Open Access DOI:10.23937/2572-4193.1510103

Surgical Outcomes of Revision Myringoplasty

Ismail Alhiraki, MD

Article Type: Research Article | First Published: June 05, 2021

To evaluate the success rate of revision myringoplasty using temporalis fascia graft myringoplasty and to analyse the effect of potential influencing factors on closure of tympanic membrane (TM) and hearing outcome such as size of perforation (less or greater than 50% of tympanic membrane), site (anteriorly or posteriorly located) of perforation, whether the patient smokes or not, and condition of contralateral ear. Thirty patients were included in this prospective study, who underwent revision ...

 Open Access DOI:10.23937/2572-4193.1510102

Occult Facial Nerve Palsy: Cases of the Masquerading Malignancy

Yi Hai Li, MBChB, Aneesh Kumar, FRCS, FRACS (ORL-HNS) and Hans Stegehuis, FRACS (ORL-HNS)

Article Type: Case Series | First Published: May 31, 2021

Peripheral facial nerve palsy is mostly attributed to Bell’s palsy, however in 5-10% of cases it may be from an underlying malignancy. It can be difficult to distinguish initially, frequently leading to misdiagnosis and a delay in management, potentially compromising survival of these patients. A common distinguishing feature is that facial palsy from malignancy is typically gradual onset and progressive as opposed to sudden in that of Bell’s palsy, although other benign causes may also pres...

 Open Access DOI:10.23937/2572-3243.1510099

Comparative Effects of Sustained Natural Apophyseal Glides and Mechanical Traction in the Management of Cervical Radiculopathy: A Randomized Control Study

Adesola O Ojoawo, PhD, Bunmi J Nihinlola, MSc, Mbada E Chidozie, PhD and Timothy Adeyemi, MSc

Article Type: Research Article | First Published: June 07, 2021

Cervical radiculopathy can lead to severe pain and disability. The study compared effects of sustained natural apophyseal glides (SNAG) and mechanical cervical traction (MCT) in the management of patients with cervical radiculopathy. Forty seven patients (male: n = 24, female: n = 23) from the Physiotherapy Department, Usmanu Danfodiyo University Teaching Hospital, Sokoto were recruited for the study. Subjects were randomly allocated to SNAGS or MCT group. Subjects in SNAGS group received SNAG t...

 Open Access DOI:10.23937/2572-3243.1510098

Reduction in Chronic Low Back Pain Using Intervertebral Differential Dynamics Therapy (IDDT) and Routine Physiotherapy: A Retrospective Pre-Post Study

Ezinne Ekediegwu, Chike Chuka, Ifeoma Nwosu, Chuwkwudi Ogbueche, Echezona Nelson Dominic EKECHUKWU, Chigozie Uchenwoke and Adesola Odole

Article Type: Original Article | First Published: May 31, 2021

The plethora of treatments for Low Back Pain (LBP) has increased in recent times. Opioids, spinal injection, bed rest, skin traction and surgery have remained the common forms of treatment. However, there is less emphasis on pharmacological and surgical treatments in national clinical practice guidelines. Non-surgical Spinal Decompression (NSD) is a modern, though investigational non-surgical treatment technique for LBP. The aim of this report was to analyse the outcome of LBP using NSD techniqu...

 Open Access DOI:10.23937/2474-3658/1510211

Risk Factors for Hospital-Acquired Urinary Tract Infections in Patients with Acute Stroke

Admir M Šabanović, MD, Jankovic M Slobodan, MD, DSc, MSc, Prim and Marina Kostić, MD, Ph.D

Article Type: Original Article | First Published: June 07, 2021

Pаtients with acute stroke, due to the specific nature of the disease and treatment, represent a population of patients with an increased risk of hospital-acquired urinary tract infection (UTI). The aim of the study was to determine risk factors for hospital-acquired UTI in patients with acute stroke. A retrospective case-control study has been conducted with 128 participants, 64 cases (patients with acute stroke and hospital-acquired UTI), and 64 controls (patients with acute stroke and withou...

 Open Access DOI:10.23937/2474-3658/1510210

COVID-19 with Sporotrichosis (aka Sporothrix schenckii) and Fusobacterium Bloodstream Infections (BSI)

Stephen Catalya, MD, Cyrus Shariat, MD and Michael C Cloud, MD

Article Type: Case Report | First Published: May 31, 2021

We present a case of COVID-19 complicated by sporotrichosis and fusobacterium blood stream infections - no known prior cases of sporotrichosis fungemia nor polymicrobial fusobacterium bloodstream infections in COVID-19 patients. Severe COVID-19, uncontrolled diabetes mellitus (DM), and prolonged corticosteroid use contributed to immune dysregulation, increasing the patient’s vulnerability to blood stream infection. This highlights the importance of vigilance regarding risks and complications o...

 Open Access DOI:10.23937/2474-3658/1510209

Mathematical Modeling of the Infectious Diseases: Key Concepts and Applications

Anderson Luiz Pena da Costa, Marcelo Amanajas Pires, Rafael Lima Resque and Sheylla Susan Moreira da Silva de Almeida

Article Type: Review Article | First Published: May 31, 2021

The transmission dynamics of infectious diseases is susceptible to changes governed by several factors, whose recognition is critical for the rational development of strategies for prevention and control, as well as for developing health policies. In this context, mathematical modeling can provide useful insights concerning transmission patterns and detection of parameters to mitigate disease in the population. Infectious diseases are the result of a disharmonious ecological interaction between ...

 Open Access DOI:10.23937/2572-4045.1510063

Liver Transplantation for Budd Chiari Syndrome: Survival Outcomes in a South African Centre- A 10-year Experience

Asila Abdelatif, Geoffrey Candy and Russell Britz

Article Type: Original Research | First Published: June 07, 2021

Budd Chiari syndrome (BCS) provides a unique and complex challenge to transplant surgeons. Single centre data is scare and there is no published data on orthotropic liver transplantation (OLT) for BCS from a single centre in an African setting. The aim was to retrospectively review all patients with BCS who received an OLT in our unit, comparing survival outcomes with matched liver transplant recipients, identifying the underlying thrombotic pathology and the post-transplant morbidities related ...

 Open Access DOI:10.23937/2572-4045.1510062

Simultaneous Pancreas-Kidney Transplantation: A Regional Transplant Center Analysis

Tiago Isidoro Duarte, Joana Marques, Nuno Germano, Francisco Remedio, Jorge Paulino, Américo Martins, Aníbal Ferreira and Fernando Nolasco

Article Type: Brief Report | First Published: May 27, 2021

Pancreas graft thrombosis following simultaneous pancreas-kidney transplantation is the leading non-immunologic cause of graft loss. Although essential to prevention of thrombotic failure of the new graft, systemic anticoagulation is controversial as it may lead to an increased risk of postoperative life threatening bleeding. A total of 35 simultaneous pancreas-kidney transplants were performed in our Transplant Centre between 2018 and 2020. Patients were divided in two retrospective cohorts acc...

 Open Access DOI:10.23937/2378-3397/1410128

Huge Mesenteric Cyst: Case Report

Abiyere OH, Rosiji OB, Adewara O, Olofinbiyi BA and Osho AI

Article Type: Case Report | First Published: May 31, 2021

Mesenteric cysts are rare benign lesions occurring in the abdomen. The cystic lesions can be asymptomatic or present with a specific symptoms. When discovered, treatment is either open or Laparoscopic surgery. We present a case of 29-years-old woman with one year history of progressive increasing abdominal swelling after her first delivery via caesarean section. It was initially painless however occasional pain was noticed some months prior to presentation at the out-patient department. Examinat...