A D Dunmade

Publications (11)4.21 Total impact

• Source

  Available from: Olushola Afolabi

  Article: Parental satisfaction with post-adenotonsillectomy in the developing world.

  O A Afolabi, B S Alabi, F E Ologe, A D Dunmade, S Segun-Busari
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  ABSTRACT: Tonsillectomy with or without adenoidectomy is one of the most commonly performed surgical procedures by the otolaryngologists in the pediatric population. The aim of this study is to evaluate parental expectation and satisfaction following tonsillectomy with or without adenoidectomy. Hospital-based prospective study of all consented parents whose children had tonsillectomy with or without adenoidectomy over a period of 13 months (February 2008 to February 2009) using a cross-sectional method. Pre- and post-surgical questionnaire-based Interview was conducted for them and information retrieved included biodata, pre- and post-surgical symptoms on follow-up in the clinic of obstructive sleep apnoea, snoring, mouth breathing and rhinorrhea, parental expectation and satisfaction after surgery. All data were entered into statistical data using SPSS version 11 and analyzed and the results are presented in tables and figures. A total of 29 patients had adenotonsillar surgery, who were within the age range of 1.50-14 years with a mean age of 5.50 (SD=4.06+/-0.75). M:F ratio was found to be 3:1 (22 males and 7 females). Parents were satisfied with the expected outcome in terms of symptoms post-operatively in 96.6% while only one 3.4% were not satisfied. Majority of the parents (96.6%) were satisfied with the expectation of immediate resolution of symptoms; however, obstructive adenotonsillar hypertrophy remains an important problem to be solved to achieve total parental satisfaction in adenotonsillar operations.
  International journal of pediatric otorhinolaryngology 09/2009; 73(11):1516-9. · 0.85 Impact Factor
• Article: Day case adenoidectomy: is it safe?

  A D Dunmade, B S Alabi
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  ABSTRACT: To document the Clinical outcome of Day Case Adenoidectomy in Children in a Nigerian tertiary health Institution and a private Ear, Nose and Throat Consultant Cinic. This is a prospective study of twenty eight children without any co-morbid condition operated for adenoidectomy between June 2002 and May 2004. The patients were admitted on the day of surgery and discharged within 12 hours post surgery. A total number of 28 patients were operated for adenoidectomy. 16 children were treated as planned day cases and 12 were treated as inpatients. 50% of the patients were in the age group of 2-4 years. There were 12 males and 4 females with a M:F ratio of 3: 1. All the parents of the patients had access to cars and 75% resided within 30 minutes of travelling time from the hospital. Day case adenoidectomy is relatively safe and may prove advantageous considering long surgical waiting lists, preventing Hospital acquired infection and minimizing cost of hospitalization.
  Nigerian journal of clinical practice 06/2009; 12(2):145-8. · 0.19 Impact Factor
• Article: Neuro-ophthalmic manifestation of nasopharyngeal carcinoma at Ilorin: a five year review.

  A D Dunmade, D S Ademola-Popoola
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  ABSTRACT: Patients with Nasopharyngeal Carcinoma (NPC) may present with neuro-ophthalmic symptoms including visual loss. Involvement of the cranial nerves have been found to impact significantly on the individual's 5 year survival rate, which makes an early diagnosis of this condition of great importance in the management of NPC. A retrospective review of all patients with clinical and histological diagnosis of NPC over a five year period between 1999 and 2003 was carried out. Information retrieved from the records include their age, symptoms and signs with emphases on neuro-ophthalmic at presentation. Data were analysed using SPSS statistical package. Twenty records out of the 23 patients with a diagnosis of NPC seen during this period were available for review. The age range was between 20 and 60 years, the Mean was 38.9 years, SD 11.62. Sixty percent of the patients had neuroophthalmic manifestation with symptoms such as ocular pain, double vision, loss of vision and eye protrusion and signs such as ophthalmoplegia, exposure keratopathy and proptosis in various combinations. Neuro-ophthalmic manifestations were commonly found among patients diagnosed as NPC at Ilorin. A high index of suspicion of NPC whenever a patient presents with neuro-ophthalmic signs and symptom is advocated.
  Nigerian journal of clinical practice 01/2009; 11(4):376-8. · 0.19 Impact Factor
• Article: Lateral skull radiograph in a patient with post-traumatic tension pneumocephalus complicated by late epilepsy.

