VICTOR AKINMOLADUN | University of Ibadan (original) (raw)
Papers by VICTOR AKINMOLADUN
Annals of Ibadan Postgraduate Medicine, 2019
Background: Learning environment has been described as crucial in determining the success of medi... more Background: Learning environment has been described as crucial in determining the success of medical and dental education. Continuous evaluation of this environment will help in maximizing the learning opportunities of the training program. Objective: To assess the resident doctors' perception of their learning environment at a teaching hospital in Nigeria Methods: The DREEM questionnaire was administered to participants undergoing residency training in the faculty of Dental Surgery at the University College Hospital, Ibadan. Results: Thirty-nine resident doctors participated in the study (23 Males, 16 Females), mean age (±SD) was 35.7 (±4.22) ranging from 28 years to 46 years. Mean global score (±SD) was 105.3 (±26.8), 52.7%, out of a maximum of 200. The mean global score according to gender was significantly higher among males than females. The overall perception of the training environment by residents is more positive than negative and the male gender appears to have a more ...
West African journal of medicine, Aug 31, 2022
Annals of Ibadan Postgraduate Medicine, 2020
Background: Exogenous factors occurring in the antenatal period could be contributory to the form... more Background: Exogenous factors occurring in the antenatal period could be contributory to the formation of orofacial cleft. This study sought to determine the antenatal events in mothers that may have contributed to orofacial cleft deformity of their children. Methodology: It was a prospective observational cross sectional study of consenting mothers of babies with orofacial cleft who met the inclusion criteria. The study instrument was a questionnaire. Results: Seventy-two mothers participated in the study. Most of these mothers were below 35 years of age and more than half, 43 (59.7%) were of the low-intermediate socioeconomic status. Although majority, 70 (97.2) of the mothers had antenatal care, the mean gestational age at commencement of antenatal care was 4 months. Almost all, 69 (95.8%) mothers had ultrasound scans however the detection of the orofacial cleft was in only 2 (2.8%) mothers. The commonest medication taken was haematinics, 26 (36.1%). Herbal medication, 15 (20.8%)...
Background: Learning environment has been described as crucial in determining the success of medi... more Background: Learning environment has been described as crucial in determining the success of medical and dental education. Continuous evaluation of this environment will help in maximizing the learning opportunities of the training program. Objective: To assess the resident doctors' perception of their learning environment at a teaching hospital in Nigeria Methods: The DREEM questionnaire was administered to participants undergoing residency training in the faculty of Dental Surgery at the University College Hospital, Ibadan. Results: Thirty-nine resident doctors participated in the study (23 Males, 16 Females), mean age (±SD) was 35.7 (±4.22) ranging from 28 years to 46 years. Mean global score (±SD) was 105.3 (±26.8), 52.7%, out of a maximum of 200. The mean global score according to gender was significantly higher among males than females. The overall perception of the training environment by residents is more positive than negative and the male gender appears to have a more ...
Journal of Cranio-Maxillofacial Surgery, 2006
Material and Methods: The surgical difficulty of third molar extraction was predicted in 79 Niger... more Material and Methods: The surgical difficulty of third molar extraction was predicted in 79 Nigerian patients based on the criteria of the Pederson index. The actual intraoperative experience of difficulty was determined by the operative time. Operations that lasted for 20 min or less were described as easy while those that lasted for more than 20 min were regarded as difficult. The surgeon was blinded to the pre-operative prediction which was done by a consultant oral surgeon. Results: Sensitivity and specificity of the index were determined as 94.9% and 49.0%, respectively, while the positive predictive (PPV) value was 62.7%. Conclusion: Although the Pederson index was highly sensitive for predicting difficult cases, the poor specificity suggested its inability to accurately identify easy cases and the high PPV confirmed a tendency towards false positive predictions alleged by some previous authors. Thus, we concluded that the Pederson index is an unreliable instrument for predicting the difficulty of third molar surgery. O.353 An assessment of the relative contributions of physical patient factors and radiographic features of impacted mandibular third molar
The UCH/Smile Train partnership, which offers free cleft surgeries to patients provides succor. T... more The UCH/Smile Train partnership, which offers free cleft surgeries to patients provides succor. The objective of the study was to determine the state distribution of new patients presenting with cleft lip and palate, to The UCH. A retrospective review of all new cleft patients presenting to The UCH between January 2012 and June 2015. The data obtained were their local government area of residence, age of the patients, gender of the patients and the type of cleft. Descriptive statistics was used to analyze the distribution of patients seen while Chi square test was used to analyze the influence of gender and laterality on the type of cleft. Sixty-seven eligible patients were seen within the study period. Majority (83.6%) of patients seen were from 14 of the 33 Local Government Areas (LGA's) in Oyo state. Patients were seen from LGA's in proximity to UCH. A few (16.4%) of the patients came from outside the state. Iwajowa, the LGA with the least number of patients (1.8%) was fu...
