Aural Foreign Bodies in Children

Background: Pediatric aural foreign bodies (FB) are relative medical emergencies. Primary care physicians, pediatricians, and otorhinolaryngologists commonly encounter them. Objective: The objective was to carry out a retrospective analysis of pediatric aural FB managed in otorhinolaryngology department of the University of Calabar Teaching Hospital, Nigeria. Materials and Methods: A total of 157 children with aural FB managed at the Department of Otorhinolaryngology, University of Calabar Teaching Hospital, Nigeria, from January 2015 to December 2018 were reviewed with regard to the type of FB, location, in the ear, methods of removal,  complications, age, and sex. Results: Of the 157 children, 54.1% were males and 45.9% females. Male: female ratio was 1.2:1. Ninety‑five (60.5%) were below the age of 5 years, 46 (29.3%) were 6–10 years of age, and 16 (10.2%) were in the age group of 11–15 years. The most common objects were beads, papers, and cotton. Most presentations (86%) were within 24 h. Seven patients (4.5%) required surgical removal under general anesthesia. Most of the patients (92.4%) had no complications. Morbidities include bleeding from the ear canal 6 (3.8%), canal abrasions/lacerations 4 (2.5%), and tympanic membrane perforations 2 (1.3%). Conclusion: Aural FBs are common conditions in children in our environment. Most of these can be successfully removed by skillful personnel,  adequate immobilization, and proper instrumentation. Pediatricians, family physicians, and other health workers should not hesitate to refer to otorhinolaryngologists, uncooperative/apprehensive children, those with a history of attempted removal by their parents or caregivers, or FB whose contour, composition and position in the canal cannot be fully assessed. Keywords: Aural, children, foreign bodie

Pattern of snoring among school children in Calabar, Nigeria

No Abstract. Nigerian Medical Practitioner Vol. 51 (5) 2006: pp. 103-10

Clinical significance of Q-TC interval in children with sleep-disordered breathing

Aim: We investigated the usefulness of ECG (Q-Tc interval) in determining the optional treatment modality for pediatric Sleep disordered breathing (SDB). METHOD: Fifty-six children presenting with snoring and associated symptoms of obstructive SDB had adenotonsillectomy (A&T) as an optional treatment modality. All studied children had ECG as routine preoperative evaluation in the absence of polysomnographic facilities. At 12 weeks post-adenotonsillectomy ECG was repeated. A Q-Tc interval = or >0.43 was regarded as prolonged. Duration of study was 4 years (September 2002 to August 2006). RESULTS: There was disappearance of symptoms in 98.21 % of children by the second week following A&T. At 12 weeks post-A&T only 26 (46.42%) of patients were available for ECG re-evaluation. Mean pre-op versus post-op Q-Tc was 0.4482 and 0.3932 (t -5.484, df 25, p=0.000.) while mean heart rate was 106.15 and 105.19 (t -.179, df 25, p=0.859.). Adenotonsillectomy resulted in a reversal of prolonged Q-Tc to within the normal range. Five (19.23%) of the children with normal Q-Tc 0.39, 0.41, 0.40, 0.41 and 0.35 preoperatively assumed even lower values post operatively (0.37, 0.40, 0.39, 0.406 and 0.32 respectively). There was no statistical correlation between heart rates and Q-Tc intervals in the pre and post adenotonsillectomy patients. (Pearson correlation; -.058, P = 0.389 and -.266, p = .095 respectively). CONCLUSION: Prolonged Q-Tc interval can be a reasonable pointer to the severity of SDB and its correction is an objective assessment of adenotonsillectomy as an effective treatment option for childhood SDB. Global Journal of Mathematical Sciences Vol. 6 (1) 2007: pp. 41-4