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Prevalence of ENT, Neck and Face Diseases in Children Aged 0-14 Years in the ENT Department of the Center Hospitalier Universitaire Gabriel Toure in Bamako

Received: 2 July 2024     Accepted: 2 August 2024     Published: 20 August 2024
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Abstract

ENT, neck and face disorders are usually benign, but can often be grafted to complications with after-effects that affect the child's psychomotor development, with serious school and social consequences. The aim of the present study is to determine the prevalence of ENT, neck and face disorders in children aged 0 to 14 in the ENT department of the Gabriel Touré University Hospital Centre (UHC) in Bamako. This was a prospective descriptive study conducted from September 1 to November 30, 2021. The results show that the prevalence of ENT, neck and face disorders in children aged 0 to 14 years was 14.53% of department consultations during our study period. Males predominated with 53.07% of cases, a sex ratio of 1.6. The 0-4 age group was best represented, with 49.01% of cases. Otalgia was the most frequent reason for consultation, accounting for 38.60% of cases. Acute otitis media (AOM) was the most common pathology with 24.30% of cases, followed by nasopharyngitis with 17.40%. Otological conditions accounted for the majority, with 58.29% of cases. Otological conditions were followed by naso-sinus conditions with 26.57% of cases, and pharyngolaryngeal conditions with 14% of cases. ENT, neck and face infections are frequent in children. This frequency, linked to immune learning, has repercussions on social and school life. Early treatment can help reduce the morbidity of these conditions.

Published in International Journal of Otorhinolaryngology (Volume 10, Issue 2)
DOI 10.11648/j.ijo.20241002.11
Page(s) 50-53
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This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

ENT Disorders, Child 0-14 Years, ENT Department, Bamako/Mali

1. Introduction
Ear, nose, throat (ENT), neck and facial disorders, are pathologies affecting the ears (otology), the nose and its appendages (rhinology), the pharynx and larynx (laryngology), the neck and the face . These pathologies are encountered in subjects of all ages, but are more frequent in children, thanks to their morphology and adaptation phenomena for immune acquisition . The ENT sphere is the gateway to free germs, favored by its direct communication with the outside environment, poverty and promiscuity in developing countries, thus explaining the high morbidity of these affections in children under 15, particularly young children . The particular frequency of acute otitis media (AOM) in children is explained by the coexistence of recurrent rhinopharyngitis and by an Eustachian tube that is probably more permeable, but above all shorter and more horizontal, due to the growth of the craniofacial mass . These conditions are usually benign in nature, but can often be grafted on to complications with sequelae that jeopardize the child's psychomotor development, with serious school and social consequences . ENT, neck and face disorders therefore remain a real public health problem . In France, 60% of paediatric recruitment is in the ENT department . In Ivory Coast, studies report 52% to 63.9% in schools . In Mali, a study carried out in Ségou showed that in 1999, the ENT department accounted for 12% of consultations at the regional hospital . Another study carried out at Bamako's Gabriel Touré Hospital in 1991 showed that 12% of the hospital's consultations were ENT . These conditions are often a source of disruption to school and family relationships. The aim of the present study is therefore to determine the prevalence of ENT, neck and face disorders in children aged 0 to 14 in the ENT, neck and face department of the Gabriel Touré University Hospital in Bamako-Mali.
2. Materials and Methods
This is a prospective and descriptive study carried out over three (3) months from September 1, 2014 to November 30, 2014 in the ENT, neck and face department of the Gabriel Touré University Hospital in Bamako. Sampling was done exhaustively, focused on children aged 0 to 14 years received in the department during the study period. All children aged between 0 and 14 years who were seen on an outpatient or on-call basis at the ENT, neck and face department of Gabriel Touré University Hospital in Bamako during the study period, and whose parents agreed to be included in the survey, were included in this study. Patients not in the 0-14 age group and not presenting to the ENT, neck and face department of Gabriel Touré University Hospital, Bamako, were excluded. A total of 350 cases were collected. Information was obtained through direct interviews with the children's parents, during examinations of the children by attending physicians in outpatient clinics, and during on-call duty.
Data were recorded on a specially designed survey form. Data were entered into Microsoft Word 2007 and analyzed using Microsoft Office Excel 2007. All staff in the ENT, neck and face department at Gabriel Touré University Hospital were informed. The survey was then carried out with the free and informed consent of the children's parents. Anonymity was strictly respected.
3. Results
During the study period, we noted that out of 2408 patients seen in the ENT-CCF department, 350 cases were recorded in the 0-14 age group, i.e. 14.53% of consultations. Male sex predominated with 188 cases or 53, 70% with a ratio sex of 1.16. The 0-4 age group was best represented, with 49.10% of cases. The Bambara and Malinké ethnic groups were the best represented, with 31% and 21% of cases respectively. The majority of patients resided in communes III and II, with 20% and 16% of cases respectively. In this study, 53% of patients did not attend school. Otalgia was the most frequent reason for consultation, accounting for 38.60% of cases.
Table 1. Distribution of conditions by location.