African journal of medicine and medical sciences, 2013
Foreign body impaction within the maxillofacial region is not an uncommon occurrence. Imaging of ... more Foreign body impaction within the maxillofacial region is not an uncommon occurrence. Imaging of such objects is of paramount importance to their retrieval in order to assess their relation to vital structures as well as avoid disruption of such structures while retrieving the foreign bodies. We report a case of wooden foreign body which traversed the maxillofacial region, imaging of which posed a significant challenge. A sixteen year old female presented with a wooden foreign body impaction following a road traffic accident. Challenges in the course of investigation and events during the surgical retrieval of the foreign body are described. An unusual case of foreign body impaction transecting the right orbit, right antrum and the pharynx is presented. The inability of both Computed Tomographic scan and Ultra Sound scan to identify the path and relations of the impacted foreign body was also discussed. Computed Tomography and Ultrasonography may not be sufficient to delineate the p...
African journal of medicine and medical sciences, 2013
The term "maxillectomy" has been used to describe a variety of surgical procedures for ... more The term "maxillectomy" has been used to describe a variety of surgical procedures for a spectrum of diseases involving a diverse anatomical site. Hence, classifications of maxillectomy defects have often made communication difficult. This article highlights this problem, emphasises the need for a uniform system of classification and suggests a classification system which is simple and comprehensive. Articles related to this subject, especially those with specified classifications of maxillary surgical defects were sourced from the internet through Google, Scopus and PubMed using the search terms maxillectomy defects classification. A manual search through available literature was also done. The review of the materials revealed many classifications and modifications of classifications from the descriptive, reconstructive and prosthodontic perspectives. No globally acceptable classification exists among practitioners involved in the management of diseases in the mid-facial ...
African journal of medicine and medical sciences, 2006
Standard medical note keeping is an important aspect of patient management, and the importance of... more Standard medical note keeping is an important aspect of patient management, and the importance of completeness of patients' records cannot be overemphasized, especially for the purpose of auditing, research, and medico-legal reasons. It is also an integral part of a good medical practice. However gross inadequacies are often noted. This may be partly due to the fact that until the recent past, cases of medical and professional negligence were uncommon in our environment. This audit exercise was embarked upon to assess the standard in the department using the CRABLE Scoring system with a view to standardizing and improving our practice. The result showed that the subsequent entry part of the medical notes assessed was marginally the best with a score of 66.5%, followed by initial entry which scored 65.3%, while consent had a score of 57.8%. The worst aspect of the notes was the discharge summary with a mean score of 29%. A total mean score of 61.6% was achieved. Despite the limit...
African journal of medicine and medical sciences, 2006
Referral letters are the most desirable means of communication between medical practitioners in p... more Referral letters are the most desirable means of communication between medical practitioners in patients' management, however many studies have indicated that this form of communication is often lacking in essential information necessary for prompt treatment. This study sets out primarily to evaluate the quality and secondarily pattern of referrals from other specialties within the University College Hospital, Ibadan, Nigeria, to the department of Oral and Maxillofacial surgery of the same institution. The information sought for in each letter were patient's name, age, sex: is the letter dated or not, referring department, history ofcomplaint, management already instituted, reason for the referral, name and the signature of the referring doctor. Each of these ten items was scored I when present and 0 when absent. Thus, a maximum score of 10 was recorded when all items were present. Referrals were graded into grade A-D. A being referrals with the maximum score of 10, B: score...
