abdurrazaq taiwo - Academia.edu (original) (raw)

Papers by abdurrazaq taiwo

Journal of Dentistry Defence Section, 2022

Background: Influence of over-erupted/buccally erupted maxillary third molar and distal surface c... more Background: Influence of over-erupted/buccally erupted maxillary third molar and distal surface caries (DSC) of mandibular second molar on oral health-related quality of life (OHRQoL) is not found in the literature. Materials and Methods: This prospective study was to evaluate the influence of associated pathology on OHRQoL after impacted mandibular third molar (IMTM) surgery. Demographics, indication for seeking IMTM removal, and presence of DSC and over-erupted/buccally erupted maxillary third molar were recorded. The Numeric Pain Scale and Arabic version of UK-OHRQoL instruments were used to evaluate pain and QoL after IMTM surgery. Analysis of variance was used statistically. Results: A total of 90 (41 [45.6%] males and 49 [54.4%] females) patients were recruited. The mean age was 31.3 ± 6.7 years. Patients with no associated pathology had lesser pain and better QoL scores. The domain scores became significant at: symptom level, body function level, and personal level on postope...

African Journal of Paediatric Surgery: AJPS, 2017

Background: Maxillofacial tumours in children and adolescents have been documented worldwide; how... more Background: Maxillofacial tumours in children and adolescents have been documented worldwide; however, few studies were reported from Africa, especially sub-Saharan Africa. In Nigeria, most of the studies emanated from the Southwest region. Aim: To present an audit of clinicopathologic features and treatment of orofacial tumours in children and adolescents in Sokoto, Northwest Nigeria. Patients and Methods: Clinicopathologic records of the Departments of Dental and Maxillofacial Surgery, Paediatrics and Histopathology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria, were reviewed for all the oral and maxillofacial tumours managed in children <19 years from January 2011 to December 2015. Results: Two hundred and twenty-two tumours were noted in all age groups during the study duration and 75 (33.8%) of these occurred in children and adolescents. A total of 45 (60%) males and thirty (40%) females constitute the patient population with a male to female ratio of 1.5:1...

Annals of Clinical and Biomedical Research, 2020

The Temporomandibular Joint (TMJ) is a unique joint because both the right and left joints must o... more The Temporomandibular Joint (TMJ) is a unique joint because both the right and left joints must open synchronously for function, Ankylosis of the TMJ refers to bony or fibrous adhesion of the anatomical components of the joint and their ensuing loss of function. Early presentation means that the patient will require a less extensive surgical treatment. The reality, however, is that many patients present to the surgeons, years or decades after the initial injury, and so TMJ ankylosis would have been fully established. Causes of TMJ ankylosis include trauma and infections. Surgery with aggressive post-operative physiotherapy is the mainstay of management. There is paucity of reports on the presentation and management of this condition from our centre. We present two patients, 16 and 20 years old, with TMJ ankylosis in our centre. Both of them presented after 12 and 18 years, respectively, of initial injury to the TMJs.

The Egyptian Journal of Surgery, 2017

Background The maxilla occupies a prominent and crucial position in the facial structure. Maxille... more Background The maxilla occupies a prominent and crucial position in the facial structure. Maxillectomy is an ablative surgical resection of the maxilla with attendant serious cosmetic deficit. There is paucity of data on the indications and pattern of maxillectomy in our centre. This study would help in better management of patients requiring this treatment. Aim The aim of this study was to determine the pattern of presentation of patients for maxillectomy at Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Patients and methods This study was a retrospective review of theatre records of the hospital between January 2007 and March 2017. Patients data were collected for sociodemographics (age and sex), indication(s), clinical presentations, diagnosis/histologic subtypes, and type of maxillectomy performed. Result During the 11-year study period, a total of 44 patients underwent maxillectomy, aged 4–77 years (mean±SD=37.6±19.6 years) with a modal age of 31–40 years [11 (...

