Papers by Akinola Ladeinde
Nigerian quarterly journal of hospital medicine, Sep 16, 2005
PubMed, Jan 11, 2013
Objective: The aim of this study is to establish the pattern and actiology of mid-facial fracture... more Objective: The aim of this study is to establish the pattern and actiology of mid-facial fractures, of patients seen and treated at the Lagos University Teaching Hospital, Lagos, Nigeria over a 5-year period. Materials and methods: All cases of midfacial fractures diagnosed and treated at the Department of Oral and Maxillofacial Surgery, Lagos University Teaching Hospital (LUTH), Lagos between January 2004 and December 2008 were reviewed. Data collected from case records of patients included age, sex, aetiology of fracture, anatomic site of fracture, associated maxillofacial fracture, types of treatment and postoperative complications. Results: The leading cause of mid-facial fractures was road traffic crashes (RTC) which occurred in 93% of highest incidence of mid-facial fractures (36.5%) occurred in the age group of 21-30 years and the lowest in the age group of 60 years and above (2.6%); with male preponderance in nearly all age groups. Female patients were significantly younger than their male counterparts (P=0.000). The most common site of mid-facial bone fractures was the zygomatic complex (n=89, 44.5%), followed by dento-alveolar (n=26, 13%), and Le fort II (n=23, 12%). Conservative management of the fractures was employed in 2.6% (n=4) of the cases while 97.4% (n=152) of the patients required surgical, intervention Conclusions: Mid-facial fractures were most common in the 3rd decade of life; with a male-to-female ratio of 3.7: 1. Over 93% of the cases were due to road traffic crashes. Zygomatic complex was the most commonly fractured site. The fact that road traffic crashes still remain the major cause of mid-facial fracture in the studied environment is an indication that the enforcement of legislation to prevent road traffic crashes needs to be re-emphasised.
African Journal of Oral Health, Oct 15, 2004
The Cleft Palate-Craniofacial Journal, Nov 17, 2021
Objective: This study reviews the craniofacial clefts that presented at a Nigerian tertiary healt... more Objective: This study reviews the craniofacial clefts that presented at a Nigerian tertiary health facility, highlighting our experience with the pattern of presentation and surgical care of these patients. Design: A retrospective review of the smile train database and medical records of all individuals who had been diagnosed with any of the Tessier craniofacial clefts and managed between 1st January 2007 and 31st December 2020 was done. The data were presented as numbers and percentages of cases. Setting: The cleft clinic of a tertiary health facility and a major cleft referral center in SouthWest Nigeria. Results: Forty-five patients with craniofacial clefts were managed over the study period. 15.6% had associated syndromes, 2.2% had a family history of similar craniofacial cleft and 11% had a history of a possible teratogen. There were 21 (46.7%) middle clefts, 14(31.1%) lateral clefts and 10(22.2%) oblique clefts. The most common type of cleft was Tessier 0 while the Tessier 6 was the least common type. The median age at surgery was 10 months for male and 5months for female subjects, 15.3% complication rate was found in this study. Four patients had revision surgeries to correct residual deformities in this study. Conclusion: The diverse presentations and occurrence of the rare craniofacial clefts present complex aesthetic and functional problems that require individualized often multidisciplinary care. The execution of a properly planned treatment will reduce complications and the need for revision surgeries.
The Nigerian postgraduate medical journal, 2007
This study evaluates the performances at various levels of examinations from inception as a guide... more This study evaluates the performances at various levels of examinations from inception as a guide to the assessing how far the Faculty has been able to meet the objectives for which it was established and offer recommendations for repositioning the Faculty for future development. Results of the Fellowship examinations of the Faculty of Dental Surgery in the three examination levels from 1979 to 2002 (FMCDS) were retrieved. The data were analysed for gender, sub specialties of preference, number of attempts at Parts I and II levels and average duration of completion of the Fellowship programme. Between 1979-2002, 633 candidates sat for the Primary FMCDS examination, 262 (41%) were successful. In the Part I FMCDS examination 330 candidates sat for the examination from 1980-2002. 128 (39%) were successful, while at the Part II level 77 candidates sat for the examination, 43 (56%) were successful and 34 (44%) failed. 57(44.5%) and 30 (69.8%) passed the Part I & II respectively at first attempt, while 27 (21.1%) and 10 (23.3%) were successful in the Parts I and II respectively at the 2nd attempt. 39 (30.5%) and 5 (3.9%) were successful in the Part I examination at 3rd and 4th attempts, while 3(7.0%) were successful in the Part II FMCDS at 3rd attempt. The duration of training ranged from 6-7 years in over 50% of the candidates, mean of 7.5 years overall. The Faculty of Dental Surgery has had tremendous impact on the dental manpower need of the nation within the period under review.
