Browsing by Author "Lengine, Emmanuel Ole"

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    Pattern and causes of tympanic membrane perforation at a private hospital in Dar es Salaam, Tanzania
    (South Sudan Doctors' Association, 2019) Abraham, Zephania Saitabau; Kahinga, Aveline Aloyce; Mapondella, Kassim Babu; Massawe, Enica Richard; Lengine, Emmanuel Ole; Ntunaguzi, Daudi
    Introduction: There is variation in the size, shape and position of tympanic membrane perforations; the degree of conductive hearing loss depends on the size and position of perforation. Objective: To determine the pattern and causes of tympanic membrane perforation at a private health facility in Tanzania Method: A hospital-based cross-sectional study in the ENT clinic at Ekenywa Specialised Hospital was conducted from January to May 2019. Ears were examined thoroughly by an Otorhinolaryngologist. Data were analysed using SPSS Version 21 Results: Two hundred and fifty patients were examined and 50 (20%) were found to have tympanic membrane perforations. Thirty (60%) were new patients while twenty (40%) were under review. Most 35(70%) were males. Central perforation predominated in 30 (60%), followed by subtotal in 10 (20%), total in 8 (16%) and marginal perforations in 2 (4%). The left ear was more affected in (60%) than the right ear. Bilateral perforations accounted for 5 (10%) of cases. Chronic suppurative otitis media was found in 35 (70%); other causes were acute suppurative otitis media in 13 (26%) and trauma in 2 (4%) patients Conclusions: The clinical picture depicted in this study is similar to that found elsewhere. There is a need for prompt diagnosis of tympanic membrane perforation. Proper education on ear care in patients with perforated tympanic membrane is of paramount importance.
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    A rare case report of aural myiasis in a 24-day old neonate in Tanzania
    (Scientific Research Publishing, 2019) Abraham, Zephania Saitabau; Ntunaguzi, Daudi; Kahinga, Aveline Aloyce; Lengine, Emmanuel Ole; Mhamilawa, Lwidiko Edward; Massawe, Enica Richard
    Aural myiasis refers to the infestation of the ear by the larvae of certain dipterous flies. The disease-producing flies prefer a warm and humid environment and higher incidence occur in tropics and subtropics of Africa and America. Aural myiasis is rare during neonatal life and children with tendencies of poking the ear need immediate review by otorhinolaryngologists for thorough otological review. The objective is thus to report the case of a 24-day old neonate who was diagnosed to have aural myiasis upon otoendoscopy at a private health facility in Tanzania. This is the first reported case of neonatal aural myiasis in our country. Neonates with tendencies to poke ears and with irritability should be handled with care by having immediate Otorhinolaryngologist review to exclude aural pathologies such as aural myiasis. Removal of the maggot, instilling ototopical antibiotics admixed with aural antiseptics, systemic antibiotics and close follow up for meticulous aural toilet remains the main stay in management of aural myiasis.