Archives of Medicine and Health Sciences, 2017

Background: Cancrum oris (Noma) is a rapidly progressive gangrenous infection of the oral cavity ... more Background: Cancrum oris (Noma) is a rapidly progressive gangrenous infection of the oral cavity and its surrounding structures, which typically results in destruction of both soft and hard tissues. It requires urgent intervention, especially while still in the acute phase. We present an overview of our experience in the management of acute cancrum oris at the Noma children hospital, which is a regional referral center for such cases in Nigeria. Materials and Methods: This was a retrospective study of 159 patients managed for acute cancrum oris at the Noma children hospital, Sokoto, Nigeria. Early recognition of the disease, baseline investigations, identification of underlying disease/diseases, resuscitation of the patient, and institution of specific treatment were done. Results: The age range was 1–33 years with a mean (±standard deviation [SD]) of 3.5 (3.23) years. The male:female ratio was 1:1.2. Comorbidities were observed in 148 (93.1%) patients. The most commonly seen comorbidities observed were measles and protein–energy malnutrition, which were seen in 75 (47.2%) and 67 (42.1%) cases, respectively. The mean (±SD) hemoglobin of 8.59 (±2.9) g/dl and 11.38 (±1.5) g/dl were recorded on admission and at discharge, respectively. Leukocytosis of >12,000 cells/mm3 was observed in all patients. The electrolyte urea/creatine results were generally within normal range, while serum urea was raised in 52 (32.7%) patients. The duration of admission was for an average of 13 days. A mortality rate of 18.2% was observed. Conclusion: Acute cancrum oris requires urgent management. For successful management, patients should be evaluated for underlying diseases and systemic causes of immunosuppression.

Journal of Clinical Sciences, 2021

Background: Ranula may grow into a considerable size as to cause obstructive symptoms, especially... more Background: Ranula may grow into a considerable size as to cause obstructive symptoms, especially in infants when neglected. The aim is to describe the clinical presentation, treatment, and outcome of ranulas. Methods: This is a retrospective study of patients with ranulas that presented during the periods of January 2000 to December 2019 in the Department of Otorhinolaryngology, Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Northwest, Nigeria. Results: A total of 29 patients were seen during the review period: twelve (41.4%) males and 17 (58.6%) females. Age ranged from 3 days to 48 years (median 3 years). Most of the patients 19 (65.5%) were below the age of 10 years. Twenty-one (72.4%) patients had simple oral ranulas: 8 (38.1.6%) patients were congenital ranulas characterized by tongue protrusion and dysphagia. Plunging ranulas were seen in 8 (27.5%) patients, and 2 (25%) of these patients were HIV infected. Simple marsupialization was ...

1. Department of Dental & Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, G... more 1. Department of Dental & Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Garba Nadama Road, Sokoto, Nigeria. 2. Department of Histopathology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria , Aliyu Quarters, Sokoto. 3. Department of oral & maxillofacial Surgery, Lagos University Teaching Hospital, Lagos, Nigeria. Staff quarters, Lagos university Teaching Hospital, Lagos, Nigeria.

1. Department of Dental & Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, G... more 1. Department of Dental & Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Garba Nadama Road, Sokoto, Nigeria. 2. Department of Histopathology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria , Aliyu Quarters, Sokoto. 3. Department of oral & maxillofacial Surgery, Lagos University Teaching Hospital, Lagos, Nigeria. Staff quarters, Lagos university Teaching Hospital, Lagos, Nigeria.

Turkish Journal of Plastic Surgery, 2018

Background: Maxillofacial and oral defects are complex to reconstruct because of the intricate na... more Background: Maxillofacial and oral defects are complex to reconstruct because of the intricate nature of tissues. The aim of this study is to present our experience in maxillofacial and oral soft-tissue defects reconstruction using regional flaps. Patients and Methods: This is a retrospective study of maxillofacial and oral soft-tissue reconstruction (MFOSTR) in the Department of Dental and Maxillofacial Surgery of a University Teaching Hospital, northwest Nigeria, over a 4 years' period. Data such as age, sex, diagnosis, type of flap used, complications, and prognosis were collected and analyzed with IBM SPSS Statistics for Windows Version 20 (Armonk, NY, USA: IBM Corp). Results: A total of 64 MFOSTRs were performed during the study out of which 22 (34.4%) were done using regional flaps. They consist of 10 (45.5%) males and 12 (54.5%) females, with a male: female ratio of 0.8:1. Cancrum oris (17 [77.3%]) was the main indication for regional flap utilization in the MFOSTR. Delto...

1. Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital,... more 1. Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. 2. Department of Oral & Maxillofacial Surgery and Oral Pathology, Obafemi Awolowo University Teaching Hospital Ile-Ife, Osun State, Nigeria. 3. Department of Surgery, College of Health Sciences, Usmanu Danfodiyo University Sokoto, Nigeria. 4. Department of Oral and Maxillofacial Surgery, College of Medicine, University of Lagos. Nigeria.