PubMed, Mar 1, 2003
A case of angiosarcoma presenting simultaneously in the mandible and occiput is presented. The ma... more A case of angiosarcoma presenting simultaneously in the mandible and occiput is presented. The mandibular swelling was preceded by toothache for which the patient had tooth extraction, after which the rate of growth increased tremendously. It was not possible to determine without doubt which lesion presented first. The need to evaluate and investigate all cases of jaw swelling that require tooth extraction is emphasised. Angiosarcoma being a haemorrhagic lesion could be complicated life threatening haemorrhage, if a tooth related to it is extracted, as was experienced on incisional biopsy of this lesion. The procedure was accompanied by torrential bleeding which was only controlled after external carotid artery ligation. This, to our knowledge, is the first reported case of angiosarcoma occurring simultaneously in the mandible and occipital bones.
Journal of the West African College of Surgeons, Nov 18, 2022
Journal of West African College of Surgeons
Nigerian Journal of Orthopaedics and Trauma, 2012
Background: Statistics relating to mandibular fractures vary and is influenced by socioeconomic, ... more Background: Statistics relating to mandibular fractures vary and is influenced by socioeconomic, cultural and environmental factors prevailing in any given region. Objectives: The present study was aimed at determining the demographic and clinical characteristics of mandibular fractures at Aminu Kano Teaching Hospital, Kano over an 18-months period. Methods : Patients of all age groups that presented with mandibular fractures were consecutively examined. Information on epidemiologic and clinical characteristics were obtained and analyzed. P= 0.05 was considered significant. Results: Of the 113 patients who fulfilled the inclusion criteria, 87.6% were males and 12.4% were females. Ages of participants ranged from 5 to 70 years. Mean age for males was 27.88 ± 9.98 while it was 27.14 ± 19.37 for females (p>0.05). Overall more males (87.60%) sustained fractures than females (12.40%). Motorcycle - related accidents was responsible for 61.06% of mandibular fractures. Only 23.08% of pat...
Objective: To determine the contribution of gunshot to the aetiology of maxillofacial fractures a... more Objective: To determine the contribution of gunshot to the aetiology of maxillofacial fractures and its implication for management by the maxillofacial surgeon. Methods: This was a cross sectional study of maxillofacial injuries in a tertiary hospital in north central Nigeria between January 2015 and December 2017. One in every three patients with maxillofacial injuries was recruited for the study. Case notes were reviewed and only those who met the inclusion criteria were studied. A total of 123 patients were recruited for the study. Frequencies and percentages were used to present the pattern and the commonest causes of maxillofacial fractures. While aetiology was cross tabulated against patterns of maxillofacial fractures to determine the pattern of maxillofacial fractures in patients with the commonest aetiology. All analysis was carried out using the SPSS 22 software. Results: The study recruited 108 males (87.8%) and 15 (12.2%) females. Majority of the patients had primary ed...