To audit methods of mandibular defect reconstruction used in our institution. A retrospective stu... more To audit methods of mandibular defect reconstruction used in our institution. A retrospective study of mandibular bone reconstruction at the University College Hospital Ibadan between January 2001 and December 2007. Relevant records were retrieved from patients' case notes and operation register. Comparative analysis of various methods of reconstruction was done by assessing treatment outcomes such as restoration of continuity and stability, graft infection, extrusion and fractures. Only 65 of the 82 patients that had mandibular continuity defect during the study period had reconstruction. Ameloblastoma accounted for 67% [n=55] of pathologies that required mandibular resection. Methods of reconstruction included non vascularised iliac bone anchored with either stainless steel wire (NVIBw) [n=38] or titanium plate (NVIBp) [n=9], titanium reconstruction plate [n=4] Steinman pin [n=12], rib graft [1] and acrylic plate temporisation [n=1]. The findings showed that titanium plate and...
African journal of medicine and medical sciences, 2007
Osteoma is a benign, bone forming tumor that is uncommon in the jaws. The aetiology of osteomas i... more Osteoma is a benign, bone forming tumor that is uncommon in the jaws. The aetiology of osteomas is unknown but trauma, infection and developmental abnormalities have been implicated. Solitary osteoma may be classified as peripheral, central and extraskeletal, while multiple osteomas may be associated with Gardner's syndrome. We report a case of solitary peripheral osteoma of the zygoma with a review of literature.
Despite the well known contributions of deep vein thrombosis and pulmonary embolism to perioperat... more Despite the well known contributions of deep vein thrombosis and pulmonary embolism to perioperative deaths, these major causes of morbidity and mortality appear not to be given adequate attention by surgeons in our environment. To study the practice of thromboembolic prophylaxis among surgeons in some sub-specialties in three Nigerian tertiary institutions. A structured questionnaire was used to collect information from consultants in the surgical sub-specialties on the use of thromboembolic prophylaxis in their practice. Fifty nine adequately completed questionnaires were returned. Of this, only 28 (47.5%) used prophylaxis routinely in major surgeries. Use was most frequent in orthopaedics and least in ophthalmology and otorhinolaringology. Subcutaneous heparin was the most commonly employed agent and the most important indication for prophylaxis was a previous history of thromboembolism. The results obtained suggest low use of prophylaxis. Evidenced-based guidelines are available...
Nigerian Journal of Medicine
The practice of self medication has been extensively researched but there is dearth of informatio... more The practice of self medication has been extensively researched but there is dearth of information about its modality among dental patients in developing countries. Hence, this study was designed to determine the proportion of dental patients who practice, medications employed and the reasons for resorting to self medication in general dental populations in Ondo State, Nigeria and to make appropriate recommendations. This study was conducted between June 2007 and June 2008 at the Federal Medical Centre, Owo and State Specialist Hospital, Akure, Ondo State, Nigeria. Five hundred and thirty six consenting respondents were selected by multistage sampling technique and interviewed with the aid of semi structured questionnaire. Almost half of the respondents (42% or n=225) admitted to self medication while the majority (58%) did not practice it. Drugs utilized are usually singly (56.4%) rather than in combination (43.6%), commonly analgesics (50.1%) and antibiotics (30.4%), with the majo...
Odonto-stomatologie tropicale = Tropical dental journal, 2002
Seventy-five Nigerian dentists were interviewed on their approach to the management of impacted t... more Seventy-five Nigerian dentists were interviewed on their approach to the management of impacted third molars. The mean age of the dentists was 34.8 years, with a male/female ratio of 3.4:1. Most of the female dentists were found in the training institutions (p = 0.005). More than half of the dentists (58.7%) practiced in institutions with dental schools (training institutions), majority preferred the buccal approach (92%), and all the dentists (100%) preferred third molar disimpaction under local analgesia. Most dentists (88%) prescribe antibiotics following third molar surgery. Fifty dentists (66.7%) routinely reviewed all patients postoperatively while 12 dentists (16%) were of the opinion that all impacted third molars should be extracted. Only 21 dentists (28%) were aware of any protocol on the management of impacted teeth. More dentists in the training institutions performed third molar surgery less frequently than dentists in other hospitals (p = 0.07) who tend to employ chise...