1. Department of Oral & Maxillofacial Surgery and Oral Pathology, Obafemi Awolowo University Teac... more 1. Department of Oral & Maxillofacial Surgery and Oral Pathology, Obafemi Awolowo University Teaching Hospital Ile-Ife, Osun State, Nigeria. 2. Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. 3. Department of Surgery, College of Health Sciences, Usmanu Danfodiyo University Sokoto, Nigeria. 4. Department of Oral and Maxillofacial Surgery, College of Medicine, University of Lagos. Nigeria.

Nigerian Journal of Experimental and Clinical Biosciences, 2016

Juvenile ossifying fibroma (JOF) is a rare fibro-osseous lesion, similar to the conventional ossi... more Juvenile ossifying fibroma (JOF) is a rare fibro-osseous lesion, similar to the conventional ossifying fibroma in many respects. However, unlike the conventional ossifying fibroma, it exhibits more aggressiveness and a high tendency to recur; therefore, it may be confused with malignant lesions. Consequently, it poses significant diagnostic, therapeutic, and rehabilitative challenges. Early recognition and subsequent treatment with complete surgical excision of the tumor is advocated because of its relatively rapid growth, associated morbidities, and tendency to recur. Three cases of massive JOF of the maxilla with attendant morbidities are here presented. The diagnostic challenges, airway management challenges, and varied surgical approaches to each were highlighted. There is a paucity of literature on JOF; hence, clinicians and pathologists alike often find it demanding to arrive at a diagnosis.

Submitted 25 Apr 2018; Accepted 12 Jun 2018; Published 18 Jul 2018 Salivary gland neoplasms accou... more Submitted 25 Apr 2018; Accepted 12 Jun 2018; Published 18 Jul 2018 Salivary gland neoplasms account for 0.5-2% of all tumors worldwide, and can display a remarkable range of morphological diversity between different tumor types. The aim of this retrospective study was to present the clinico-pathologic characteristics of salivary gland neoplasms in a tertiary referral hospital in northwest region of Nigeria. Clinical and histopathological records of patients with salivary gland lesions that presented to the department of Dental and Maxillofacial Surgery only, Usmanu Danfodiyo University Teaching Hospital Sokoto, between January 2013 and December 2017, was evaluated. Data concerning age, gender, location and type of salivary gland lesion, and histologic subtypes were collected. A total of 76 cases of salivary gland neoplasms were retrieved and analyzed. There were 35 (46.1%) males and 41 (53.9%) females with M: F of 1.2:1. Mean±SD age of 31.04±18.9, and range 1-73 years was observed. ...

Journal of Craniofacial Surgery, 2021

Supplemental Digital Content is available in the text Objective: Among the several factors implic... more Supplemental Digital Content is available in the text Objective: Among the several factors implicated in the occurrence of local surgical site complications following cleft lip repair is the initial width of the cleft. The aim of the study was to examine the effect of cleft width in the occurrence of immediate local surgical site complications. Material and methods: All consecutive subjects with diagnosis of unilateral or bilateral cleft lip with or without cleft palate who presented at the cleft clinic and satisfied the inclusion criteria were recruited in the study. The width of the cleft lip defect as adopted for the study was measured from the peak of the Cupid bow on the non-cleft side to a point where the white roll begins to thin out on the cleft side. Measurement was done using a Vernier Calliper. Surgery was performed under general anesthesia after which subjects were evaluated for the presence or absence of immediate local surgical site complications which included dehiscence, infection, and vermillion notching of the lip. Results: A total of 70 subjects consisting of 36 (51.4%) males and 34 (48.6%) females were included in the study. Mean age (±SD) was 9.0 ± (19.4) months with age range of 3 months to 13 years. The prevalence of early surgical site complications was 24.3%. The width of cleft above a critical level (14 mm) statistically correlate significantly with the occurrence of early surgical site complications (P = 0.048). Conclusion: This study showed that the width of cleft lip of and above critical level of 14 mm may be associated with a clinically significant risk of immediate local surgical site complications.

