Introduction: Patients with mental deficiency have increased health needs. They develop certain ailments more than the rest of the general population. ENT pathology includes all the ailments concerning the nose, throat and ear and is a frequent reason for consultation in our health facilities. The aim of this study was to report the prevalence of ENT diseases in mental deficient. Material and Methods: This was a prospective, longitudinal study on a population of patients received in ENT consultation, during the days of October 15, 2019 and February 18, 2020 on the occasion of health campaigns organized by the Senegal Special Olympics Association. All admitted patients were mental deficient. Results: Out of a total of 334 patients received in general consultation (all specialties combined), 61 patients underwent an ENT consultation, i.e. a prevalence of 18.26%. There were more men (N = 39) than women (N = 32). The average age of the patients was 20 years. A past history of chronic otitis media was reported in 9.83% of patients (N = 6). Functional signs were dominated by hypoacusis (N = 16). Seventy point forty-nine patients (N = 43) had otologic conditions. Thirty-four patients had trisomy 21 (64.15%). Conclusion: The prevalence of ENT diseases among the mental deficient is considerable. This study is the first of its type in Senegal which superimposes the ENT on mental deficiency.
References
[1]
Lyon, G. and Evrard, P. (2000) Neuropediatrics. 2nd Edition, Masson, Paris.
[2]
Bartholome, C., et al. (2009) The Inclusion of Children with Disabilities in Early Childhood Care Settings. Training Guide for Professionals Working in Early Childhood 0-3 Years. https://www.fileasbl.be/membres/wp-content/uploads/2015/12/FILE_Guide-inclusion.pdf
[3]
Henry, K. and Cheung, P.W.H. (2007) Co-Morbidity of Psychiatric Disorder and Medical Illness in People with Intellectual Disabilities. Current Opinion in Psychiatry, 20, 443-449. https://doi.org/10.1097/YCO.0b013e3282ab9941
[4]
Morin, D., Mérineau-Côté, J., Ouellette-Kuntz, H., Tassé, M.J. and Kerr, M. (2012) A Comparison of the Prevalence of Chronic Disease among People with and without Intellectual Disability. American Journal on Intellectual and Developmental Disabilities, 117, 455-463. https://doi.org/10.1352/1944-7558-117.6.455
[5]
Buntinx, W., Cans, C., Colleaux, L., Courbois, Y., Debbané, M., et al. (2016) Déficiences intellectuelles. [Rapport de recherche] Institut national de la santé et de la recherche médicale(INSERM). 2016, Paris: Inserm: Editions EDP Sciences (ISSN: 1264-1782), 1420.
[6]
Héron, D. and Jacquette, A. (2009) How to Explore an Intellectual Disability in Adults? Neurologie.com, 1, 219-222. https://doi.org/10.1684/nro.2009.0111
[7]
Abdel, D. (2015) Profile of ENT Consultations in the Provinces. Case of Sissako Hospital: Epidemiological, Clinical and Therapeutic Aspects. University of Bamako, Bamako.
[8]
ANESM: National Agency for the Assessment and Quality of Social and Medico-Social Establishments and Services (2017) Quality of Life: Handicap, Somatic Problems and Painful Phenomena. Guide to identifying somatic problems. https://www.has-sante.fr/upload/docs/application/pdf/2018-03/guide_des_problemes_somatiques.pdf
[9]
Artières, F. and Niango, G. (2010) ENT Pathologies and Trisomy 21. https://www.reseau-maladies-rares.fr/uploads/Les_pathologies_ORL.pdf
[10]
Sall, A. (2008) Treatment of the Mental Deficient Children Treated at Keur Xaleyi (Centre National Hospitalier Universitaire de Fann). Advanced Studies Diploma Thesis. Faculty of Letters and Human Sciences. Cheikh Anta Diop University, Dakar.
[11]
RGPH 3, National Results Presentation Report, ANDS. December 2006, p.72. http://www.ansd.sn/ressources/rapports/RGPH3_RAP_NAT.pdf
[12]
Special Olympics Senegal. Who Are We?—Special Olympics Senegal. https://www.specialolympics.sn/qui-sommes-nous/
[13]
Safiatou, L. (2009) Study of Mental Deficiency in Children Aged 3 to 60 Months. Doctoral Thesis in Medicine. FMPOS. University of Bamako, Bamako.
[14]
Baxter, H., Lowe, K., Houston, H., Jones, G., Felce, D. and Kerr, M. (2006) Previously Unidentified Morbidity in Patients with Intellectual Disability. British Journal of General Practice, 56, 93-98.
[15]
Cooper, S.A. and Bailey, N.M. (2001) Psychiatric Disorders amongst Adults with Learning Disabilities: Prevalence and Relationship to Ability Level. Irish Journal of Psychological Medicine, 18, 45-53. https://doi.org/10.1017/S0790966700006315
[16]
Janicki, M.P., Davidson, P.W., Henderson, C.M., et al. (2002) Health Characteristics and Health Services Utilization in Older Adults with Intellectual Disability Living in Community Residences. Journal of Intellectual Disability Research, 46, 287-298. https://doi.org/10.1046/j.1365-2788.2002.00385.x
[17]
O’Brien, G. (2001) Defining Learning Disability: What Place Does Intelligence Testing Have Now? Developmental Medicine & Child Neurology, 43, 570-573.
[18]
van Schrojenstein Lantman-de Valk, H.M.J., Metsemakers, J.F.M., Haveman, M.J. and Crebolder, H.F.J.M. (2000) Health Problems in People with Intellectual Disability in General Practice: A Comparative Study. Family Practice, 17, 405-407. https://doi.org/10.1093/fampra/17.5.405
[19]
Jansen, D.E.M.C., Krol, B., Groothoff, J.W. and Post, D. (2004) People with Intellectual Disability and Their Health Problems: A Review of Comparative Studies. Journal of Intellectual Disability Research, 48, 93-102. https://doi.org/10.1111/j.1365-2788.2004.00483.x