocarotidian bundle without detectable lesions. The postoperative course was simple, healing of the wound occurred around the 10th day.
Abstract: Objective: Oropharyngeal trauma is a common emergency in children. Our work aimed to expose a case of transfixing trauma of the oropharynx caused by an unusual foreign body and to review our behavior in the management of these traumas. Observation: The authors report a case of trauma to the oropharynx caused by a long tip of a hair straightener tha...
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