Archives of Medicine and Health Sciences, 2017

Advances in Oral and Maxillofacial Surgery, 2021

Port Harcourt Medical Journal, 2019

Context: Epulides are common oral lesions of the gingivae. Descriptive studies on epulides from a... more Context: Epulides are common oral lesions of the gingivae. Descriptive studies on epulides from a previously unreported Nigerian population are desirable. Aims: The aim of the study was to describe the characteristics of epulides from a subpopulation in the Northern Nigerian state of Sokoto. Settings and Design: This is a retrospective study of patients histologically diagnosed with epulis and treated at the Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital. Methods: A 10-year (2007–2017) review of histologically diagnosed oral and maxillofacial lesion was used for this study. Data on age, gender, site and histological diagnosis were retrieved from the hospital records and classified into two groups: fibrous lesions and haemorrhagic lesions, reflecting their clinical presentations. Statistical Analysis Done: Data were summarised using frequency distribution and mean and standard deviation (SD). Comparisons were done with Chi-square test and t-test. Statistical significance was set at P ≤ 0.05. Results: A total number of 28 gingival epulides out of a total of 644 lesions that were diagnosed were included in the study. Epulis consisted of 15 (53.6%) fibrous epulides and 13 (46.4%) vascular epulides. There were 20 (71.4%) females and 8 (28.6%) males (female:male = 2.5:1). The average age of study participants was 29.4 years ± 16.4 SD. The mean age of fibrous epulides was 22.73 ± 14.7 years, which was significantly lower than the mean age of vascular epulides (37.1 ± 15.4) (P = 0.018). The most common epulides observed were pyogenic granuloma (PG), (35.7%) followed by fibroepithelial hyperplasia (14.3%) and peripheral ossifying fibroma (10.7%). Conclusions: The most common epulis in this study was PG. It is desirable for the clinician to have a good knowledge of the frequency and distribution of epulides when establishing a diagnosis and formulating a treatment plan.

Journal of Indian Association of Public Health Dentistry, 2020

Background: Late presentation among patients is a global phenomenon. It exerts deleterious effect... more Background: Late presentation among patients is a global phenomenon. It exerts deleterious effects on health-care indices. Aim: The aim of the study was to assess reasons for late presentation by patients and interventions implemented. Materials and Methods: This study was done at the dental outpatient clinic of Usmanu Danfodiyo University Teaching Hospital following ethical approval. A survey of patients aged 18 years and above who presented with more than 1-month history of symptoms was done using an adaptation of a validated questionnaire. Data analysis was done using the IBM SPSS Statistics version 20 (IBM Corp., Armonk, NY, USA). Categorical data were compared among groups using Chi-square test and the level of statistical significance was set at P < 0.05. Results: One hundred and seven participants were included in the analysis. A male-to-female ratio of 1.4:1 and a mean age of 30.9 ± 11.4 years were observed. Most participants were of low socioeconomic status. A comparison of the socioeconomic status of the participants between genders revealed no statistically significant difference (P = 0.289). Forty-five (42.1%) participants had never visited a dental clinic before. Notably, the pain was the most common symptom encountered in 63 (58.9%) participants. Majority of the respondents had experienced symptoms for 1–3 months 30 (28%). The most frequent reason for the late presentation was that respondents had “tried other medications” (23 [21.5%]). Fear alone or in combination with other factors was the reason in 18 (16.8%) patients, majority of whom were females (11 [61.1%]). Where fear was the underlying reason, the fear of contracting disease had a significant presence (8 [44.4%]). Conclusion: The reasons underlying the late presentation in our climes are varied. Self-medication featured prominently and should therefore be discouraged. Moreover, awareness of dental treatment among the populace should be improved.

Transactions of The Royal Society of Tropical Medicine and Hygiene, 2020

Background Noma is a rapidly progressing infection of the oral cavity frequently resulting in sev... more Background Noma is a rapidly progressing infection of the oral cavity frequently resulting in severe facial disfigurement. We present a case series of noma patients surgically treated in northwest Nigeria. Methods A retrospective analysis of routinely collected data (demographics, diagnosis and surgical procedures undergone) and in-person follow-up assessments (anthropometry, mouth opening and quality of life measurements) were conducted with patients who had surgery >6 mo prior to data collection. Results Of the 37 patients included, 21 (56.8%) were male and 22 (62.9%) were aged >6 y. The median number of months between last surgery and follow-up was 18 (IQR 13, 25) mo. At admission, the most severely affected anatomical area was the outer cheek (n = 9; 36.0% of patients had lost between 26% and 50%). The most frequent surgical procedures were the deltopectoral flap (n = 16; 43.2%) and trismus release (n = 12; 32.4%). For the eight trismus-release patients where mouth opening...

