Nigerian Journal of Clinical Practice最新文献

{"title":"Current Trends in Emergency Medicine in Nigeria.","authors":"O O Olaomi, G O Okoye, B Balarabe-Musa","doi":"10.4103/njcp.njcp_136_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_136_24","url":null,"abstract":"<p><p>Emergency medicine deals with acute and sudden illnesses and life-threatening diseases. It is incorporated into the overall healthcare system within the emergency care system component with the emergency ambulance system being the pivotal linkage between the incident site and the receiving hospitals. The emergency care system in Nigeria is developing, and the developments occur within the components of the system. We review the literature to give a snapshot of these various developments and improvements, leveraging our experience in emergency management and trauma care and proffered suggestions on the way forward. The weakest part of the system is the pre-hospital component. The communities should be engaged and trained in the prevention and early recognition of emergencies, first aid treatment, and early access to the emergency care system. Efforts to increase the coverage of the National Emergency Medical Service and Ambulance System (NEMSAS) in all the states and within the state will reduce emergency-related morbidity and mortality and improve treatment outcomes.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 12","pages":"1345-1350"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender Estimation Using Dental Measurements in CBCT: Focusing on the Mandibular Canine Index.","authors":"Fny Ilbaş, F Çağlayan","doi":"10.4103/njcp.njcp_387_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_387_24","url":null,"abstract":"<p><strong>Background: </strong>Gender determination is one of the most important stages in forensic science. Radiological techniques provide objective data in gender determination.</p><p><strong>Aim: </strong>The present study aimed to assess the potential of the mandibular canine index (MCI) as a predictor of gender in cone beam computed tomography (CBCT) scans.</p><p><strong>Methods: </strong>This study employed a retrospective analysis of oral and maxillofacial radiology department archives, encompassing a total of 503 patients. MCI was calculated on CBCT sections. The mesiodistal widths of the right (43) and left (33) canines, as well as the arch width of these canines, were measured and proportioned. The obtained results were subjected to statistical analysis.</p><p><strong>Results: </strong>To determine the sensitivity and specificity of the dental parameters examined for predicting sex, ROC Curve analysis was performed. In ROC analysis, the area under the curve (Area Under Curve, AUC) indicates that the closer the value is to 1, the higher the likelihood of it being a valid marker. The sensitivity of the marker predicts one sex, while its specificity predicts the other. According to the ROC analysis, the dental parameters with the closest and highest sensitivity and specificity for determining sex (male) are selected, along with their cutoff points. The most consistent results and values were obtained from the measurements of the mesiodistal diameter of the right mandibular canine. Consequently, the cut-off point for the mesiodistal width of the right mandibular canine, at 5.65 mm or above, indicates a 72.8% probability of male sex. The results obtained from the left canine were then analyzed. The remaining results were less consistent. The obtained data represents reliable results that can be used as an auxiliary method in forensic sciences.</p><p><strong>Conclusion: </strong>It has been determined that the mesiodistal diameter measurements of teeth 43 and 33 can be utilized to corroborate forensic findings about gender estimation.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 12","pages":"1429-1434"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Outcome of Reduction Mammoplasty for Gigantomastia Using Inferior Pedicle: Case Series.","authors":"S J Yiltok, A J Akintayo, J D Choji, C Y Karago, K S Orkar","doi":"10.4103/njcp.njcp_427_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_427_24","url":null,"abstract":"<p><strong>Introduction: </strong>Gigantomastia is a rare but not uncommon condition, and the most common surgical reduction procedure is by breast amputation with nipple-areolar grafting. Pedicle-based breast reduction is not commonly undertaken for such conditions.