Pattern of otitis media in young children and adolescents with traditional uvulectomy in Kano, Nigeria
Accepted: November 10, 2019
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Traditional uvulectomy is not an uncommon practice in Nigeria and most part of sub-Saharan Africa. Its practice is well documented in these countries. Traditional uvulectomy and otitis media are both prevalent in Nigeria. However, there is a dearth of studies on a causal relationship between the two in the Nigerian subpopulation. This study aims to assess the pattern of otitis media among young children and adolescents who had traditional uvulectomy. This study was a prospective, descriptive, cross-sectional study conducted on all consecutive eligible consenting patients aged 5- to 18-years seen in the ear, nose and throat clinic of Aminu Kano Teaching Hospital with amputated uvula detected during routine examination were recruited. A standard tool was developed to obtain data from the patients. Thereafter otoscopy was done for all the patients. A total of 400 patients were recruited into the study, 246 (61.5%) were male and 154 (38.5%) female. The mean (standard deviation) of age was 12.4 (3.8) years. The commonest indication for traditional uvulectomy among the patients was as ritual [356 (89%)] with the least been speech disorder and failure to thrive [3 (76%)] each. Most (60%) had no symptoms suggestive of otitis media over the years. However, most (263 and 259 in the right and left ear respectively) participants had dull tympanic membrane on otoscopy. Majority (280) had their uvulectomy in the neonatal period, and post uvulectomy complications were low (17%). Symptoms of otitis media are not a common finding in patients with traditionally amputated uvulae.
Adoga AA, Nimkur TL. ‘’The traditionally amputated uvula amongst Nigerians: Still an ongoing practice’’. ISRN Otolaryngology. 2011; 2011:704924. Doi: 10.5402/2011/704924. DOI: https://doi.org/10.5402/2011/704924
Ijaduola GT. Uvulectomy in Nigeria. Journal of Laryngology and Otology.1981; 95(11): 1127-1133. DOI: https://doi.org/10.1017/S0022215100091908
Prual A, Gamatie Y, Djakounda M, Higuet D. Traditional uvulectomy in Niger: a public health problem? Social Science and Medicine. 1994; 39(8): 1077-1082. DOI: https://doi.org/10.1016/0277-9536(94)90379-4
Manni JJ. Uvulectomy, a traditional surgical procedure in Tanzania. Annals of Tropical Medicine and Parasitology. 1984; 78(1): 49-53. DOI: https://doi.org/10.1080/00034983.1984.11811772
Lowe KR. Severe anaemia following uvulectomy in Kenya. Military Medicine. 2004; 169(9): 712. Doi: 10.7205/milmed.169.9.712. DOI: https://doi.org/10.7205/MILMED.169.9.712
Oh HM. Upper Respiratory Tract Infections- Otitis Media, Sinusitis and Pharyngitis. Singapore Med J. 1995; 36:428-431.
Alberta Medical Association. Guideline for the diagnosis and treatment of acute otitis media in children. Alberta Clinical Practice Guidelines Program 2000.
World Health Organization. Prevention of hearing impairment from chronic otitis media. Report of a WHO/CIBA foundationworkshop.1998. https://apps.who.int/iris/handle/10665/63870
Hunter L. Uvulectomy- the making of a ritual. South African Medical Journal. 1995; 85(9): 901-2.
Katz SS. Uvulectomy: A common ethno-surgical procedure in Africa. Medical Anthropology Quaterly. 1989; 3:62-69. DOI: https://doi.org/10.1525/maq.1989.3.1.02a00050
Elinor A. Clinical pearl: Uvulectomy.1996. http://ethnomed.org/clinical/mother-and-infant-care/pearl1. Assessed June 2012.
Ibekwe TS, Nwaorgu OG. Classification and management challenges of otitis media in a resource-poor country. Niger J Clin Pract. 2011; 14: 262-9. DOI: https://doi.org/10.4103/1119-3077.86764
Eziyi JAE, Amusa YB, Akinpelu OV. Prevalence of Otolaryngological diseases in Nigerians. East and Central African Journal of Surgery. 2010; 15(2): 85-89.
Araoye MO. Research Methodology with statistics for health and social sciences. Nathadex, Ilorin Nigeria. 2004: 115-124.
Ajibade BL, Okunlade JO, Kolade OA. Harmful cultural practices: parents perceived effects of traditional uvulectomy on the under-five children in Jigawa state, Nigeria. IOSR Journal of dental and Medical sciences. 2013; 9(5): 08-13. DOI: https://doi.org/10.9790/0853-0950813
D’Mello J, Kumar S. Audiological findings in cleft palate patients attending speech camp. Indian J Med Res. 2007; 125(6): 777-782.
Tuncbilek G, Ozgur F, Belgin E. Audiologic and tympanometric findings in children with cleft palate and lip. Cleft palate-Craniofacial journal. 2003; 4(3): 304-309. DOI: https://doi.org/10.1597/1545-1569_2003_040_0304_aatfic_2.0.co_2
Handzic-cuk J, Cuk V, Gluhinic M, Risavi R, Stajner-Katusic S. Tympanometric findings in cleft palate patients: influence of age and cleft type. The Journal of Laryngology and Otology. 2001; 115(2): 91-96. DOI: https://doi.org/10.1258/0022215011907668
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.