Journal of Dentistry Defence Section, 2022

Background: Influence of over-erupted/buccally erupted maxillary third molar and distal surface c... more Background: Influence of over-erupted/buccally erupted maxillary third molar and distal surface caries (DSC) of mandibular second molar on oral health-related quality of life (OHRQoL) is not found in the literature. Materials and Methods: This prospective study was to evaluate the influence of associated pathology on OHRQoL after impacted mandibular third molar (IMTM) surgery. Demographics, indication for seeking IMTM removal, and presence of DSC and over-erupted/buccally erupted maxillary third molar were recorded. The Numeric Pain Scale and Arabic version of UK-OHRQoL instruments were used to evaluate pain and QoL after IMTM surgery. Analysis of variance was used statistically. Results: A total of 90 (41 [45.6%] males and 49 [54.4%] females) patients were recruited. The mean age was 31.3 ± 6.7 years. Patients with no associated pathology had lesser pain and better QoL scores. The domain scores became significant at: symptom level, body function level, and personal level on postope...

African Journal of Paediatric Surgery: AJPS, 2017

Background: Maxillofacial tumours in children and adolescents have been documented worldwide; how... more Background: Maxillofacial tumours in children and adolescents have been documented worldwide; however, few studies were reported from Africa, especially sub-Saharan Africa. In Nigeria, most of the studies emanated from the Southwest region. Aim: To present an audit of clinicopathologic features and treatment of orofacial tumours in children and adolescents in Sokoto, Northwest Nigeria. Patients and Methods: Clinicopathologic records of the Departments of Dental and Maxillofacial Surgery, Paediatrics and Histopathology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria, were reviewed for all the oral and maxillofacial tumours managed in children <19 years from January 2011 to December 2015. Results: Two hundred and twenty-two tumours were noted in all age groups during the study duration and 75 (33.8%) of these occurred in children and adolescents. A total of 45 (60%) males and thirty (40%) females constitute the patient population with a male to female ratio of 1.5:1...

Annals of Clinical and Biomedical Research, 2020

The Temporomandibular Joint (TMJ) is a unique joint because both the right and left joints must o... more The Temporomandibular Joint (TMJ) is a unique joint because both the right and left joints must open synchronously for function, Ankylosis of the TMJ refers to bony or fibrous adhesion of the anatomical components of the joint and their ensuing loss of function. Early presentation means that the patient will require a less extensive surgical treatment. The reality, however, is that many patients present to the surgeons, years or decades after the initial injury, and so TMJ ankylosis would have been fully established. Causes of TMJ ankylosis include trauma and infections. Surgery with aggressive post-operative physiotherapy is the mainstay of management. There is paucity of reports on the presentation and management of this condition from our centre. We present two patients, 16 and 20 years old, with TMJ ankylosis in our centre. Both of them presented after 12 and 18 years, respectively, of initial injury to the TMJs.

The Egyptian Journal of Surgery, 2017

Background The maxilla occupies a prominent and crucial position in the facial structure. Maxille... more Background The maxilla occupies a prominent and crucial position in the facial structure. Maxillectomy is an ablative surgical resection of the maxilla with attendant serious cosmetic deficit. There is paucity of data on the indications and pattern of maxillectomy in our centre. This study would help in better management of patients requiring this treatment. Aim The aim of this study was to determine the pattern of presentation of patients for maxillectomy at Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. Patients and methods This study was a retrospective review of theatre records of the hospital between January 2007 and March 2017. Patients data were collected for sociodemographics (age and sex), indication(s), clinical presentations, diagnosis/histologic subtypes, and type of maxillectomy performed. Result During the 11-year study period, a total of 44 patients underwent maxillectomy, aged 4–77 years (mean±SD=37.6±19.6 years) with a modal age of 31–40 years [11 (...