Nigerian Journal of Surgical Research, 2004
Pan African Medical Journal, 2020
Introduction: primary maxillofacial tumors are uncommon in pediatric patients. When they do occur... more Introduction: primary maxillofacial tumors are uncommon in pediatric patients. When they do occur, the tissue damage caused directly alters facial growth, development as well as psycho-social evolution. This study was carried out to determine the pattern, sociodemographic characteristics and histologic peculiarities of paediatric jaw tumors in our environment. Methods: a retrospective hospital-based study where the case notes of children below the age of 14 years who presented with jaw tumors and tumor-like lesions from January 2014 to December 2018 were studied. Results: eighty-two patients were studied; patients aged 10-14 years had the highest representation. Mean time of presentation was 8 months with jaw swelling being the commonest presentation (84.1%). Majority of the fathers were in their 4 th decade of life while most of the mothers were in their third decade of life and both parents possessed primary school certificate as their highest level of educational attainment. Fathers were mostly traders, while mothers were mostly full-time housewives. The maxilla and mandible were most commonly affected with the left side showing higher preponderance. Burkitt lymphoma (19 (23.2%)) and adenomatoid odontogenic tumor (14 (17.1%)) were the commonest lesions. When the tumor involved both the maxilla and the mandible, the tumor was most likely malignant. Conclusion: in our center, paediatric jaw tumors are commonest in male children with the 10-14 years´ age group most commonly affected. Burkitt lymphoma and adenomatoid odontogenic tumors were the commonest tumors. Early presentation must be encouraged since these tumors if presented early can be successfully treated.
Nigerian Journal of Clinical Practice, 2001
Journal of The Korean Association of Oral and Maxillofacial Surgeons, Oct 31, 2021
Objectives: Despite treatment, the pre-traumatic facial appearance of patients with maxillofacial... more Objectives: Despite treatment, the pre-traumatic facial appearance of patients with maxillofacial fractures might not be able to be restored, and this difference can affect the person's quality of life (QoL). This study was designed to evaluate changes in QoL of people with maxillofacial fractures. Materials and Methods: The study population was comprised of participants with maxillofacial fracture and age-and sex-matched healthy controls without history of such fracture. QoL was measured using the World Health Organization Quality of Life BREF (WHOQOL-BREF) questionnaire, which was administered to the patients before treatment (Time 1), at 6 weeks post-treatment (Time 2), and at 12 weeks postoperatively (Time 3). The values were compared with those of healthy controls. The QoL was compared between closed reduction group and open reduction and internal fixation group. Results: The QoL scores of people with maxillofacial fracture before treatment were significantly lower (P=0.001) than those of healthy controls in all domains of the WHOQOL-BREF. The QoL scores in the psychological and social domains of patients with maxillofacial fracture at Time 3 were still lower than those of healthy controls (P=0.001). Conclusion: The QoL of patients with maxillofacial fracture was significantly reduced before treatment in all domains and remained reduced in both psychological and social domains weeks after treatment. Therefore, clinicians must be aware of and manage the residual psychosocial issues that can accompany the post-treatment period of maxillofacial injury.
The Nigerian medical practitioner, Jan 13, 2010
An unusual aetiology of maxillofacial injury: A case report.
Nigerian Journal of Clinical Practice, 2011
The submental / transmylohyoid intubation technique, as an alternative technique of airway manage... more The submental / transmylohyoid intubation technique, as an alternative technique of airway management in oral and maxillofacial surgery, and its modifications, have been widely reported in the literature since it was first described by Altemir in 1986. However, the technique is not yet popular in Nigeria and Africa in general. A report of two cases in which this technique was used in orofacial reconstruction is presented here. The surgical / anesthetic outcome was satisfactory. No complication was seen in the two cases, and healing of the submental wound was uneventful. Submental intubation is a reliable technique of alternative airway management in oral and maxillofacial surgery. The submental / transmylohyoid technique should be considered by both the anesthetist and the maxillofacial surgeon in challenging cases, where an alternative airway technique is required for maxillofacial surgery.
The Nigerian postgraduate medical journal, 2005
Large complex odontomas of the jaws are rare. A report of a large complex odontoma of the mandibu... more Large complex odontomas of the jaws are rare. A report of a large complex odontoma of the mandibular angle-ramus region enucleated through intra-oral buccal approach is presented. A review of the literature on different modalities of treatment is also undertaken. A large expansile complex odontoma of the angle-ramus region of the mandible was excised through an intraoral buccal approach under general anaesthesia. Recovery and immediate post-operative period were uneventful. There was no altered sensation in the distribution of the inferior alveolar nerve and lingual nerve; and wound healing was satisfactory. Post-operative radiograph 2 years after the operation showed satisfactory bone regeneration. Intraoral buccal approach to large complex odontomas of the angle-ramus region of the mandible is a relatively safe procedure with minimal complication.
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Papers by Akinola Ladeinde