African journal of medicine and medical sciences, 2008
Osteomyelitis of the jaw is of relatively low incidence. Maxillary Osteomyelitis is however rare ... more Osteomyelitis of the jaw is of relatively low incidence. Maxillary Osteomyelitis is however rare compared with mandibular osteomyelitis. The extensive blood supply and the strut-like bones of the maxilla make it less prone to chronic infections. Systemic conditions that alter the host's resistance such as diabetes mellitus, autoimmune disorders, agranulocytosis, anaemia, especially sickle cell anaemia are predisposing factors for the development of this condition. An unusual case of chronic maxillary osteomyelitis induced by trauma in a diabetic, with subsequent atypical necrotising ulceration of palatal mucosa resulting in total maxillary sequestration is presented.
The Nigerian postgraduate medical journal, 2007
BACKGROUND Despite the well known contributions of deep vein thrombosis and pulmonary embolism to... more BACKGROUND Despite the well known contributions of deep vein thrombosis and pulmonary embolism to perioperative deaths, these major causes of morbidity and mortality appear not to be given adequate attention by surgeons in our environment. OBJECTIVE To study the practice of thromboembolic prophylaxis among surgeons in some sub-specialties in three Nigerian tertiary institutions. MATERIALS AND METHODS A structured questionnaire was used to collect information from consultants in the surgical sub-specialties on the use of thromboembolic prophylaxis in their practice. RESULTS Fifty nine adequately completed questionnaires were returned. Of this, only 28 (47.5%) used prophylaxis routinely in major surgeries. Use was most frequent in orthopaedics and least in ophthalmology and otorhinolaringology. Subcutaneous heparin was the most commonly employed agent and the most important indication for prophylaxis was a previous history of thromboembolism. CONCLUSION The results obtained suggest lo...
West African journal of medicine, 2020
BACKGROUND Attaining successful clinical outcomes in the management of hospitalised older patient... more BACKGROUND Attaining successful clinical outcomes in the management of hospitalised older patients in the overburdened healthcare services in Nigeria constitutes a major challenge against the backdrop of dearth of data on the predictors of mortality among them. OBJECTIVES To describe the mortality trends and associated factors among older patients (>60 years) at the Geriatric Centre, University College Hospital, Ibadan between January 2013 and December 2017. METHODS Hospital records of older patients admitted were analysed. Data extracted included socio-demographic, diagnoses, length of stay from date of admission to discharge or death. Results of vital signs, anthropometric measurements and laboratory tests carried out at admission were also obtained. RESULTS The mean age of the 1,091 older patients admitted was 73.6±8.6 years. The overall crude proportion of in-hospital deaths was 9.0% (males=11.3% > females=7.2%, p=0.024) and it increased from 4.1% in 2013 to 12.1% in 2017....
The Nigerian postgraduate medical journal, 2011
AIMS AND OBJECTIVES To audit methods of mandibular defect reconstruction used in our institution.... more AIMS AND OBJECTIVES To audit methods of mandibular defect reconstruction used in our institution. MATERIALS AND METHODS A retrospective study of mandibular bone reconstruction at the University College Hospital Ibadan between January 2001 and December 2007. Relevant records were retrieved from patients' case notes and operation register. Comparative analysis of various methods of reconstruction was done by assessing treatment outcomes such as restoration of continuity and stability, graft infection, extrusion and fractures. RESULTS Only 65 of the 82 patients that had mandibular continuity defect during the study period had reconstruction. Ameloblastoma accounted for 67% [n=55] of pathologies that required mandibular resection. Methods of reconstruction included non vascularised iliac bone anchored with either stainless steel wire (NVIBw) [n=38] or titanium plate (NVIBp) [n=9], titanium reconstruction plate [n=4] Steinman pin [n=12], rib graft [1] and acrylic plate temporisation ...
African journal of medicine and medical sciences, 2006
Standard medical note keeping is an important aspect of patient management, and the importance of... more Standard medical note keeping is an important aspect of patient management, and the importance of completeness of patients' records cannot be overemphasized, especially for the purpose of auditing, research, and medico-legal reasons. It is also an integral part of a good medical practice. However gross inadequacies are often noted. This may be partly due to the fact that until the recent past, cases of medical and professional negligence were uncommon in our environment. This audit exercise was embarked upon to assess the standard in the department using the CRABLE Scoring system with a view to standardizing and improving our practice. The result showed that the subsequent entry part of the medical notes assessed was marginally the best with a score of 66.5%, followed by initial entry which scored 65.3%, while consent had a score of 57.8%. The worst aspect of the notes was the discharge summary with a mean score of 29%. A total mean score of 61.6% was achieved. Despite the limit...