Archives of Medicine and Health Sciences, 2017

Background: Cancrum oris (Noma) is a rapidly progressive gangrenous infection of the oral cavity ... more Background: Cancrum oris (Noma) is a rapidly progressive gangrenous infection of the oral cavity and its surrounding structures, which typically results in destruction of both soft and hard tissues. It requires urgent intervention, especially while still in the acute phase. We present an overview of our experience in the management of acute cancrum oris at the Noma children hospital, which is a regional referral center for such cases in Nigeria. Materials and Methods: This was a retrospective study of 159 patients managed for acute cancrum oris at the Noma children hospital, Sokoto, Nigeria. Early recognition of the disease, baseline investigations, identification of underlying disease/diseases, resuscitation of the patient, and institution of specific treatment were done. Results: The age range was 1–33 years with a mean (±standard deviation [SD]) of 3.5 (3.23) years. The male:female ratio was 1:1.2. Comorbidities were observed in 148 (93.1%) patients. The most commonly seen comorbidities observed were measles and protein–energy malnutrition, which were seen in 75 (47.2%) and 67 (42.1%) cases, respectively. The mean (±SD) hemoglobin of 8.59 (±2.9) g/dl and 11.38 (±1.5) g/dl were recorded on admission and at discharge, respectively. Leukocytosis of >12,000 cells/mm3 was observed in all patients. The electrolyte urea/creatine results were generally within normal range, while serum urea was raised in 52 (32.7%) patients. The duration of admission was for an average of 13 days. A mortality rate of 18.2% was observed. Conclusion: Acute cancrum oris requires urgent management. For successful management, patients should be evaluated for underlying diseases and systemic causes of immunosuppression.

Journal of Clinical Sciences, 2021

Background: Ranula may grow into a considerable size as to cause obstructive symptoms, especially... more Background: Ranula may grow into a considerable size as to cause obstructive symptoms, especially in infants when neglected. The aim is to describe the clinical presentation, treatment, and outcome of ranulas. Methods: This is a retrospective study of patients with ranulas that presented during the periods of January 2000 to December 2019 in the Department of Otorhinolaryngology, Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Northwest, Nigeria. Results: A total of 29 patients were seen during the review period: twelve (41.4%) males and 17 (58.6%) females. Age ranged from 3 days to 48 years (median 3 years). Most of the patients 19 (65.5%) were below the age of 10 years. Twenty-one (72.4%) patients had simple oral ranulas: 8 (38.1.6%) patients were congenital ranulas characterized by tongue protrusion and dysphagia. Plunging ranulas were seen in 8 (27.5%) patients, and 2 (25%) of these patients were HIV infected. Simple marsupialization was ...

1. Department of Dental & Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, G... more 1. Department of Dental & Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Garba Nadama Road, Sokoto, Nigeria. 2. Department of Histopathology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria , Aliyu Quarters, Sokoto. 3. Department of oral & maxillofacial Surgery, Lagos University Teaching Hospital, Lagos, Nigeria. Staff quarters, Lagos university Teaching Hospital, Lagos, Nigeria.

1. Department of Dental & Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, G... more 1. Department of Dental & Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Garba Nadama Road, Sokoto, Nigeria. 2. Department of Histopathology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria , Aliyu Quarters, Sokoto. 3. Department of oral & maxillofacial Surgery, Lagos University Teaching Hospital, Lagos, Nigeria. Staff quarters, Lagos university Teaching Hospital, Lagos, Nigeria.

Turkish Journal of Plastic Surgery, 2018

Background: Maxillofacial and oral defects are complex to reconstruct because of the intricate na... more Background: Maxillofacial and oral defects are complex to reconstruct because of the intricate nature of tissues. The aim of this study is to present our experience in maxillofacial and oral soft-tissue defects reconstruction using regional flaps. Patients and Methods: This is a retrospective study of maxillofacial and oral soft-tissue reconstruction (MFOSTR) in the Department of Dental and Maxillofacial Surgery of a University Teaching Hospital, northwest Nigeria, over a 4 years' period. Data such as age, sex, diagnosis, type of flap used, complications, and prognosis were collected and analyzed with IBM SPSS Statistics for Windows Version 20 (Armonk, NY, USA: IBM Corp). Results: A total of 64 MFOSTRs were performed during the study out of which 22 (34.4%) were done using regional flaps. They consist of 10 (45.5%) males and 12 (54.5%) females, with a male: female ratio of 0.8:1. Cancrum oris (17 [77.3%]) was the main indication for regional flap utilization in the MFOSTR. Delto...

1. Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital,... more 1. Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. 2. Department of Oral & Maxillofacial Surgery and Oral Pathology, Obafemi Awolowo University Teaching Hospital Ile-Ife, Osun State, Nigeria. 3. Department of Surgery, College of Health Sciences, Usmanu Danfodiyo University Sokoto, Nigeria. 4. Department of Oral and Maxillofacial Surgery, College of Medicine, University of Lagos. Nigeria.