Location of conditions

Number

Percentage (%)

Ear

204

58, 29

Nose and sinuses

93

26, 57

Larynx and Pharynx

49

14

Neck and Face

4

1, 14

Total

350

100

The pathology of the ear represented the majority of consultations, with 204 patients (58.29% of the total).
Table 2. Distribution of patients by diagnosis.

Diagnostic

Number

Percentage (%)

AOM

85

24, 30

Chronic otitis media

60

17, 10

Otitis externa

23

6, 60

Cerumen plug

15

4, 30

Deafness

11

3, 10

Rhinopharyngitis

61

17, 40

Rhinitis

24

6, 90

Angina

23

6, 60

Other

48

13, 70

Total

350

100

Other: foreign bodies (bronchial, esophageal, atrial and nasal), cleft lip and palate, laryngomalacia, epistaxis, trauma (ear, nose), cervical tumor.
Acute otitis media and rhinopharyngitis were the most frequent pathologies, accounting for 24, 30% and 17.40% of cases respectively.
4. Discussion
Certain difficulties were noted in this study:
1. Erroneous information linked to confusion on the part of some mothers regarding the child's symptomatology.
2. Geographical distance was the reason for the lack of follow-up for some patients.
3. Inaccessibility to certain complementary examinations due to lack of resources made it difficult to make certain diagnoses.
Males predominated with 53.70% of cases, i.e. a sex ratio of 1.16. The same finding was made by Touré , who also found a predominance of males with 53.30% of cases, and Adjoua et al. in Côte d'Ivoire with a sex ratio of 1.04. But this result is contrary to those of Traoré , Sissoko and Hounkpatin et al. , who found a predominance of females (58.07%, 60.90% and 50.29% respectively). Daou , on the other hand, noted no predominance of gender. Hounkpatin et al. in Parakou, Keita et al. in Mali and Adoga et al. in Nigeria found no gender difference in their study. Thus, one cannot deduce the influence of sex on these affections. The 0-4 age group was the best represented, with 49.10% of cases. The result of this study is superior to that of Sissoko and Hounkpatin et al , who found 34% and 21.9% respectively for the 0-5 age group. This period is the most propitious for immune acquisition in children, due to frequent episodes of rhinopharyngitis, known as adaptation disease. The Bambara and Malinké ethnic groups predominated in this study, with 31% and 21% of cases respectively. This result is close to that of Traoré , who found 34.32% and 23.74% respectively for the Malinké and Bambara ethnic groups. This can be explained by the strong representation of these ethnic groups in Mali in general and in the Bamako district in particular. In this study, 53% of our patients did not attend school, which can be explained by the high frequency of the 0-4 age group. The school age which generally takes place in the present case was 7 years. The majority of patients resided in communes III and II, with 20% and 16% of cases respectively. These results are close to those of Sablikou . This may be explained by the proximity of these communes to the Gabriel Toure University Hospital. Otalgia was the most frequent reason for consultation, accounting for 38.60% of cases. This result is lower than that of Traoré , who found 69.47% of otalgia cases. Other signs included rhinorrhea, otorrhea, nasal obstruction and hypoacusis. To this end, the population needs to be informed and made aware of the major risks they run. This should enable them to avoid certain risk factors, such as hyperventilation, bathing in the open air, non-observance of certain hygiene advice, cooling (air conditioning), water entering the ear, and passive smoking. Other risk factors include:
Inappropriate use of cotton buds in the ear:
1. Acute exposure of the ear to noise.
2. misuse of ototoxic products.
3. Non-compliance with prenatal consultations by pregnant women.
These various practices should be avoided by the population, as they encourage the occurrence of deafness (conductive and sensorineural). In this study population, otological disorders accounted for the majority, with 58.29% of cases. The predominance of otological disorders is shared by Traoré in Bamako, who found 81.41%, and Adjoua et al in Côte d'Ivoire, who found 39.8% of cases of otological disorders in schools. This predominance of otological disorders is of concern to parents and practitioners alike. The consequences of otological disorders include a drop in school performance and a disruption of the child's social life through delayed language. The frequency of these ailments is indicative of neglect on the part of parents, who often take a long time to consult a doctor, and the trivial consideration given to certain ailments. All this is crowned by self-medication or traditional treatment, often within the framework of poverty, and often inadequate care at first referral health centers, the failure of which is a reason for hospital consultation. Acute otitis media and rhinopharyngitis were the most frequent pathologies, accounting for 24.30% and 17.40% of cases respectively. This high prevalence of AOM is shared by Sanogo , Traoré and Sablikou . The high prevalence of these conditions is explained by the immaturity of the defense system, involving tumoral and anatomical factors.
5. Conclusion
Of all these conditions, otological disorders predominate, followed by naso-sinus and pharyngolaryngeal disorders. These conditions are particularly serious, leading to difficulties at school, isolation and psycho-affective imbalance. Better social living conditions and individual and collective hygiene can help to prevent the spread of these diseases. This study confirms that, as elsewhere, children are highly exposed to ENT diseases. Consequently, to avoid complications and after-effects, it is advisable to take action in this area, and above all against ear infections. This will ensure that children and young people remain in good health, enjoying all their faculties and functions, including those of the ENT sphere.
Abbreviations

