Browsing by Author "Mithe, Siwillis"
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Item Clinical profile of paediatric head and neck cancers at a tertiary hospital in Tanzania(RBC / Rwanda Health Communication Centre, 2020) Abraham, Zephania Saitabau; Massawe, Enica Richard; Kahinga, Aveline Aloyce; Mapondella, Kassim Babu; Massawe, Willybroad Augustine; Swai, Henry; Mithe, Siwillis; Yahaya, James Joseph; Ntunaguzi, DaudiBackground: Paediatric head and neck cancers represent an important group of childhood cancers that require maximum attention at large. They are often diagnosed at advanced clinical stages at Muhimbili National Hospital (MNH). Objective: To describe the clinical profile of paediatric head and neck cancers at a tertiary hospital in Tanzania Method: A hospital based descriptive cross-sectional study was conducted involving 180 paediatric patients. Data were analyzed using SPSS program version 21. Results: A total of 180 paediatric patients were recruited where 61.1% were males and 38.9% were females. Majority belonged to the age group 0-5 years (53.9%). A total of 10 primary anatomical sites were found with the neck (cervical lymph node) predominating (36.1%), followed by the orbit/eye (34.4%) and the least anatomical sites were oral cavity (1.1%) and parapharyngeal space (0.5%). Leukocoria (93.9%), red eye (93.9%) and orbital cellulitis (77.6%) predominated in retinoblastoma but in patients with lymphomas, predominant features were night sweats (100%), weight loss (100%) and fevers (95.8%). Conclusion: The clinical profile depicted in this study appears to correlate with advanced clinical stages.Item A rare incidental encounter of a foreign body in the nasopharynx during adenotonsillectomy: A case report from Tanzania(Zambia Medical Association, 2019) Abraham, Zephania Saitabau; Massawe, Enica Richard; Mapondella, Kassim Babu; Kahinga, A veline Aloyce; Mithe, Siwillis; Ntunaguzi, DaudiForeign bodies may become lodged in various parts of the upper aerodigestive tract and establishing the presence of such foreign bodies is expected from health care practitioners. Foreign bodies may be classically organic or inorganic and their insertion into various parts of the aerodigestive tract may be deliberate or accidental. Majority of inhaled foreign bodies are reported in children and may even go unnoticed. There are scarce reported studies of foreign bodies in the nasopharynx. We are reporting an unusual case in which a foreign body in a child's nasopharynx went unnoticed for 9 months and was found incidentally during adenotonsillectomy.