1. Department of Oral & Maxillofacial Surgery and Oral Pathology, Obafemi Awolowo University Teac... more 1. Department of Oral & Maxillofacial Surgery and Oral Pathology, Obafemi Awolowo University Teaching Hospital Ile-Ife, Osun State, Nigeria. 2. Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria. 3. Department of Surgery, College of Health Sciences, Usmanu Danfodiyo University Sokoto, Nigeria. 4. Department of Oral and Maxillofacial Surgery, College of Medicine, University of Lagos. Nigeria.

Nigerian Journal of Experimental and Clinical Biosciences, 2016

Juvenile ossifying fibroma (JOF) is a rare fibro-osseous lesion, similar to the conventional ossi... more Juvenile ossifying fibroma (JOF) is a rare fibro-osseous lesion, similar to the conventional ossifying fibroma in many respects. However, unlike the conventional ossifying fibroma, it exhibits more aggressiveness and a high tendency to recur; therefore, it may be confused with malignant lesions. Consequently, it poses significant diagnostic, therapeutic, and rehabilitative challenges. Early recognition and subsequent treatment with complete surgical excision of the tumor is advocated because of its relatively rapid growth, associated morbidities, and tendency to recur. Three cases of massive JOF of the maxilla with attendant morbidities are here presented. The diagnostic challenges, airway management challenges, and varied surgical approaches to each were highlighted. There is a paucity of literature on JOF; hence, clinicians and pathologists alike often find it demanding to arrive at a diagnosis.

Submitted 25 Apr 2018; Accepted 12 Jun 2018; Published 18 Jul 2018 Salivary gland neoplasms accou... more Submitted 25 Apr 2018; Accepted 12 Jun 2018; Published 18 Jul 2018 Salivary gland neoplasms account for 0.5-2% of all tumors worldwide, and can display a remarkable range of morphological diversity between different tumor types. The aim of this retrospective study was to present the clinico-pathologic characteristics of salivary gland neoplasms in a tertiary referral hospital in northwest region of Nigeria. Clinical and histopathological records of patients with salivary gland lesions that presented to the department of Dental and Maxillofacial Surgery only, Usmanu Danfodiyo University Teaching Hospital Sokoto, between January 2013 and December 2017, was evaluated. Data concerning age, gender, location and type of salivary gland lesion, and histologic subtypes were collected. A total of 76 cases of salivary gland neoplasms were retrieved and analyzed. There were 35 (46.1%) males and 41 (53.9%) females with M: F of 1.2:1. Mean±SD age of 31.04±18.9, and range 1-73 years was observed. ...

Journal of Craniofacial Surgery, 2021

Supplemental Digital Content is available in the text Objective: Among the several factors implic... more Supplemental Digital Content is available in the text Objective: Among the several factors implicated in the occurrence of local surgical site complications following cleft lip repair is the initial width of the cleft. The aim of the study was to examine the effect of cleft width in the occurrence of immediate local surgical site complications. Material and methods: All consecutive subjects with diagnosis of unilateral or bilateral cleft lip with or without cleft palate who presented at the cleft clinic and satisfied the inclusion criteria were recruited in the study. The width of the cleft lip defect as adopted for the study was measured from the peak of the Cupid bow on the non-cleft side to a point where the white roll begins to thin out on the cleft side. Measurement was done using a Vernier Calliper. Surgery was performed under general anesthesia after which subjects were evaluated for the presence or absence of immediate local surgical site complications which included dehiscence, infection, and vermillion notching of the lip. Results: A total of 70 subjects consisting of 36 (51.4%) males and 34 (48.6%) females were included in the study. Mean age (±SD) was 9.0 ± (19.4) months with age range of 3 months to 13 years. The prevalence of early surgical site complications was 24.3%. The width of cleft above a critical level (14 mm) statistically correlate significantly with the occurrence of early surgical site complications (P = 0.048). Conclusion: This study showed that the width of cleft lip of and above critical level of 14 mm may be associated with a clinically significant risk of immediate local surgical site complications.