</p><p><strong>Aim: </strong>This is a report of our experience in the use of an inferior-based pedicle for the reduction of gigantomastia.</p><p><strong>Methods: </strong>Patients who had reduction mammoplasty between 2004 and 2023 were reviewed. The information obtained from their case notes included age, family history of breast enlargement, presenting features, height, weight, marital status, parity, type of resection, the length of the pedicle, the weight of tissue excised and outcome of the surgery.</p><p><strong>Results: </strong>A total of 15 patients with gigantomastia were operated. Their age ranged from 16 years to 50 years and a mean of 29.13 ± 9.39 years. The symptoms were: feeling heavy around the chest, back and shoulder pain, not having an appropriate brassiere to wear and lack of self-confidence with low self-esteem The total resection weight (RW) for each patient ranged from 2.2 kg to 10 kg with the mean of 4.71 ± 2.23 kg. The mean body mass index (BMI) was 30.70 ± 9.08 kg/M2, and the average nipple-to-inframammary fold distance was 27.75 ± 6.74 cm on the right and 26.13 ± 5.37 cm on the left. The complications that were observed were delayed wound healing in six (40%), partial wound dehiscence in three (13%), flap necrosis with bilateral loss of nipple-areolar complex (NAC) in one (7%) and unilateral loss of NAC in one (7%). All the patients had good healing with intact NAC except for two patients.</p><p><strong>Conclusions: </strong>Breast reduction using an inferior pedicle can be one with very good outcomes. The length of the pedicle may be a source of concern for the survival of the NAC using a broad wider base of the pedicle prevents this if properly designed.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 12","pages":"1441-1447"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigation of Electrocardiographic Changes Caused by Antepileptic Drugs in Epilepsy Patients.","authors":"B Demir, L Şahin","doi":"10.4103/njcp.njcp_488_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_488_24","url":null,"abstract":"<p><strong>Background: </strong>One of the metabolic effects of antiepileptic drugs (AEDs) is cardiac changes.</p><p><strong>Aim: </strong>In our study, to investigate the cardiac effects of AED use; We looked at electrocardiography (ECG) samples performed on patients. By looking at ECG variables, we tried to determine their relationship with epileptic seizure types and antiepileptic drugs.</p><p><strong>Methods: </strong>This prospective study was completed with a total of 50 epilepsy patients whose ECGs were recorded after exclusion criteria. The number of years the patients had epilepsy, the frequency of seizures, the duration of seizures, and the AEDs they used were recorded. Standard 12-lead ECG was applied to the patients, and QT intervals, Tp-e interval, Tp-e/QT ratio, and Tp-e/QTd ratio were measured.</p><p><strong>Results: </strong>Patients most commonly use levatiracetam, valproic acid (VPA), carbamazepine, and lamotrigine, respectively. The median seizure time of the patients was 120 seconds. There was no difference regarding ECG parameters among seizure types. Among the AED groups, Tp-e interval (P = 0.028), Tp-e/QT (P = 0.007), and Tp-e/QTd (P = 0.001) values were lower in those receiving lamotrigine.</p><p><strong>Conclusion: </strong>It was determined that there were differences in cardiac repolarization parameters between AEDs. Lamotrigine had the highest confidence interval due to its low effect on the ECG and low potential to cause arrhythmia.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 12","pages":"1358-1363"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Percentage of Neutrophils and Neutrophil-to-Lymphocyte Ratio in Distinguishing Late from Early Prehospital Presentation of Perforated Appendicitis in Children.","authors":"V Marjanović, M Zečević, I Budić, D Živanović, J Lilić, L Marjanović, V Živanović, M Stević, D Simić","doi":"10.4103/njcp.njcp_337_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_337_24","url":null,"abstract":"<p><strong>Introduction: </strong>White blood cell subtypes are commonly used to diagnose paediatric cases of perforated appendicitis (PA). In this study, an attempt was made to examine changes in white blood cell subtypes based on the duration of symptoms before hospitalization. Authors believe that findings will be able to describe cases of PA with delayed presentation, more accurately.