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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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.

Item Type: Article
Uncontrolled Keywords: Audit, Outcome, Ear Procedure, resource limited, health center.
Subjects: R Medicine > R Medicine (General)
R Medicine > RF Otorhinolaryngology
Divisions: Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User: Mrs Oluwafunmilola Bankole
Date Deposited: 13 Jul 2020 11:06
Last Modified: 13 Jul 2020 11:06

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