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Search Results: 1 - 10 of 19838 matches for " Alexander Acheampong Oti "
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Orofacial Cysts at Komfo Anokye Teaching Hospital, Ghana  [PDF]
Alexander Acheampong Oti, Peter Donkor, Osei Owusu-Afriyie
Surgical Science (SS) , 2013, DOI: 10.4236/ss.2013.41011

Background: Information about orofacial cysts from African populations is scarce and there are only a few studies available regarding the prevalence of these lesions in the West African sub-region. The purpose of the present study is to determine the distribution and prevalence of all histologically diagnosed orofacial cysts in Kumasi, Ghana. Aim: To determine prevalence, sex, age and anatomic distribution of orofacial cyst seen at the oral and maxillofacial unit in Komfo Anokye Teaching hospital (KATH). Method: This is a retrospective study, which examined histologically diagnosed lesions including orofacial cysts. The study duration was from 1999 to 2010 September inclusive. Results: There were 37 odontogenic cysts constuting 6.5%, of all orofacial lesions. There were 18 non-odontogenic cysts i.e. 3.1% of all lesions diagnosed during the study period. The odontogenic cysts comprised 19 (51.4%) developmental cysts and 18 (48.6%) inflammatory cysts. Male-to-female ratio for the orofacial cysts was 1:1 and the mean age was 36.7 years. Conclusion: There is low prevalence of the odontogenic cysts, which is consistent with findings from other African studies. Although radicular cysts accounted for the majority of orofacial cysts in this study, the prevalence of radicular cysts is low compared to reports from developed countries.

Salivary Gland Tumours at Komfo Anokye Teaching Hospital, Ghana  [PDF]
Alexander Acheampong Oti, Peter Donkor, Solomon Obiri-Yeboah, Osei Afriyie-Owusu
Surgical Science (SS) , 2013, DOI: 10.4236/ss.2013.42026

In African studies on salivary gland tumours, there are considerable epidemiological differences in different parts of the continent. There is no study of salivary gland tumours from the second largest hospital in Ghana, Komfo Anokye Teaching Hospital. Aim: This study was to look at the prevalence and demographic distribution of salivary gland tumours at the Komfo Anokye Teaching Hospital (KATH). Method: Histopathologically diagnosed salivary gland tumours of consecutive patients were evaluated. The study duration was from 1999 to 2010 October. Result: The total number of salivary gland tumours were 121. Male to female ratio was 1.75:1. Out of the total of 34 salivary malignancies seen, male to female ratio was 1.8:1. Malignant tumour was 28.1% while 71.9% were benign. Mean age for malignancy was 53.5 years (SD = 9.7) and that for benign was 35.5 years (SD = 8.2). Conclusion: The commonest benign tumour of the parotid was Pleomorphic adenoma (48.3%) which is consistent with most of the African and western reports. Warthin’s tumour prevalence was higher than most of the studies from Africa.

Concordance between Clinical and Histopathological Diagnoses at Komfo Anokye Teaching Hospital Oral and Maxillofacial Unit  [PDF]
Alexander Acheampong Oti, Peter Donkor, Solomon Obiri-Yeboah, Michael Yelibora
Surgical Science (SS) , 2013, DOI: 10.4236/ss.2013.43039

Background: Accurate diagnosis of orofacial tumours is important as this determines the treatment options as well as the eventual treatment outcome. Agreement between clinical and histopathological diagnosis becomes important in this regard. Aims: The aim was to determine the level of agreement between clinical and histopathology diagnosis of orofacial lesions. Method: This is a retrospective study of all histopathology reports seen at KATH maxillofacial unit. Thedata collected included, clinical diagnosis and histological diagnosis. Results: A total of 567 histopathology reports were evaluated. The percentage of agreement between clinical and histopathological diagnosis was 62.8%. Conclusion: The agreement between clinical and histopathological diagnosis was high. However clinicians cannot rely on only the clinical diagnosis in managing patients.

Usage of Potential Teratogenic Chemical Preparations among Mothers of Children Attending the Multidisciplinary Cleft Clinic at the Komfo Anokye Teaching Hospital, Ghana  [PDF]
Alexander Acheampong Oti, Gyikua Plange-Rhule, Solomon Obiri-Yeboah, Daniel Kwasi Sabbah, Peter Donkor
Modern Plastic Surgery (MPS) , 2014, DOI: 10.4236/mps.2014.41003

Objective: The purpose of this study is to determine the usage of potential teratogenic chemicals among cleft lip and palate mothers attending a multidisciplinary cleft clinic at Komfo Anokye Teaching Hospital (KATH). Method: This is a retrospective study based on records of consecutive patients attending the multidisciplinary cleft clinic at KATH. Mothers of children with cleft lip and palate formed the study sample. Information on the use of chemical agents by the mothers either before or during the first three months of pregnancy was collected on to a specially designed form. The study period was from January 2006 to December 2012. Setting: The study was carried out in a multidisciplinary cleft clinic at Komfo Anokye Teaching Hospital in Ghana. The clinic is the main referral centre for the northern sector of Ghana for cleft lip and palate care. Results: Chemical preparations usage ranged from 0.2% for tobacco to 25.3% for skin lightening creams. Other agents used include, enema, non-proprietary concoctions and prednisolone tablets. 2.1% of the mothers ingested alcohol during pregnancy. Conclusion: There is a high level of usage of potentially teratogenic chemicals among cleft mothers attending the multidisciplinary cleft lip and palate clinic at the Komfo Anokye Teaching Hospital in Ghana. Further studies are, however, required to clarify any relationship this may have with the development of orofacial clefts.

