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East and Central Africa Journal of Otolaryngology, Head and Neck Surgery July, 2020 ISSN 2664-0376 Volume 4, No

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East and Central Africa Journal of Otolaryngology, Head and Neck Surgery July, 2020 ISSN 2664-0376 Volume 4, No East and Central Africa Journal of Otolaryngology, Head and Neck Surgery July, 2020 ISSN 2664-0376 Volume 4, No. 2 Contents Overview of articles in this issue Editorial: Challenges of otolarygology practice in the Covid-19 era Gikonyo M .....................................................................................................................................................................Contents 1 Editorial Editor's note: Making a life Gitonga S .................................................................................................................................................................... 2 Epstein barr-virus and human papillomavirus co-infection in nasopharyngeal Fromcarcinoma the edito patientsr’s desk at Kenyatta National Hospital, Kenya GitongaAswani S ........................................................................................................................ JM, Anzala O, Mwang’ombe JN ................................................................................................................................................................... 3 2 AuditEffect of patternof the starkey of E.N. hearingT. diseases foundation in phasea specialist 4 intervention clinic onin speech,a rural hospital in Kenyalanguage and audition on pupils living with hearing impairment in Kochi; Machariaa quasi IM, G controlledakuo KC ............................................................................................................................. trial ................................ 3 Lawal L, Buttars C, Prem Nair, Pillai S, Sarath PV, Larsen J ....................................................................... 8 QualityNonvascular of life anatomicalof laryngectomees variants of temporalof a support bone asgroup depicted in Kenyaon high Aswaniresolution JM, Oburra computed HO, Irungu C tomographyW, Omutsani MM, done Menach in Nairobi, OP...................................................................................... Kenya 7 Onyango S, Mugwe P, Thinwa J ............................................................................................................................ 17 Health seeking behaviour among hearing loss patients attending KenyattaKnowledge National and practices Hospital of tracheostomy care in Kenyatta National Hospital: Haji AMclinical ....................................................................................................................... audit ................................................................. 11 Mokoh L, Gitonga S ................................................................................................................................................ 25 PeduculatedHypopharyngeal oropharyngeal cancer in an cystadolescent presenting maasai withmale: upperan unusual airway case report obstruction:Chumba U, Okerosi case S,report Gitonga S ...................................................................................................................... 29 MutisoNovel DM, Kab techniqueugi J .......................................................................................................................... for tongue suspension: a case report ....................................... 15 AestheticMusyoka DMoutcomes ........................................................................................................................................................... in facial nerve palsy treated with botulinium toxin 32 injections:How businesses case report have kept afloat during Covid-19 and lessons learnt from Gitongathe S, pandemic Omamo-Olende C, Nyagah SM ......................................................................................................................... 19 Steve Muga ............................................................................................................................................................ 36 ArteriovenousPeer reviewers malformation of the issue ............................................................................... of the tongue: case report 40 Aswani JM, Menach OP, Vilembwa A, Khainga SO, Nangole MW, Kahoro L, Oburu E .............................................. 23 Authors guidelines ............................................................................................ 41 Authors guidelines ................................................................................................................................................ 