  O T Odebode, A D Dunmade, O A Afolabi, O A Suleiman
  Case Reports 01/2009; 2009:bcr2007046656.
• Article: Lateral skull radiograph in a patient with post-traumatic tension pneumocephalus complicated by late epilepsy.

  O T Odebode, A D Dunmade, O A Afolabi, O A Suleiman
  Emergency Medicine Journal 02/2008; 25(1):32. · 1.44 Impact Factor
• Source

  Available from: Olushola Afolabi

  Article: Aural foreign bodies in children.

  F E Ologe, A D Dunmade, O A Afolabi
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  ABSTRACT: Foreign body in the ear is commonly encountered in children by primary care givers, emergency department Physicians, Pediatricians and Otolaryngologists worldwide. We reviewed cases of aural foreign bodies in children seen in our centre over a five-year period with the aim of auditing our current practice and suggesting possible improvements suited for developing countries. Grains and seeds (27.9%), beads (19.7%), cotton wool (13.6%), paper (8.8%) and eraser (8.2%) formed the bulk of the aural foreign bodies. About 96% was removed without general anesthesia by using Jobson Horne's probe or aural dressing forceps (73.8%) under direct vision; or by syringing (22.1%). Some 4% had to be removed in the operating theatre under general anesthesia. The complications observed include bruise or laceration and bleeding from the external auditory canal (16.3%), otitis externa (6.5%) and traumatic perforation of the tympanic membrane (1.7%). Despite a high proportion of cases managed in the office setting, complication rates were within acceptable levels. There is need to develop practical criteria that will be beneficial to primary health care givers to determine which patients could be managed in the primary care setting with acceptable outcome.
  The Indian Journal of Pediatrics 09/2007; 74(8):755-8. · 0.52 Impact Factor
• Article: Profound bilateral sensorineural hearing loss in nigerian children: any shift in etiology?

  A D Dunmade, S Segun-Busari, T G Olajide, F E Ologe
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  ABSTRACT: Deafness, profound hearing loss, is a global problem. However, the causes of, attitudes toward, and management options for deafness differ considerably from region to region. This study seeks to identify the present causes of profound sensorineural hearing loss in Nigeria, which in our environment is almost synonymous to a life sentence of silence and isolation. This is a retrospective survey of children 15 years and below (M = 6.7 years, SD = 3.2). Of the 115 children included in this study, 64 (55.7%) were males, giving a male:female ratio of 5:4. Age group 1-3 years had the highest proportion of hearing loss, 33 (28.7%), and there was a progressive decline in frequency with advancing age. In about a third (34.8%) of patients, causes were unknown, probably congenital. The main acquired causes were febrile illness (18.3%), measles (13.9%), meningitis (8.7%), mumps (6.9%), or severe birth asphyxia (4.3%). Compared to the findings of two decades ago, we conclude that there is no significant shift yet in the etiology of profound sensorineural hearing loss in our environment.
  Journal of Deaf Studies and Deaf Education 02/2007; 12(1):112-8. · 1.02 Impact Factor
• Article: Acute laryngeal obstruction in a Nigerian Hospital: Clinical presentation and management.