</p><p><strong>Materials and methods: </strong>A retrospective study was conducted on 139 children with diagnosis of PA admitted between 2020 and 2023. Children were divided into two groups: Group I (n = 95), with early prehospital presentation of PA (symptoms before hospitalization lasting less than 48 hours), and Group II (n = 44), with late prehospital presentation of PA (symptoms before hospitalization lasting more than 48 hours). Medical documentation and data referring to the clinical features and laboratory markers were gathered and compared between groups.</p><p><strong>Results: </strong>Delayed prehospital presentation of PA had 31.65% of patients. White blood cell counts, neutrophil percentages and absolute counts, and the ratios of neutrophils to lymphocytes (ANC/ALC) and neutrophils to monocytes (ANC/AMC) were all lower in Group II. Furthermore, Group II had notably greater levels of C-reactive protein and higher percentages of lymphocytes and monocytes. The percentage of neutrophils and cutoff value was 78.95%, whereas the ANC/ALC ratio cutoff was 6.58. The percentage of neutrophils had a sensitivity and specificity of 75.0% and 62.8%, respectively, while ANC/ALC had a sensitivity and specificity of 81.3% and 51.2%, respectively.</p><p><strong>Conclusions: </strong>The percentage of neutrophils and neutrophil-to-lymphocyte ratio can help distinguish between the late and early prehospital presentation of PA in children and may improve the accuracy of prehospital diagnosis. Less than 78.95% and 6.58, percentage of neutrophils and neutrophil-to-lymphocyte ratio, respectively, are indicative in late prehospital presentation of paediatric PA.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 12","pages":"1435-1440"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic Value of Exclusive and Partial Enteral Nutrition in Adult Patients with Moderate to Severe Crohn's Disease with Ustekinumab for Induction of Remission.","authors":"S Liao, B Wang, Z Zheng, S Ye, L Huang, Y Zheng","doi":"10.4103/njcp.njcp_563_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_563_24","url":null,"abstract":"<p><strong>Background: </strong>Crohn's disease (CD) is a chronic, nonspecific transmural inflammatory bowel disease. Enteral nutrition (EN) is a vital adjunctive treatment for CD; however, its precise therapeutic role remains unknown.</p><p><strong>Aims: </strong>This study aims to investigate the therapeutic value of exclusive enteral nutrition (EEN) and partial enteral nutrition (PEN) in moderate to severe CD in adults induced by ustekinumab (UST).</p><p><strong>Methods: </strong>This retrospective analysis included 50 adult patients with moderate to severe CD who achieved remission wish UST therapy. Patients were divided into the EEN group (n = 24) and the PEN group (n = 26) based on their mode of EN. The dosage of UST for intravenous infusion was weight-based, followed by a subcutaneous injection of 90 mg UST as induction therapy 8 weeks after the first administration. We compared the clinical remission rate, endoscopic remission rates, body mass index (BMI), nutritional indicators, and inflammatory markers between the two groups after 8 weeks of treatment.</p><p><strong>Results: </strong>After treatment, both the Crohn's Disease Activity Index and Crohn's Disease Endoscopic Index of Severity decreased in both groups, with the EEN group showing significantly higher clinical and endoscopic remission rates than the PEN group (P < 0.05). Both groups also exhibited a significant increase in BMI and nutritional indicators after treatment, with a greater increase in the EEN group (P < 0.05). Inflammatory markers significantly decreased in both groups, with the EEN group experiencing a greater reduction (P < 0.05). Additionally, the overall incidence of adverse reactions in both groups was low and improved with treatment adjustments.</p><p><strong>Conclusion: </strong>EN significantly improved clinical conditions and nutritional status and reduced inflammation levels and disease activity in adult patients with moderate to severe CD undergoing UST-induced remission. EEN was found to be superior to PEN in these aspects.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 12","pages":"1399-1404"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Novel Inclusion Criteria for Radiotherapy Omission in Elderly Breast Cancer Patients with Breast-Conserving Surgery.","authors":"Y L Heng, J Xiao, L Q Liu, J Luo, J Luo, J Chen","doi":"10.4103/njcp.njcp_79_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_79_24","url":null,"abstract":"<p><strong>Background: </strong>Breast-conserving surgery (BCS) followed by radiotherapy is the standard treatment for achieving local control and survival benefits in breast cancer patients. However, the necessity of radiotherapy for all elderly patients following BCS is debated due to the potential for overtreatment and the associated risks and side effects, particularly for those at lower risk of recurrence.