Carious Nasal Tooth: A Case Report from the Oral and Maxillofacial Unit of Komfo Anokye Teaching Hospital  [PDF]
Alexander Acheampong Oti, Sabbah Daniel Kwasi, Siale Edem Edward, Gyimah Nana Tuffor Ampem
Open Journal of Stomatology (OJST) , 2014, DOI: 10.4236/ojst.2014.46044
Abstract: Ectopic teeth erupting in the nasal cavity are a rare occurrence. This may present with varying degree of morbidity. We present a very rare occurrence case report of an ectopic carious tooth in a nasal cavity. The upper left central incisor was congenitally missing and patient thought it was a form of diastema. Her chief complaint was painful whitish growth in the floor of her left nose with foul smelling mucoid discharge. The learning experience in this case report is that, in conducting examination for a missing upper incisors, the floor of the nose must be included. A further research is needed to establish the actual pathogenesis involved in cariogenesis in the nasal cavity.
A Six-Year Review of Head and Neck Cancers at the Komfo Anokye Teaching Hospital, Kumasi, Ghana  [PDF]
Rita Larsen-Reindorf, Osei Owusu-Afriyie, Alexander Oti Acheampong, Isaac Boakye, Baffour Awuah
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2014, DOI: 10.4236/ijohns.2014.35050
Abstract: Background: In Ghana, information on the prevalence and pattern of Head and Neck Cancers (HNCA) is scarce. There are few publications based on specific sub-sites of the head and neck, however, literature on the prevalence and pattern of HNCA in general is lacking. The present study aimed to describe the pattern of HNCA among patients seen at the multidisciplinary HNCA clinic of Komfo Anokye Teaching Hospital. Methods: This is a retrospective review of all consecutive patient records seen at the multidisciplinary clinic from 2004 to 2009. Results: There were 149 males and 103 females giving a male to female ratio of 1.45:1. The age range was 2 - 95 years with a mean of 48.1 years. The commonest type of HNCA in this review is cancers of the oral cavity (29.4%), followed by accessory sinuses (13.9%) and larynx (13.5%). Nasopharyngeal cancer affected young people, with 34.5% of affected patients aged between 10 and 19 years. The commonest histopathological type was squamous cell carcinoma (49.6%). Majority (47.6%) of patients presented at stage IV. Conclusion: The commonest HNCA is oral cancer. Majority of patients with HNCA are presenting late calling for public health education to raise awareness and promote early detection.
Orofacial Human Bite: A Six Year Review of Cases from Komfo Anokye Teaching Hospital  [PDF]
Alexander Oti Acheampong, Mohammed Duah, Richard Selormey, Peter Donkor, Daniel Bankas
Open Journal of Stomatology (OJST) , 2016, DOI: 10.4236/ojst.2016.68023
Abstract: Background: The orofacial region of the human body is usually not protected during a fight, making it prone to several injuries including human bite. Patients with human bite injury are often either intoxicated or are known to their assailant, and this makes the process of obtaining a reliable history especially about the aetiology difficult. In 2002, a study estimated the rate of infection secondary to human bite to be about 10%. Aim/Objective: The aim of the current study was to have a general overview of orofacial human bites seen at our unit including the aetiology, presentations, anatomic location, treatment and the treatment outcome. Results: Total number of cases was 127 over the six year period. Age range for females was 15 - 61 years with an average of 29.9. Age range for males was from 17 to 60 years and an average of 30.2 years. There were 31 males and 96 females, giving a male to female ratio of approximately 1:3. All of the reported cases resulted from a fight. Most of the offenders are known to the patients. Majority of the cases, except those infected at the time of presentation, were treated on the same day of presentation under local anaesthesia. Relationship of victim to the offender: Spouse/sexual partners were 21, rivals formed 70, known persons to the victim were 26 and strangers were 10. Sex distribution of offenders and victims: Females who bit females were 86 followed by females who bit males (24), males who bit females (10) and males who bit males (7). Conclusion: Most of the offenders are known to the patients. Majority of the cases, except those infected at the time of presentation, were treated on the same day of presentation under local anaesthesia after they had received antibiotics and anti-tetanus prophy-laxis. Early repair is now the recommended mode of treatment for human bites of the orofacial region, accompanied with good oral hygiene instructions and broad spectrum antibiotics and metro-nidazole.
Mandatory Pre-Employment Medical Examination—The Practice and the Law: Is It Justifiable?  [PDF]
Adomako-Kwakye Chris, Alexander Oti Acheampong, Akwasi Antwi-Kusi, Emmanuel Ameyaw
Beijing Law Review (BLR) , 2017, DOI: 10.4236/blr.2017.81001