Annals of Ibadan Postgraduate Medicine, 2019
Background: Learning environment has been described as crucial in determining the success of medi... more Background: Learning environment has been described as crucial in determining the success of medical and dental education. Continuous evaluation of this environment will help in maximizing the learning opportunities of the training program. Objective: To assess the resident doctors' perception of their learning environment at a teaching hospital in Nigeria Methods: The DREEM questionnaire was administered to participants undergoing residency training in the faculty of Dental Surgery at the University College Hospital, Ibadan. Results: Thirty-nine resident doctors participated in the study (23 Males, 16 Females), mean age (±SD) was 35.7 (±4.22) ranging from 28 years to 46 years. Mean global score (±SD) was 105.3 (±26.8), 52.7%, out of a maximum of 200. The mean global score according to gender was significantly higher among males than females. The overall perception of the training environment by residents is more positive than negative and the male gender appears to have a more ...
West African journal of medicine, Aug 31, 2022
Annals of Ibadan Postgraduate Medicine, 2020
Background: Exogenous factors occurring in the antenatal period could be contributory to the form... more Background: Exogenous factors occurring in the antenatal period could be contributory to the formation of orofacial cleft. This study sought to determine the antenatal events in mothers that may have contributed to orofacial cleft deformity of their children. Methodology: It was a prospective observational cross sectional study of consenting mothers of babies with orofacial cleft who met the inclusion criteria. The study instrument was a questionnaire. Results: Seventy-two mothers participated in the study. Most of these mothers were below 35 years of age and more than half, 43 (59.7%) were of the low-intermediate socioeconomic status. Although majority, 70 (97.2) of the mothers had antenatal care, the mean gestational age at commencement of antenatal care was 4 months. Almost all, 69 (95.8%) mothers had ultrasound scans however the detection of the orofacial cleft was in only 2 (2.8%) mothers. The commonest medication taken was haematinics, 26 (36.1%). Herbal medication, 15 (20.8%)...
Background: Learning environment has been described as crucial in determining the success of medi... more Background: Learning environment has been described as crucial in determining the success of medical and dental education. Continuous evaluation of this environment will help in maximizing the learning opportunities of the training program. Objective: To assess the resident doctors' perception of their learning environment at a teaching hospital in Nigeria Methods: The DREEM questionnaire was administered to participants undergoing residency training in the faculty of Dental Surgery at the University College Hospital, Ibadan. Results: Thirty-nine resident doctors participated in the study (23 Males, 16 Females), mean age (±SD) was 35.7 (±4.22) ranging from 28 years to 46 years. Mean global score (±SD) was 105.3 (±26.8), 52.7%, out of a maximum of 200. The mean global score according to gender was significantly higher among males than females. The overall perception of the training environment by residents is more positive than negative and the male gender appears to have a more ...
Journal of Cranio-Maxillofacial Surgery, 2006
Material and Methods: The surgical difficulty of third molar extraction was predicted in 79 Niger... more Material and Methods: The surgical difficulty of third molar extraction was predicted in 79 Nigerian patients based on the criteria of the Pederson index. The actual intraoperative experience of difficulty was determined by the operative time. Operations that lasted for 20 min or less were described as easy while those that lasted for more than 20 min were regarded as difficult. The surgeon was blinded to the pre-operative prediction which was done by a consultant oral surgeon. Results: Sensitivity and specificity of the index were determined as 94.9% and 49.0%, respectively, while the positive predictive (PPV) value was 62.7%. Conclusion: Although the Pederson index was highly sensitive for predicting difficult cases, the poor specificity suggested its inability to accurately identify easy cases and the high PPV confirmed a tendency towards false positive predictions alleged by some previous authors. Thus, we concluded that the Pederson index is an unreliable instrument for predicting the difficulty of third molar surgery. O.353 An assessment of the relative contributions of physical patient factors and radiographic features of impacted mandibular third molar
The UCH/Smile Train partnership, which offers free cleft surgeries to patients provides succor. T... more The UCH/Smile Train partnership, which offers free cleft surgeries to patients provides succor. The objective of the study was to determine the state distribution of new patients presenting with cleft lip and palate, to The UCH. A retrospective review of all new cleft patients presenting to The UCH between January 2012 and June 2015. The data obtained were their local government area of residence, age of the patients, gender of the patients and the type of cleft. Descriptive statistics was used to analyze the distribution of patients seen while Chi square test was used to analyze the influence of gender and laterality on the type of cleft. Sixty-seven eligible patients were seen within the study period. Majority (83.6%) of patients seen were from 14 of the 33 Local Government Areas (LGA's) in Oyo state. Patients were seen from LGA's in proximity to UCH. A few (16.4%) of the patients came from outside the state. Iwajowa, the LGA with the least number of patients (1.8%) was fu...