AOM

Acute Otitis Media

ENT

Ear, Nose, Throat

Conflicts of Interest
The authors declare no conflicts of interest.
References
[1] SANOGO H. Study of ENT and Cervico-Facial conditions in the elderly in the six reference health centers of the municipalities of the Bamako District. Medicine thesis. FMOS: Bamako; 2012. 61p. N° 12M143.
[2] TOURE S. Screening for ENT conditions in schools: case of the Bia primary school in Sabalibougou. INFSS memory; 2014. P62. N° 0179.
[3] CUISINER O. Nasopharyngeal infections in children. Medical corpus – Grenoble Faculty of Medicine. October 2002.
[4] French ENT College: Item 98: earache and otitis in children and adults. www.orlfrance.org
[5] TRAORE M. Evaluation of the prevalence of ear conditions in the ENT unit of the reference health center (CS Ref) of commune IV of the Bamako district. INFSS memory; 2014. P74. N° 0178.
[6] SISSOKO A. Evaluation of the prevalence of ENT conditions at the Banconi CSCOM. Medical thesis. FMOS: Bamako; 2012. p95. N° 12M138.
[7] BECKER W. ENT Summary. Translation from GERMAN by LUBOINSKI B. Edition Flammarion Médecine - sciences 2003. 1142P.
[8] ADJOUA R. P., CHATIGRE K. R., TEA Z. B., KOFFI-N'GUESSAN L. Screening for otolaryngological conditions in schools in Abidjan. Rev. Collar. Odonto-Stomatol. Afr. Chir. Maxillo-fac., Vol. 13(3); 2006: 5-7.
[9] N'GATTIA K V. Screening for ENT pathologies in schools in Bouaké. Medicine thesis. Bouaké (Ivory Coast); 1998. 68p. No. 2.
[10] DAOU K. Hospital otolaryngological morbidity in Ségou: case of the Nianakoro Fomba regional hospital in Ségou. (From September 1987 to December 1999). Medicine thesis. FMPOS: Bamako; 2002. 84p. N° 50.
[11] SOUMAORO S. Analysis of the one-year activity report of the ENT department of the Gabriel Touré hospital (from January 1 to December 31, 1991). Medicine thesis. Bamako; 1991. 43p. N° 19.
[12] HOUNKPATIN SHR, AVAKOUDJO F, LAWSON-AFOUDA S, YEMADJRO FSR, ADJIBABI W, VODOUHE SJ, HOUNKPE YYC. Prevalence of ENT conditions at the Regional Hospital Center of the Borgou department in northern Benin. African Journal of ENT and Head and Neck Surgery. 2011; 11(1, 2 and 3): 48-51.
[13] KEITA M, DAO A, MOHAMED AG A. Otolaryngological practice in sub-Saharan Africa: Case of Mali. Med Afr Black. 2005; 54(4): 228-32.
[14] ADOGA A, NIMKUR T, ADEKWU A, MA'AN N. An audit of Otorhinolaryngologic practice in a Nigerian teaching hospital. The Internet Journal of Otorhinolaryngology 2009.9.
[15] SABLIKOU O. One-year activity report of the ENT units of the reference health centers of communes I, II, and IV of the Bamako district. Medicine thesis. Bamako 2005. 89P. No. 12.
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    Ouattara, M., Sangaré, M., Keita, L., Dramé, D., Diarra, K., et al. (2024). Prevalence of ENT, Neck and Face Diseases in Children Aged 0-14 Years in the ENT Department of the Center Hospitalier Universitaire Gabriel Toure in Bamako. International Journal of Otorhinolaryngology, 10(2), 50-53. https://doi.org/10.11648/j.ijo.20241002.11