  B S Alabi, F E Ologe, A D Dunmade, S Segun-Busari, F Olatoke
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  ABSTRACT: To determine the clinical presentations and management of patients with acute laryngeal obstruction. A retrospective study of 36 patients with acute laryngeal obstruction to the accident and emergency unit (A&E), emergency paediatric unit (EPU) and the Ear, Nose and Throat diseases clinic (ENT) of the University of Ilorin Teaching Hospital between January 1998 and the December 2002 are presented. The age ranges of the patient were between 1.5 years to 46 years (mean age 29.6 years with male/female ratio of 2:1 Breathlessness (83.3%), hoarseness (66.7%), and noisy breathing (50%) were the main symptoms at presentation. These 36 patients represented 4.9 % of the in-patients seen by the Otolaryngologists during the period under review and 75% of cases of acute upper airway obstruction managed during this period. The commonest cause of obstruction in this study was laryngeal tumours (47.2%)-laryngeal carcinoma (27.8%) in the adults and juvenile laryngeal papillomas (19.4%) in the paediatric age group; other causes were laryngeal infections (acute and chronic) represented 20% of aetiologic factors. Impacted laryngeal foreign bodies occurred in 5(13.9%) all in the paediatric age group. Eleven (30.6%) were managed conservatively with antibiotics and antikoch's therapy; 12(33.3%) had emergency tracheostomy prior to definitive treatment of direct laryngoscopy in 10 patients (27.8%) for biopsy, removal of foreign bodies and extirpations of juvenile laryngeal papillomas and 3(8.3%) were managed by endotracheal intubations. Health education of the public is recommended to ensure early presentation in hospital as soon as symptoms of laryngeal tumours are noticed and health care providers should refer such cases early.
  The Nigerian postgraduate medical journal 10/2006; 13(3):240-3.
• Article: Penetrating injury of head and neck by the spoke of a cycle.

  A D Dunmade, B S Alabi
  West African journal of medicine 26(1):55.
• Source

  Available from: ajol.info

  Article: Nasal osteogenic chondrosarcoma: a case report.

  K A Adeniji, S Segun-Busari, F E Ologe, O O Ibrahim, B S Alabi, A D Dunmade
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  ABSTRACT: Osteosarcomas and chondrosarcomas are the most common malignancies of the jaw bones. Nasal osteogenic chondrosarcoma is rarely reported. To draw attention to a rare tumour, osteogenic chondrosarcoma. A middle aged woman presented with a three month history of nasal blockade and mucopurulent discharge. She was fully clinically evaluated including anterior rhinoscopy and plain radiograph. Detailed history, physical examination and plain radiography showed features suggestive of antrochoanal polyp with differential diagnoses of sino nasal and nasopharyngeal tumour. At emergency tracheostomy, examination under anaesthesia, meticulous nasal and nasopharyngeal tumour clearance was done. Histopathological examination of the mass revealed osteogenic chondrosarcoma. Though rare, osteogenic chondrosarcoma affects nasal bones. Clinically the tumour mimicks an antro-choanal polyp and is associated with the challenge of recurrence.
  West African journal of medicine 29(1):41-3.
• Article: Negative pressure pulmonary oedema following adenoidectomy under general anaesthesia: a case series.

  B O Bolaji, O O Oyedepo, A D Dunmade, O A Afolabi
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  ABSTRACT: Negative pressure pulmonary oedema (NPPE) is a potentially life-threatening complication of laryngospasm that occurs during or after general anaesthesia. It is a complication of poorly treated or unrecognized laryngospasm occurring at extubation or later in the postoperative period. To emphasize prompt recognition of laryngospasm during or after general anaesthesia and to prevent its progression to NPPE in a resource-challenged environment. Three children aged two to four years, one of whom was a known sickle cell anaemia patient presented with adenoid hypertrophy. Surgery was postponed on account of upper respiratory tract infection in each of them. Following treatment of upper respiratory tract infection, they had adenoidectomy under general anaesthesia. They all developed severe laryngospasm at extubation. This progressed to NPPE which was diagnosed on clinical parameters. The children were subsequently admitted to the intensive care unit (ICU) for mechanical ventilation with high FiO2 (0.7-1) and PEEP between 12-24hours. While two of the children survived, the child with sickle cell anaemia died in the ICU. Negative pressure pulmonary oedema is a self limiting complication of laryngospasm if it is well managed. However, its outcome may not be good in a patient with intercurrent medical illness such as sickle cell anaemia in which hypoxaemia is deleterious.
  West African journal of medicine 30(2):121-4.