Abstract: “An employee shall not in respect of any person seeking employment, or of persons already in his employment; discriminate against the person on grounds of gender, race, colour, ethnic origin, creed, social or economic status, disability or politics” (Section 14(e) of the Labour Act 651). The aim of this study is to evaluate the process of pre-employment medical report examinations, the law and the practice—in some public institutions in Kumasi. This study was conducted in two major public institutions in the Kumasi metropolis. The identities of respondents will remain confidential so as to maintain anonymity. Three groups of respondents were used in the study (Group 1: Employees who were employed within the past 5 years. Group 2: Eight medical doctors who have been mandated to conduct and write medical reports of prospective employees. Group 3: Ten senior human resource staff members of the two aforementioned public institutions). Each group was asked specific questions related to the process of medical examinations and the laws of employment. Responses were analyzed and reported descriptively using SPSSII. All respondents from Group 1 were asked to submit to a medical examination commencing work. Sixty-five (65%) percent of respondents in Group 2 indicated that they were unaware of the job description of a prospective employee at the time of examination. All members in Group 3 indicated that the medical examination results of applicants are kept on their personal files, which are accessible to other human resource personnel. Based on the above section of the Labour Act of 2003, it is our assertion that there is no legal basis for the mandatory request of medical examination reports of prospective employees. Again, the medical reports do not always take into consideration the job description of the prospective employee. Therefore, reliance on a medical report to determine the fitness of a prospective employee for a particular job is not based on fair evaluation and thus not justifiable for the institutions studied.
Adult Cleft Lip Repair under Local Anaesthesia: The Ghana Experience  [PDF]
Solomon Obiri-Yeboah, Micheal Yeliborah, Alexander Oti Acheampong, Samuel Kodjo Ansah, John H. Grant, Peter Donkor
Modern Plastic Surgery (MPS) , 2016, DOI: 10.4236/mps.2016.64005
Abstract: Background: Unlike developed countries where adult primary cleft lip and palate cases are barely nonexistent, developing countries still have a backlog of adults with unrepaired cleft lip and palate. Method: A retrospective review of adult/adolescent cleft lip repair under local anesthesia was performed between 2012 and 2015. Results: Fifty six (56) adolescent and adults were seen comprising 35 females and 21 males. Forty two patients presented with unrepaired unilateral cleft lip of which only 6 were complete; 4 were unrepaired bilateral cleft lip and 10 were revisions. The lowest age was 13 years (two patients) and the highest age was 66 years (one patient). The mean weight was 54 kg. The mean anaesthetic time including waiting time was 12.94 minutes and mean operation time was 56.52 minutes. Majority of the patients were discharged same day except for five who needed to stay overnight because of distance from their home. There were no reported early postoperative complications and wound healing was uneventful for all the patients. Conclusion: Cleft lip repair in adults under local anesthesia is safe, effective and less expensive. A modification in technique with minimal dissection and efficiency is essential in such cases.
Immunisation Status of Children Born with Orofacial Clefts Who Visited the Komfo Anokye Teaching Hospital (KATH) Multidisciplinary Cleft Clinic  [PDF]
Alexander Oti Acheampong, Alex Ansah Owusu, Ama Amuasi, Philippe Pare, Sandra Oyakhilome, Baffour Gyau-Darko, Gyikua Plange-Rhule, Peter Donkor
Open Journal of Immunology (OJI) , 2016, DOI: 10.4236/oji.2016.64015
Abstract: Background: The Ghana Expanded Programme on Immunisation recommends that children receive Bacillus Calmette-Guerin (BCG) and Oral Polio Vaccine (OPV) at birth; three doses of Penta vaccine and OPV at 6, 10 and 14 weeks of age; and measles vaccine at 9 months of age. Aim/Objective: To evaluate the immunisation status of children born with orofacial clefts who visited the KATH multidisciplinary Cleft clinic. Methodology/Statistics: The study was a descriptive study with a cross-sectional design. The methodology consisted of in-person interviews of mothers of children born with cleft lip and palate reporting at KATH Cleft clinic. Interview guides were used for mothers who could not read. Mothers who were literate and as such could answer the questions directly were given questionnaires to fill. Result: It was reported that of the 83 children included, 47 (57%) had been fully vaccinated and on time, 24 (29%) had been fully vaccinated but delayed and 12 (14%) had not been vaccinated at all. Children with isolated cleft palate and macrostomia were fully vaccinated on time (77.3% and 100%, respectively) as compared to those with combined cleft lip and palate (43.3%) and isolated cleft lip (50.0%). The majority (77%) of the mothers who either had not vaccinated their children or had delayed in vaccinating them attributed stigmatisation as the main cause. Most of the mothers (95%) had knowledge of immunisation. About two-thirds of the mothers (65%) agreed that establishing an immunisation centre at the cleft clinic is the best way to improve immunisation rate among children with orofacial clefts. Conclusion: The study showed that the percentage of children with orofacial cleft who visited the KATH Cleft Clinic and were vaccinated on time was above the national average. Cleft palates were more vaccinated and on time than cleft lips. According to the children’s mothers, lack of timely vaccination was mainly due to the stigma associated with clefts in their societies.
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