</p><p><strong>Aims: </strong>This study aims to redefine the criteria for elderly breast cancer patients eligible for radiotherapy omission after BCS, without compromising survival benefits.</p><p><strong>Methods: </strong>Data from breast cancer patients with T1-2N0-1M0 diagnosed between 2010 and 2015 were extracted from the Surveillance, Epidemiology, and End Results (SEER) program for analysis. Survival analysis was performed using Kaplan-Meier plots and log-rank tests. Univariate and multivariate Cox analyzes were conducted to identify risk factors for breast cancer-specific survival (BCSS). A nomogram and risk stratification model were developed, with a concordance index and calibration curve employed to demonstrate the nomogram's accuracy and predictive capability. Validation of radiotherapy's survival benefit for patients in different risk strata was conducted via subgroup analysis.</p><p><strong>Results: </strong>Histological grade, estrogen receptor status, tumor size, and nodal metastasis stage were identified as independent risk factors for BCSS. These factors were incorporated into a nomogram to predict 3- and 5-year BCSS for patients. Risk stratification indicated that radiotherapy significantly improved BCSS in the high-risk group (HR = 0.540 [0.402-0.724], P < 0.001) but did not in the low-risk (HR = 0.526 [0.154-1.798], P = 0.305) and intermediate-risk groups (HR = 0.588 [0.33-1.05], P = 0.073). Subgroup analysis showed that some patients not meeting the CALGB 9,343 criteria could also be exempt from radiotherapy. Importantly, we found that patients over 80 years of age did not derive a survival benefit from radiotherapy, regardless of clinical characteristics.</p><p><strong>Conclusions: </strong>This study broadens the criteria for radiotherapy omission, potentially assisting clinicians in making radiotherapy decisions for elderly breast cancer patients.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 12","pages":"1417-1428"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlates of Left Ventricular Hypertrophy in a Sub-Urban Low-Income Community in Enugu. A Community-Based Study.","authors":"N C Mbadiwe, B A Ezeala-Adikaibe, C C Okwara, C Orjioke, P O Njoku, J U Okoye, F C Ekochin, C Okereke, M C Abonyi, G E Anigbo, N N Unaogu, U M Nwobodo","doi":"10.4103/njcp.njcp_362_24","DOIUrl":"https://doi.org/10.4103/njcp.njcp_362_24","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of left ventricular is on the increase, especially in the developing world probably because of high rates of cardiovascular risk factors such as hypertension. Inter-ethnic differences in the prevalence of left ventricular hypertrophy have been demonstrated.</p><p><strong>Aim: </strong>The aim of this study was to determine the prevalence of left ventricular hypertrophy in a community and the associated risk factors.</p><p><strong>Methods: </strong>This was a cross-sectional descriptive study carried out in the Enugu State southeast Nigeria. Electrocardiography was conducted using the standard protocols. Left ventricular hypertrophy was diagnosed according to the Sokolow-Lyon criterion. For database management and statistical analyses, we used the SPSS version 26 (IBM Corporation, New York, NY, USA).</p><p><strong>Results: </strong>The electrocardiograms of 324 participants were analyzed. Left ventricular hypertrophy was diagnosed in 73 (22.5%), slightly more frequent in males (28.3%) versus 19.1% in females (P = 0.06(. About 18.4% of those with normal systolic blood pressure and 19.6% of those with normal diastolic blood had left ventricular hypertrophy. This increased to 47.4% and 38.1% in those with severe high diastolic and systolic blood pressure measurements, respectively. About 27.5% of the participants with hypertension had left ventricular hypertrophy, whereas 32.9% of newly diagnosed hypertensives had left ventricular hypertrophy. Using Spearman's correlation statistic, left ventricular hypertrophy strongly correlated with systolic hypertension r (P value) =0.12 (0.01); however, the correlation with diastolic hypertension was weak r (P value) =0.1 (0.06). There was a weak positive correlation between gender and left ventricular hypertrophy r (P value) =0.11 (0.06).