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- ItemOpen AccessDo Health-Seeking Populations Know the Link Between Human Papillomavirus and Oropharyngeal Cancer? A Cross-Sectional Study in a Nigerian Population(SAGE, 2021-04) Erinoso, O; Ayodele, A; Odukoya, O; Obigbesan, K; Alli, B; Castano, B; Gbotolorun, O.M.Background: The human papillomavirus (HPV) has been causally linked to oropharyngeal cancers. The extent to which the pop ulation is aware of this link has not been explored in Nigeria. We aim to investigate the knowledge of the link between HPV and oropharyngeal cancers in a health-seeking population in Nigeria. Methodology: We used a cross-sectional study design, with a multi-stage sampling method comprising a cluster of four health facilities and first-time adult patients attending the general outpatient clinics of the selected health facilities. An interviewer-administered questionnaire was be used to obtain demographic information, social history, HPV awareness, HPV vaccination and the link between HPV and oropharyngeal cancer. Results: A total of 1,000 respondents completed the survey from four health facilities in Lagos, Nigeria. Majority of respondents were below 40 years (61.5%), and female (53.4%). About 13.4% of the study population were aware of HPV, and 7.9% of HPV vaccines. The most common source of HPV information for respondents who were aware of HPV was the internet (65.4%). Only 7.7% of respondents knew the link between HPV and oropharyngeal cancer. Significant predictors of knowledge of the link between HPV and oropharyngeal cancer were higher education [p: 0.012], higher overall knowledge of HPV risk factors and complications [p: 0.000]; and awareness of HPV vaccine [p: 0.020]. Conclusions: Our findings suggest a lack of public knowledge of the link between HPV and oropharyngeal cancer. These findings could inform health promotion measures for oropharyngeal cancer, particularly for groups where knowledge is lowest
- ItemOpen AccessExtraoral Extraction of Ectopic Left Mandibular Ramus Impacted Cystic Third Molar(2018-04-16) Ayodele, AOS; Castano, BO; Gbotolorun, O.M.; Dawodu, TT; Bakare, OBE; Adeniyi, AAExtra-oral disimpaction of ectopically placed third molar is an exceptional surgical procedure. Though ectopic impacted third molar more often is an accidental clinical finding when asymptomatic but may present as an idiopathic facial pain. This patient presented with left ectopically placed third molar in the mandibular ascending ramus and right distoangularly impacted third molar both associated with a dentigerous cysts. The positions of the impacted teeth were the determining factor in choice the surgical approach employed to extract the impacted teeth.
- ItemOpen AccessImpacted Third and Fourth Molars: A Case Series(2020) Castano, BO; Gbotolorun, O.M.; Olojede, ACO; Ayodele, AOSWe present short literature review, summary of patients’ clinical presentations and radiological images of a case series of impacted mandibular fourth molars. Supernumerary impacted mandibular molars are a rare dentofacial anomaly, which are usually accidental clinical findings when asymptomatic. These may result from the dichotomy of toothbud or extra tooth-bud formation during dentition evolution.
- ItemOpen AccessNeural complication of third molar Surgeries: Review of management(2020-11) Adamson, O; Erinoso, O; Gbotolorun, O.M.The surgical extraction of the mandibular third molar is one of the most common procedures performed by the oral and maxillofacial surgeon. it carries a risk of injuries to both the lingula (LN) and the inferior alveolar (IAN). Horizontal impaction is the most implicated in IAN damage while distoangular impaction in LN damage. LN complications occur at a prevalence of 0.1 to 22%, compared to IAN which occurs at 0.26% to 8.4%. Complications to the IAN and LN can result in disturbances presenting as sensory loss, painful sensation, altered taste and speech and ultimately affecting the patient's quality of life Assessment of the nerve injury can be through objective or subjective testing. Objective tests for IAN include two-point discrimination tests, brushstroke direction, light touch test and thermal test. While for LN an objective assessment include the taste stimulation tests. treatment of nerve injuries involves both non surgical and surgical therapy. Non-surgical therapy includes low level laser therapy, acupuncture and adjunct therapies. Adjunct therapies include the use Vitamin B complex, which promotes neural regeneration as wellas sensory re-education therapy, which is a cognitive behavioral technique which can partly compensate foe som of the functional loss associated with nerve injury. Surgical therapies include direct suturing( neurorrhaphy), neurolysis and autogenous graft of nerve. Surgical therapies are the most preferred and optimal result is obtines when done within 3-6 months
- ItemOpen AccessAssault relted Maxillofacial injuries in Nigeria: A review of literature(2020) Oluwarotimi, A.C.O; Emeka, C.I; Gbotolorun, O.M.Texts attached