AN AUDIT AND OUTCOME OF EAR PROCEDURES IN A RESOURCE LIMITED TERTIARY HEALTH CENTER

Adegbiji, Waheed Atilade and Olajide, Gabriel Toye and Olubi, Olawale Olusoga and Olusola, Emmanuel Abiodun and Eletta, Paul Adebisi (2020) AN AUDIT AND OUTCOME OF EAR PROCEDURES IN A RESOURCE LIMITED TERTIARY HEALTH CENTER. Journal of Medical Case Reports and Reviews, 3 (2). pp. 1-8. ISSN Online: 2589-8655, Print: 2589-8647

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Abstract

Background: Ear Procedures are common and determined by different factors in otorhinolaryngology, head and neck practice. This study aimed at determining the clinical profile and outcome of ear procedures in a tertiary health care. Materials and Methods: This was a retrospective study of all patients who had ear procedures done in Ekiti State University Teaching Hospital, Ado Ekiti, a sub Saharan African country. The data collected were collated and analyzed using Statistical Package for Social Sciences (SPSS) version 18.0. Results: Rate of ear procedure in this study was 20.8%. Peak age groups of ear surgery were at the extreme ages of (1-10) and (≥61)years in 29.6% and 26.2% respectively. Main presenting symptoms were earache in 54.4% and object in the ear in 35.7%. Unilateral ear procedure is more common in 93.5% and occurred in the 52.5% right ear. Clinic procedures accounted for 93.8%. Emergency procedures accounted for 35.2%. Main indications for ear procedures were 47.8% ear wax impaction, 16.5% otitis externa and 16.1% foreign body impaction. Major ear procedures in this study were 50.5% ear syringing, 30.0% aural toileting/dressing and 13.6% foreign body removal. Major complication recorded was trauma in 1.9%. Referred patients accounted for 3.9% and main limitation and indication for referral were surgical facilities, diagnostic equipment and patient financial constraints in 3.1%, 2.7% and 1.9% respectively. Main indications for referral were 2.7% auditory brainstem response, 1.9% tympanoplasty and 0.7% cochlear implants. Majority 63.4% of the patients were satisfied with the ear procedures. There were 3.6% losses to follow up. About 3.3% of patients were referred for ear surgery in another center. Conclusion: Surgical ear procedures are still not fully practiced especially where there are limited resources. This study showed a prevalence of 20.8%. Ear syringing was a major ear procedure performed in 50.0% of patients. There is need to provide adequate surgical facilities which will tremendously reduce referral cases and encourage surgical tourism in developing country.

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