</p><p><strong>Conclusion: </strong>The prevalence of left ventricular hypertrophy was 22.5% in a community study in Enugu even among those without hypertension. Public health education on the need for regular cardiovascular checks is advocated even among those with and without hypertension.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 12","pages":"1464-1472"},"PeriodicalIF":0.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143542814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brucellosis Prevention Questionnaire (BPQ): Adaptation to Turkish Culture, Validity and Reliability Study.","authors":"M Yılmaz, I Arikan","doi":"10.4103/njcp.njcp_394_23","DOIUrl":"10.4103/njcp.njcp_394_23","url":null,"abstract":"<p><strong>Background: </strong>Brucellosis is the most common zoonosis worldwide. Prevention of brucellosis is based on surveillance and prevention of risk factors.</p><p><strong>Aim: </strong>The aim of this methodological study, conducted with breeders living in Kütahya, was to perform the Turkish adaptation, validity and reliability study of the Brucellosis Prevention Questionnaire (BPQ).</p><p><strong>Methods: </strong>This methodological study was conducted on breeders living in the villages of Kütahya in Türkiye between May and November 2021. Cultural adaptation-language validity and construct (concept) validity of the scale were evaluated. Item total score correlation, internal consistency, and test-retest correlation was used to evaluate the reliability of the scale.</p><p><strong>Results: </strong>According to factor analysis, the variance explained in the five-dimensional structure was 61.8%. A positive correlation was found between the mean BPQ score and Health Perception Scale scores (r = 0.170; P = 0.005). Cronbach's alpha coefficient of the BPQ was found to be 0.944.</p><p><strong>Conclusion: </strong>Findings from validity and reliability studies show that the Turkish version of the BPQ is a valid and reliable scale in Turkish society and culture.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 11","pages":"1329-1334"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selective Deep-Lobe Parotidectomy for Benign Parotid Gland Tumors.","authors":"A Bayram, A Ş Genç, S Altıparmak, A Kaya, F Şenel","doi":"10.4103/njcp.njcp_338_24","DOIUrl":"10.4103/njcp.njcp_338_24","url":null,"abstract":"<p><strong>Background: </strong>Deep-lobe tumors have been shown to possess a significantly thicker capsule with less tumor penetration compared to superficial tumors. Thus, more conservative surgical approaches, rather than aggressive methods, have been proposed for treating benign deep-lobe tumors of the parotid gland.</p><p><strong>Aim: </strong>To evaluate the surgical outcomes and oncological safety of selective deep-lobe parotidectomy (SDLP) in patients with benign lesions located in the deep lobe of the parotid gland.</p><p><strong>Methods: </strong>Twenty-two patients who underwent SDLP were enrolled in the study. Data on age, sex, tumor size, hospitalization duration, recurrence, cosmetic outcomes, and complications-including facial nerve (FN) impairment, Frey's syndrome (FS), sialocele, first-bite syndrome (FBS), wound infection, hematoma, and seroma -were retrospectively evaluated from hospital records. Facial contour symmetry was rated by each patient using a 0-10 VAS score at least six months post-surgery.</p><p><strong>Results: </strong>Final histopathological examination revealed that the most common tumor was pleomorphic adenoma (PA) (59.1%). Three patients (13%) experienced temporary paralysis of the marginal branch of the FN, with a House-Brackman Grade III, which resolved spontaneously within two months post-surgery. No cases of permanent FN paralysis, FS, FBS, or sialocele were observed in any patients. The mean VAS score for facial contour symmetry was 9.43 ± 0.78. No recurrence were noted in any patients over a median follow-up period of 71.7 ± 21.2 months.</p><p><strong>Conclusion: </strong>SDLP may facilitate the safe surgical removal of benign lesions located in the deep lobe of the parotid gland, with oncological safety, reduced complication rates, and improved cosmetic outcomes.</p>","PeriodicalId":19431,"journal":{"name":"Nigerian Journal of Clinical Practice","volume":"27 11","pages":"1282-1286"},"PeriodicalIF":0.7,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142770802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}