African journal of medicine and medical sciences, 2013
Foreign body impaction within the maxillofacial region is not an uncommon occurrence. Imaging of ... more Foreign body impaction within the maxillofacial region is not an uncommon occurrence. Imaging of such objects is of paramount importance to their retrieval in order to assess their relation to vital structures as well as avoid disruption of such structures while retrieving the foreign bodies. We report a case of wooden foreign body which traversed the maxillofacial region, imaging of which posed a significant challenge. A sixteen year old female presented with a wooden foreign body impaction following a road traffic accident. Challenges in the course of investigation and events during the surgical retrieval of the foreign body are described. An unusual case of foreign body impaction transecting the right orbit, right antrum and the pharynx is presented. The inability of both Computed Tomographic scan and Ultra Sound scan to identify the path and relations of the impacted foreign body was also discussed. Computed Tomography and Ultrasonography may not be sufficient to delineate the p...
African journal of medicine and medical sciences, 2013
The term "maxillectomy" has been used to describe a variety of surgical procedures for ... more The term "maxillectomy" has been used to describe a variety of surgical procedures for a spectrum of diseases involving a diverse anatomical site. Hence, classifications of maxillectomy defects have often made communication difficult. This article highlights this problem, emphasises the need for a uniform system of classification and suggests a classification system which is simple and comprehensive. Articles related to this subject, especially those with specified classifications of maxillary surgical defects were sourced from the internet through Google, Scopus and PubMed using the search terms maxillectomy defects classification. A manual search through available literature was also done. The review of the materials revealed many classifications and modifications of classifications from the descriptive, reconstructive and prosthodontic perspectives. No globally acceptable classification exists among practitioners involved in the management of diseases in the mid-facial ...
African journal of medicine and medical sciences, 2006
Standard medical note keeping is an important aspect of patient management, and the importance of... more Standard medical note keeping is an important aspect of patient management, and the importance of completeness of patients' records cannot be overemphasized, especially for the purpose of auditing, research, and medico-legal reasons. It is also an integral part of a good medical practice. However gross inadequacies are often noted. This may be partly due to the fact that until the recent past, cases of medical and professional negligence were uncommon in our environment. This audit exercise was embarked upon to assess the standard in the department using the CRABLE Scoring system with a view to standardizing and improving our practice. The result showed that the subsequent entry part of the medical notes assessed was marginally the best with a score of 66.5%, followed by initial entry which scored 65.3%, while consent had a score of 57.8%. The worst aspect of the notes was the discharge summary with a mean score of 29%. A total mean score of 61.6% was achieved. Despite the limit...
African journal of medicine and medical sciences, 2006
Referral letters are the most desirable means of communication between medical practitioners in p... more Referral letters are the most desirable means of communication between medical practitioners in patients' management, however many studies have indicated that this form of communication is often lacking in essential information necessary for prompt treatment. This study sets out primarily to evaluate the quality and secondarily pattern of referrals from other specialties within the University College Hospital, Ibadan, Nigeria, to the department of Oral and Maxillofacial surgery of the same institution. The information sought for in each letter were patient's name, age, sex: is the letter dated or not, referring department, history ofcomplaint, management already instituted, reason for the referral, name and the signature of the referring doctor. Each of these ten items was scored I when present and 0 when absent. Thus, a maximum score of 10 was recorded when all items were present. Referrals were graded into grade A-D. A being referrals with the maximum score of 10, B: score...