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    ACS Style

    Ouattara, M.; Sangaré, M.; Keita, L.; Dramé, D.; Diarra, K., et al. Prevalence of ENT, Neck and Face Diseases in Children Aged 0-14 Years in the ENT Department of the Center Hospitalier Universitaire Gabriel Toure in Bamako. Int. J. Otorhinolaryngol. 2024, 10(2), 50-53. doi: 10.11648/j.ijo.20241002.11

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    AMA Style

    Ouattara M, Sangaré M, Keita L, Dramé D, Diarra K, et al. Prevalence of ENT, Neck and Face Diseases in Children Aged 0-14 Years in the ENT Department of the Center Hospitalier Universitaire Gabriel Toure in Bamako. Int J Otorhinolaryngol. 2024;10(2):50-53. doi: 10.11648/j.ijo.20241002.11

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  • @article{10.11648/j.ijo.20241002.11,
      author = {Mamadou Ouattara and Mariam Sangaré and Lassana Keita and Diaffé Dramé and Karim Diarra and Fatoumata Ouattara and Siriman Koné and Mahamane Tiama and Fatogoma Issa Koné and Samba Karim Timbo and Abdoul Wahab Haidara and Lassine Dienta},
      title = {Prevalence of ENT, Neck and Face Diseases in Children Aged 0-14 Years in the ENT Department of the Center Hospitalier Universitaire Gabriel Toure in Bamako
    },
      journal = {International Journal of Otorhinolaryngology},
      volume = {10},
      number = {2},
      pages = {50-53},
      doi = {10.11648/j.ijo.20241002.11},
      url = {https://doi.org/10.11648/j.ijo.20241002.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20241002.11},
      abstract = {ENT, neck and face disorders are usually benign, but can often be grafted to complications with after-effects that affect the child's psychomotor development, with serious school and social consequences. The aim of the present study is to determine the prevalence of ENT, neck and face disorders in children aged 0 to 14 in the ENT department of the Gabriel Touré University Hospital Centre (UHC) in Bamako. This was a prospective descriptive study conducted from September 1 to November 30, 2021. The results show that the prevalence of ENT, neck and face disorders in children aged 0 to 14 years was 14.53% of department consultations during our study period. Males predominated with 53.07% of cases, a sex ratio of 1.6. The 0-4 age group was best represented, with 49.01% of cases. Otalgia was the most frequent reason for consultation, accounting for 38.60% of cases. Acute otitis media (AOM) was the most common pathology with 24.30% of cases, followed by nasopharyngitis with 17.40%. Otological conditions accounted for the majority, with 58.29% of cases. Otological conditions were followed by naso-sinus conditions with 26.57% of cases, and pharyngolaryngeal conditions with 14% of cases. ENT, neck and face infections are frequent in children. This frequency, linked to immune learning, has repercussions on social and school life. Early treatment can help reduce the morbidity of these conditions.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Prevalence of ENT, Neck and Face Diseases in Children Aged 0-14 Years in the ENT Department of the Center Hospitalier Universitaire Gabriel Toure in Bamako
    