26 Published by Kenya Ear Nose & Throat Society (KENTS) East and Central Africa Journal of Otolaryngology, Head and Neck Surgery | Vol. 4(2); 2020 a Editorial Board Editor-in-Chief Dr. Sophie Gitonga, MBChB, MMed (ENT), Kenyatta National Hospital and Nairobi AssistantEditorial Editor Board Dr. Peter Ochungo, MBChB, MMed (ENT), Makueni Referral Hospital and Hope ENT Clinic Editor-in-Chief Members Dr. Sophie Gitonga, MBChB, MMed (ENT), aa aa a a a Dr. Samuela Nose Nyagah a a, MBChB, MMed a (ENT), a Kenyatta National Hospital and Nairobi Ear Nose and Throat Clinic, Nairobi, Kenya Assistant Editor Dr. CyrusDr. Peter K Gakuo, Ochungo, MBChB, MMed (ENT), Jomo Kenyatta University a ofa Science & Technology and Prodigy Ear Nose and Throat Clinic, Nairobi, Kenya Members Dr. SamuelDr. Samuel Gathere, Nyagah MBChB,, MBChB, MMed MMed(ENT), (ENT),Kenya Medical aa Research aa Institute, a Nairobi, a a Kenya Dr. Iana Macharia, a MBChB, a MMed a (ENT), Kangundo a Level 4 Hospital, Machakos, Kenya Dr. SamuelDr. Wahome N Okerosi Karanja, MBChB,, MBChB, MMed MMed(ENT), (ENT),Machakos a Level 5 Hospital, in Rhinology Kenya a Dr. Joyce Aswani, a MBChB, a aMMed (ENT), aFellow Head a and Neck (SA), Thematic Head, ENT Department, School of Medicine, University of Nairobi, Kenya Dr. Cyrus K Gakuo, MBChB, MMed (ENT), aa Dr. ClemenceTechnology Chidziva, a MBChB, a FC aORl, a Department aof Surgery, a Faculty of Medicine, University of Zimbabwe, Harare Eye, Ear, Nose and Throat institute (HEENT), Zimbabwe Dr. Owen Menach, MBChB, MMed (ENT), a a Neck a a Dr. Asmeeta Patel, MBBS, MS (ENT) ENT, Head and Neck Surgeon, Aga Khan University Hospital Nairobi, Kenya a a a a a a Prof. IsaacDr. Samuel Macharia Gathere, MBChB, MBChB, MMed MMed (ENT) Senior a Lecturer a aand Consultant, aDepartment a of Surgery, School of Medicine, University of Nairobi and Nairobi Ear Nose and Throat Clinic, Nairobi,Dr. Kenya Ian Macharia MMed a 4 a aa a Dr. WakisaDr. Samuel Mulwafu, N Okerosi PhD (University MMed of Bergen), aa FCORL (SA), 5 MBBSa (Malawi), a Associate Professor, College of Medicine, University of Malawi, Blantyre, Malawi Dr. MukaraDr. Joyce Kaitesi Aswani,, MBChB, MMed (ENT)MSc a(Audiology) a . University of Rwanda, Humanhood Clinics a Kigali, a Rwanda Correspondence to be addressed to: a n-Chief a a a a a a a a 29784 a 00202 a a aaaa 0722 867302 East and Central Africa Journal of Otolaryngology, Head and Neck Surgery | Vol. 4(2); 2020 EDITORIAL EDITORIAL: CHALLENGES OF OTOLARYGOLOGY PRACTICE IN THE COVID-19 ERA The pandemic spread of the SARS-CoV-2 Coronavirus considered to avoid interacting with Covid-19 ‘happy and its Covid-19 illness has upended the lives of hypoxia’ patients. Clinic staff can wear PPEs and usher billions of people around the world. This has disrupted the patient to see the doctor who may be on full PPEs, society, sent students home, shuttered businesses and gloves, googles and face-shields but a Hazmat Suit is has had economic ramifications reaching far beyond thought both impractical and unnecessary in a clinic its morbidity and mortality. Today even two year old outpatient setting. children in Africa have some knowledge of the value Careful history taking is important and watch out of social distancing, wearing masks and washing hands for patients with chronic conditions who talk of recent in the prevention of Covid-19. worsening of symptoms. A patient complaining of The impact of the Covid-19 pandemic on feeling very unwell, worse than she has ever felt may otolaryngological practice has been considerable. require careful handling and a Covid-19 test. Take an Otolaryngologists can actually tell the severity of the interest in the family and social history: attendance to Covid-19 waves and Covid-19 storms where infection funerals and social gatherings followed by illness is rates rise in the community by the events occurring in telling. The ENT physical examination has become a their own practices. As the case positivity rates rise, professional hazard that is not to be approached lightly. patients present with overt symptoms of Covid-19 Every time you ask a patient to remove their mask for illness including anosmia, dysgeusia, ageusia, dry an examination of their nose and throat is potentially coughs, fever and general malaise. With worsening a Covid-19 spreading moment. One is not to examine Covid-19 storm causing rising deaths, the numbers the throat unless it is deemed completely necessary. of patients seeking treatment fall precipitously, Medical management of otolaryngological with patients fearful of Covid-19, avoid healthcare conditions will continue to play a pre-eminent role. providers. How is the ENT practitioner handling this Elective surgical procedures have been greatly Covid-19 era and how can we prepare ourselves to be curtailed by lockdowns, theatre closures, and hospital both safe and effective in management of our patients? policies affected by the pandemic. Both patients and The use of technology in booking patients prior to their doctors remain cautious
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