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East and Central African Journal of Surgery
Association of Surgeons of East Africa and College of Surgeons of East Central and Southern Africa
ISSN: 1024-297X EISSN: 1024-297X
Vol. 19, No. 1, 2014, pp. 22-29
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Bioline Code: js14004
Full paper language: English
Document type: Research Article
Document available free of charge
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East and Central African Journal of Surgery, Vol. 19, No. 1, 2014, pp. 22-29
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An Audit of Otologic Injuries in a Nigerian Tertiary Health Facility.
Adedeji, T.O.; Olaosun, A.O. & Tobih, J.E.
Abstract
Background: The dearth of information despite its common occurrence stimulated our
interest to audit cases of otologic injuries in a Nigerian tertiary hospital
Methods: This was a retrospective study of patients with otologic injuries that were
managed at Otorhinolaryngology department of Ladoke Akintola University of Technology
Teaching Hospital, Osogbo, Osun State, Nigeria between July 2006 and June 2012.
Results: A total of 149 cases with M: F ratio 1.2: 1. The right ear was affected in 55% of patients.
Most of the injuries due to foreign bodies (58.2%) occurred in children aged 1-10years while the
majority of ear injuries from Road Traffic Crashes (78.3%) occurred among age group 21 – 40
years. Most of the penetrating injuries (81.3%) occurred during habitual practice of ear cleaning.
There was a significant association between age and the cause of injury (X 2 = 38.977, p < 0.0001).
More than a quarter of patients with foreign bodies had complications from mismanagement by
inexperienced medical personnel.
Conclusion: Otologic injuries are common in our environment. General practitioners
should have adequate exposure to ENT training and provide prompt referral to the
Otorhinolaryngologist to avoid unnecessary complications. Public enlightenment to
persuade people to desist from the acts of cleaning the ear will prevent much accidental
penetrating injuries
Keywords
Otologic injuries; foreign bodies; conservative management; iatrogenic complications
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© Copyright 2014 - East and Central African Journal of Surgery
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