To audit methods of mandibular defect reconstruction used in our institution. A retrospective stu... more To audit methods of mandibular defect reconstruction used in our institution. A retrospective study of mandibular bone reconstruction at the University College Hospital Ibadan between January 2001 and December 2007. Relevant records were retrieved from patients' case notes and operation register. Comparative analysis of various methods of reconstruction was done by assessing treatment outcomes such as restoration of continuity and stability, graft infection, extrusion and fractures. Only 65 of the 82 patients that had mandibular continuity defect during the study period had reconstruction. Ameloblastoma accounted for 67% [n=55] of pathologies that required mandibular resection. Methods of reconstruction included non vascularised iliac bone anchored with either stainless steel wire (NVIBw) [n=38] or titanium plate (NVIBp) [n=9], titanium reconstruction plate [n=4] Steinman pin [n=12], rib graft [1] and acrylic plate temporisation [n=1]. The findings showed that titanium plate and...
African journal of medicine and medical sciences, 2007
Osteoma is a benign, bone forming tumor that is uncommon in the jaws. The aetiology of osteomas i... more Osteoma is a benign, bone forming tumor that is uncommon in the jaws. The aetiology of osteomas is unknown but trauma, infection and developmental abnormalities have been implicated. Solitary osteoma may be classified as peripheral, central and extraskeletal, while multiple osteomas may be associated with Gardner's syndrome. We report a case of solitary peripheral osteoma of the zygoma with a review of literature.
Despite the well known contributions of deep vein thrombosis and pulmonary embolism to perioperat... more Despite the well known contributions of deep vein thrombosis and pulmonary embolism to perioperative deaths, these major causes of morbidity and mortality appear not to be given adequate attention by surgeons in our environment. To study the practice of thromboembolic prophylaxis among surgeons in some sub-specialties in three Nigerian tertiary institutions. A structured questionnaire was used to collect information from consultants in the surgical sub-specialties on the use of thromboembolic prophylaxis in their practice. Fifty nine adequately completed questionnaires were returned. Of this, only 28 (47.5%) used prophylaxis routinely in major surgeries. Use was most frequent in orthopaedics and least in ophthalmology and otorhinolaringology. Subcutaneous heparin was the most commonly employed agent and the most important indication for prophylaxis was a previous history of thromboembolism. The results obtained suggest low use of prophylaxis. Evidenced-based guidelines are available...
Nigerian Journal of Medicine
The practice of self medication has been extensively researched but there is dearth of informatio... more The practice of self medication has been extensively researched but there is dearth of information about its modality among dental patients in developing countries. Hence, this study was designed to determine the proportion of dental patients who practice, medications employed and the reasons for resorting to self medication in general dental populations in Ondo State, Nigeria and to make appropriate recommendations. This study was conducted between June 2007 and June 2008 at the Federal Medical Centre, Owo and State Specialist Hospital, Akure, Ondo State, Nigeria. Five hundred and thirty six consenting respondents were selected by multistage sampling technique and interviewed with the aid of semi structured questionnaire. Almost half of the respondents (42% or n=225) admitted to self medication while the majority (58%) did not practice it. Drugs utilized are usually singly (56.4%) rather than in combination (43.6%), commonly analgesics (50.1%) and antibiotics (30.4%), with the majo...
Odonto-stomatologie tropicale = Tropical dental journal, 2002
Seventy-five Nigerian dentists were interviewed on their approach to the management of impacted t... more Seventy-five Nigerian dentists were interviewed on their approach to the management of impacted third molars. The mean age of the dentists was 34.8 years, with a male/female ratio of 3.4:1. Most of the female dentists were found in the training institutions (p = 0.005). More than half of the dentists (58.7%) practiced in institutions with dental schools (training institutions), majority preferred the buccal approach (92%), and all the dentists (100%) preferred third molar disimpaction under local analgesia. Most dentists (88%) prescribe antibiotics following third molar surgery. Fifty dentists (66.7%) routinely reviewed all patients postoperatively while 12 dentists (16%) were of the opinion that all impacted third molars should be extracted. Only 21 dentists (28%) were aware of any protocol on the management of impacted teeth. More dentists in the training institutions performed third molar surgery less frequently than dentists in other hospitals (p = 0.07) who tend to employ chise...