    AU  - Mamadou Ouattara
    AU  - Mariam Sangaré
    AU  - Lassana Keita
    AU  - Diaffé Dramé
    AU  - Karim Diarra
    AU  - Fatoumata Ouattara
    AU  - Siriman Koné
    AU  - Mahamane Tiama
    AU  - Fatogoma Issa Koné
    AU  - Samba Karim Timbo
    AU  - Abdoul Wahab Haidara
    AU  - Lassine Dienta
    Y1  - 2024/08/20
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ijo.20241002.11
    DO  - 10.11648/j.ijo.20241002.11
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
    SP  - 50
    EP  - 53
    PB  - Science Publishing Group
    SN  - 2472-2413
    UR  - https://doi.org/10.11648/j.ijo.20241002.11
    AB  - ENT, neck and face disorders are usually benign, but can often be grafted to complications with after-effects that affect the child's psychomotor development, with serious school and social consequences. The aim of the present study is to determine the prevalence of ENT, neck and face disorders in children aged 0 to 14 in the ENT department of the Gabriel Touré University Hospital Centre (UHC) in Bamako. This was a prospective descriptive study conducted from September 1 to November 30, 2021. The results show that the prevalence of ENT, neck and face disorders in children aged 0 to 14 years was 14.53% of department consultations during our study period. Males predominated with 53.07% of cases, a sex ratio of 1.6. The 0-4 age group was best represented, with 49.01% of cases. Otalgia was the most frequent reason for consultation, accounting for 38.60% of cases. Acute otitis media (AOM) was the most common pathology with 24.30% of cases, followed by nasopharyngitis with 17.40%. Otological conditions accounted for the majority, with 58.29% of cases. Otological conditions were followed by naso-sinus conditions with 26.57% of cases, and pharyngolaryngeal conditions with 14% of cases. ENT, neck and face infections are frequent in children. This frequency, linked to immune learning, has repercussions on social and school life. Early treatment can help reduce the morbidity of these conditions.
    
    VL  - 10
    IS  - 2
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Author Information
  • Ear, Nose and Throat (ENT) Department, Commune II Referral Health Center, Bamako, Mali

  • Ear, Nose and Throat (ENT) Department, Commune II Referral Health Center, Bamako, Mali

  • Ear, Nose and Throat (ENT) Department, Commune II Referral Health Center, Bamako, Mali

  • Ear, Nose and Throat (ENT) Department, Commune II Referral Health Center, Bamako, Mali

  • Ear, Nose and Throat (ENT) Department, Commune II Referral Health Center, Bamako, Mali

  • Ear, Nose and Throat (ENT) Department, University Hospital Gabriel Touré, Bamako, Mali

  • Ear, Nose and Throat (ENT) Department, University Hospital Gabriel Touré, Bamako, Mali

  • Ear, Nose and Throat (ENT) Department, University Hospital Gabriel Touré, Bamako, Mali

  • Ear, Nose and Throat (ENT) Department, University Hospital Gabriel Touré, Bamako, Mali

  • Ear, Nose and Throat (ENT) Department, University Hospital Gabriel Touré, Bamako, Mali

  • Ear, Nose and Throat (ENT) Department, Hospital Nianakoro Fomba, Segou, Mali

  • Ear, Nose and Throat (ENT) Department, Hospital Sominé Dolo, Mopti, Mali