24 research outputs found
Clinical Pattern and Management of Keloids in Black Poplulation
No full textObjective: To present the clinical pattern, treatment approach and outcome of keloid care in our clinical practice.Design: A retrospective study.Setting: Obafemi Awolowo University Teaching Hospital, Ile-Ife, Southwestern Nigeria.Subjects: All patients presenting with keloids during the study periodIntervention: The pattern of presentation, modalities of treatment and outcome of care as well as complications and recurrences were documented.Results: Seventy – six patients were studied. Equal male to female ratio. Their ages ranged from 1-75 years with a modal age of 24 years. Lesions presented for treatment were most commonly located in the head and neck region. Itching was the most common symptom. Combination therapy by surgical resection, intralesional triamcinolone injection and superficial radiotherapy was the most common modality of treatment and gave the least rate of recurrence.Conclusions: Combination therapy gave the best outcome in our practice
The use of large bilobed flap in the management of cheek defect: a case report
No full textIntroduction: bilobed flaps are versatile reconstructive tools which have been used extensively in the management of nasal, shoulder and neck defects. Although its use in the cheek has been reported, it is uncommonly utilized.Case report: This is a case report of a 22yr old lady with traumatic left cheek defect managed with the use of a large bilobed flap.Result: The Post-operative outcome was satisfactoryConclusion: Large bilobed flaps should be considered when reconstructing cheek defects.Key Words: Bilobed flap, cheek defect
Laryngeal carcinoma: our experience at Obafemi Awolowo University Teaching Hospital complex, Ile-Ife, Nigeria
No full textNo Abstract Supplie
Isolated bileteral upper lid coloboma a case report
No full textNo Abstract. Nigerian Journal of Medicine Vol. 14(2) 2005: 224-22
Lip reconstruction after major tissue loss
No full textBackground: Major defects of the lips are challenging to the reconstructive surgeon. The goals in treating total or near total lip defects are reconstruction of the skin, the muscle, the mucosal lining, maintenance of oral competence and an acceptable cosmetic appearance. Six patients with major lip defects from various causes as seen in our practice were successfully managed are discussed. Case reports: Two patients had major lower lip loss following gunshot injuries, one patient had major upper lip defect following blast injury. Two other patients had post excision defects for lip malignancy while the lasthad a congenital midline defect of the upper lip and primary palate. All patients had lip reconstruction using local flaps, no flap loss was recorded and the postoperative appearance was acceptable to them. Conclusion: Functional and aesthetic outcomes appear acceptable when local flaps are employed in lip reconstruction in this black population even with major lip defects.Key words: lip reconstruction, major lip defect
Adolescent and adult cleft lip and palate, in Ile-Ife, Nigeria
No full textIntroduction: Congenital cleft lip and palate (CLP) defects usually present in childhood, especially in places with available and affordable care. In Nigeria, their incidence is low but late presentation in Adult life have been reported. This article aims at reviewing adolescent and adult CLP patients in our center, with the advent of free and available care, and to documentthe patterns and management outcomes of these patients as an addition to existing literature on the subject of adult CLP. Materials and Methods: A retrospective review of adolescent and adult CLP patients managed from May 2006 to April 2010. Demographic data as well as clinical information were retrieved from the hospital records and include the type of cleft deformity, surgical intervention prior to presentation, the type of surgery performed and postoperative outcomes. Some pertinent clinical photos were also reviewed. Results: Adolescent and adults constituted 24% of the 137 patients, their age ranged from 13 to 76 years, with a mean, median and modal age of 28, 22 and 20 years respectively. Unilateral cleft of primary palate was commonest with female preponderance. Most never had surgery, others desired revision surgery or secondary procedures. Theoutcomes were satisfactory in the 37 procedures performed on 33 patients.Conclusion: A relatively high ratio of adolescent and adult clefts is observed. Most of them have never had surgical intervention. Some had failed surgical intervention prior to presentation. Satisfactory outcomes were achieved despite late intervention but failed initial intervention was associated with poorer outcomes
The Naso-labial and lateral forehead flaps as a single stage: A case report and review of literature
No full textWe present here the case of a patient with a major traumatic nasal
loses who had a near-total nasal reconstruction as a single-stage
procedure. A 35 year-old civil servant who was involved in a road
traffic injury about two years before presentation. He sustained
extensive and multiple facial injuries with complete loss of nasal
cover and lining. Reconstruction was performed by using superiorly
based, bilateral, nasolabial flaps to line the floor and the nasal
septum, and a paramedian forehead flap for skin cover. The patient did
well postoperatively and was discharged home on the 7 th postoperative
day. If the principles concerning cover, support, and lining are
adhered to, excellent functional and aesthetic results can be achieved
as we have obtained in our patient
Exploring and Examining the Use of the Facebook in the Classroom and its Impact on Student Success
No full textAmerican engineer, author and inventor, Richard Buckminister Bucky Fuller once said that, Humanity is acquiring all the right technology for all the wrong reasons. The apparent human obsession with technology permeates all facets of every day life including households, work places and especially in schools. Some argue that too much technology is just another distraction that takes away from the fundamentals of education and learning. Others would say that technology has enhanced the learning and development of America\u27s youth. This study used Marshall McLuhan\u27s media ecology theory to research the popular social networking website Facebook and its impact on the classroom, specifically how students themselves believe Facebook can be used to enhance their educations. Several university students were surveyed and asked to respond to how Facebook in the classroom changed their perception, experience and behavior in the classroom. A self-administered survey best captured the actions and reactions of people (Rubin et al, 2010, p. 218). The findings of this study showed that students themselves saw much benefit with incorporating Facebook into the classroom. The majority of respondents concluded that Facebook can help them better understand their work by enhancing the classroom experience, but there is also the negative aspect of the site serving as a classroom distraction. Using this data, a teacher, instructor, professor or educator can find ways to implement Facebook into the classroom culture to best serve their students
Retroperitoneal and Genital Lymphangioma: Therapeutic Challenges in a Developing Country
No full textBackground: Lymphangiomas occur most commonly in the head and neck region, while other sites are rarely affected. A combination of retroperitoneal and genital lymphangioma is very rare indeed. Though congenital, it may persist into adulthood due to missed diagnosis and inadequate or total lack of treatment. Materials and methods: A report of a 22-year-old male student who presented with recurrent multiloculated genital, thigh, groin and retroperitneal lymphangioma. He underwent surgical excision and adjuvant sclerotherapy using ethylene-diamine tetra acetic acid. Results and Conclusions: There was an initial recurrence after surgery which responded satisfactorily to sclerotherapy. Complete surgical excision of lymphangioma may be precluded by vital structures but sclerotherapy produces satisfactory resolution. The difficulties in management with limited facilities for diagnosis and treatment are highlighted