Archives of Medicine and Health Sciences, 2017

Advances in Oral and Maxillofacial Surgery, 2021

Port Harcourt Medical Journal, 2019

Context: Epulides are common oral lesions of the gingivae. Descriptive studies on epulides from a... more Context: Epulides are common oral lesions of the gingivae. Descriptive studies on epulides from a previously unreported Nigerian population are desirable. Aims: The aim of the study was to describe the characteristics of epulides from a subpopulation in the Northern Nigerian state of Sokoto. Settings and Design: This is a retrospective study of patients histologically diagnosed with epulis and treated at the Department of Dental and Maxillofacial Surgery, Usmanu Danfodiyo University Teaching Hospital. Methods: A 10-year (2007–2017) review of histologically diagnosed oral and maxillofacial lesion was used for this study. Data on age, gender, site and histological diagnosis were retrieved from the hospital records and classified into two groups: fibrous lesions and haemorrhagic lesions, reflecting their clinical presentations. Statistical Analysis Done: Data were summarised using frequency distribution and mean and standard deviation (SD). Comparisons were done with Chi-square test and t-test. Statistical significance was set at P ≤ 0.05. Results: A total number of 28 gingival epulides out of a total of 644 lesions that were diagnosed were included in the study. Epulis consisted of 15 (53.6%) fibrous epulides and 13 (46.4%) vascular epulides. There were 20 (71.4%) females and 8 (28.6%) males (female:male = 2.5:1). The average age of study participants was 29.4 years ± 16.4 SD. The mean age of fibrous epulides was 22.73 ± 14.7 years, which was significantly lower than the mean age of vascular epulides (37.1 ± 15.4) (P = 0.018). The most common epulides observed were pyogenic granuloma (PG), (35.7%) followed by fibroepithelial hyperplasia (14.3%) and peripheral ossifying fibroma (10.7%). Conclusions: The most common epulis in this study was PG. It is desirable for the clinician to have a good knowledge of the frequency and distribution of epulides when establishing a diagnosis and formulating a treatment plan.

Journal of Indian Association of Public Health Dentistry, 2020

Background: Late presentation among patients is a global phenomenon. It exerts deleterious effect... more Background: Late presentation among patients is a global phenomenon. It exerts deleterious effects on health-care indices. Aim: The aim of the study was to assess reasons for late presentation by patients and interventions implemented. Materials and Methods: This study was done at the dental outpatient clinic of Usmanu Danfodiyo University Teaching Hospital following ethical approval. A survey of patients aged 18 years and above who presented with more than 1-month history of symptoms was done using an adaptation of a validated questionnaire. Data analysis was done using the IBM SPSS Statistics version 20 (IBM Corp., Armonk, NY, USA). Categorical data were compared among groups using Chi-square test and the level of statistical significance was set at P < 0.05. Results: One hundred and seven participants were included in the analysis. A male-to-female ratio of 1.4:1 and a mean age of 30.9 ± 11.4 years were observed. Most participants were of low socioeconomic status. A comparison of the socioeconomic status of the participants between genders revealed no statistically significant difference (P = 0.289). Forty-five (42.1%) participants had never visited a dental clinic before. Notably, the pain was the most common symptom encountered in 63 (58.9%) participants. Majority of the respondents had experienced symptoms for 1–3 months 30 (28%). The most frequent reason for the late presentation was that respondents had “tried other medications” (23 [21.5%]). Fear alone or in combination with other factors was the reason in 18 (16.8%) patients, majority of whom were females (11 [61.1%]). Where fear was the underlying reason, the fear of contracting disease had a significant presence (8 [44.4%]). Conclusion: The reasons underlying the late presentation in our climes are varied. Self-medication featured prominently and should therefore be discouraged. Moreover, awareness of dental treatment among the populace should be improved.

Transactions of The Royal Society of Tropical Medicine and Hygiene, 2020

Background Noma is a rapidly progressing infection of the oral cavity frequently resulting in sev... more Background Noma is a rapidly progressing infection of the oral cavity frequently resulting in severe facial disfigurement. We present a case series of noma patients surgically treated in northwest Nigeria. Methods A retrospective analysis of routinely collected data (demographics, diagnosis and surgical procedures undergone) and in-person follow-up assessments (anthropometry, mouth opening and quality of life measurements) were conducted with patients who had surgery >6 mo prior to data collection. Results Of the 37 patients included, 21 (56.8%) were male and 22 (62.9%) were aged >6 y. The median number of months between last surgery and follow-up was 18 (IQR 13, 25) mo. At admission, the most severely affected anatomical area was the outer cheek (n = 9; 36.0% of patients had lost between 26% and 50%). The most frequent surgical procedures were the deltopectoral flap (n = 16; 43.2%) and trismus release (n = 12; 32.4%). For the eight trismus-release patients where mouth opening...