African journal of medicine and medical sciences, 2008
Osteomyelitis of the jaw is of relatively low incidence. Maxillary Osteomyelitis is however rare ... more Osteomyelitis of the jaw is of relatively low incidence. Maxillary Osteomyelitis is however rare compared with mandibular osteomyelitis. The extensive blood supply and the strut-like bones of the maxilla make it less prone to chronic infections. Systemic conditions that alter the host's resistance such as diabetes mellitus, autoimmune disorders, agranulocytosis, anaemia, especially sickle cell anaemia are predisposing factors for the development of this condition. An unusual case of chronic maxillary osteomyelitis induced by trauma in a diabetic, with subsequent atypical necrotising ulceration of palatal mucosa resulting in total maxillary sequestration is presented.
The Nigerian postgraduate medical journal, 2007
BACKGROUND Despite the well known contributions of deep vein thrombosis and pulmonary embolism to... more BACKGROUND Despite the well known contributions of deep vein thrombosis and pulmonary embolism to perioperative deaths, these major causes of morbidity and mortality appear not to be given adequate attention by surgeons in our environment. OBJECTIVE To study the practice of thromboembolic prophylaxis among surgeons in some sub-specialties in three Nigerian tertiary institutions. MATERIALS AND METHODS A structured questionnaire was used to collect information from consultants in the surgical sub-specialties on the use of thromboembolic prophylaxis in their practice. RESULTS Fifty nine adequately completed questionnaires were returned. Of this, only 28 (47.5%) used prophylaxis routinely in major surgeries. Use was most frequent in orthopaedics and least in ophthalmology and otorhinolaringology. Subcutaneous heparin was the most commonly employed agent and the most important indication for prophylaxis was a previous history of thromboembolism. CONCLUSION The results obtained suggest lo...
West African journal of medicine, 2020
BACKGROUND Attaining successful clinical outcomes in the management of hospitalised older patient... more BACKGROUND Attaining successful clinical outcomes in the management of hospitalised older patients in the overburdened healthcare services in Nigeria constitutes a major challenge against the backdrop of dearth of data on the predictors of mortality among them. OBJECTIVES To describe the mortality trends and associated factors among older patients (>60 years) at the Geriatric Centre, University College Hospital, Ibadan between January 2013 and December 2017. METHODS Hospital records of older patients admitted were analysed. Data extracted included socio-demographic, diagnoses, length of stay from date of admission to discharge or death. Results of vital signs, anthropometric measurements and laboratory tests carried out at admission were also obtained. RESULTS The mean age of the 1,091 older patients admitted was 73.6±8.6 years. The overall crude proportion of in-hospital deaths was 9.0% (males=11.3% > females=7.2%, p=0.024) and it increased from 4.1% in 2013 to 12.1% in 2017....
The Nigerian postgraduate medical journal, 2011
AIMS AND OBJECTIVES To audit methods of mandibular defect reconstruction used in our institution.... more AIMS AND OBJECTIVES To audit methods of mandibular defect reconstruction used in our institution. MATERIALS AND METHODS A retrospective study of mandibular bone reconstruction at the University College Hospital Ibadan between January 2001 and December 2007. Relevant records were retrieved from patients' case notes and operation register. Comparative analysis of various methods of reconstruction was done by assessing treatment outcomes such as restoration of continuity and stability, graft infection, extrusion and fractures. RESULTS Only 65 of the 82 patients that had mandibular continuity defect during the study period had reconstruction. Ameloblastoma accounted for 67% [n=55] of pathologies that required mandibular resection. Methods of reconstruction included non vascularised iliac bone anchored with either stainless steel wire (NVIBw) [n=38] or titanium plate (NVIBp) [n=9], titanium reconstruction plate [n=4] Steinman pin [n=12], rib graft [1] and acrylic plate temporisation ...
African journal of medicine and medical sciences, 2006
Standard medical note keeping is an important aspect of patient management, and the importance of... more Standard medical note keeping is an important aspect of patient management, and the importance of completeness of patients' records cannot be overemphasized, especially for the purpose of auditing, research, and medico-legal reasons. It is also an integral part of a good medical practice. However gross inadequacies are often noted. This may be partly due to the fact that until the recent past, cases of medical and professional negligence were uncommon in our environment. This audit exercise was embarked upon to assess the standard in the department using the CRABLE Scoring system with a view to standardizing and improving our practice. The result showed that the subsequent entry part of the medical notes assessed was marginally the best with a score of 66.5%, followed by initial entry which scored 65.3%, while consent had a score of 57.8%. The worst aspect of the notes was the discharge summary with a mean score of 29%. A total mean score of 61.6% was achieved. Despite the limit...