Communication
Thyroid Surgery in a Conflict Zone: A Year-long Review at the Timbuktu Regional Hospital
Idrissa Konate,
Oumar Konate*
,
Boubacar Sidiki Diamoutene,
Aboubacrine Wangara,
Kassogue Djibril,
Boubacar Sanogo,
Abdoulaye Oumar Bakayoko,
Tata Toure,
Zacharia Traore,
Fatogoma Issa Kone,
Mohamed Amadou Keita
Issue:
Volume 12, Issue 2, December 2026
Pages:
40-44
Received:
5 June 2026
Accepted:
22 June 2026
Published:
10 August 2026
DOI:
10.11648/j.ijo.20261202.11
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Abstract: Objective: To study cases of thyroidectomy in war situations at the Timbuktu hospital. Methodology: This is a prospective cross-sectional descriptive study carried out in the ENT-CCF department of Timbuktu hospital over a one-year period from August 2024 to July 2025. All total or partial thyroidectomy with a medical file with an operating report, regularly updated, were included. Results: Between August 1 and July 31, 2025, we collected 32 cases of thyroidectomies in the department, which represents 20.12% of all surgeries (n=159) performed in the department during this period. The female sex was in the majority, i.e., 96.87%, with a ratio of 1 man to 31 women. Age range of [40-60[ represented 56.25% with a mean of 41.87 years with a standard deviation: 10.89 years. The reason for consultation was anterocervical swelling 90.60%, signs of compression 3 cases. 59.36% of our patients were classified in the TIRADS on thyroid ultrasound. Multinodular goiter was the majority surgical indication 37.5%The types of thyroidectomy performed are: Lobo-isthmectomy 47%, Total thyroidectomy 31%, lobectomy: 13% and subtotal thyroidectomy: 9%Surgical complications: Surgical wound infection 1 case, Trauma to the digestive tract 1 case. The histological types are vesicular adenoma 87.5% and papillary carcinoma 12%. Conclusion: thyroidectomy is a surgical procedure that requires perfect control of the anatomy of the neck to minimize complications in conflict areas where the technical platform is limited.
Abstract: Objective: To study cases of thyroidectomy in war situations at the Timbuktu hospital. Methodology: This is a prospective cross-sectional descriptive study carried out in the ENT-CCF department of Timbuktu hospital over a one-year period from August 2024 to July 2025. All total or partial thyroidectomy with a medical file with an operating report, ...
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Research Article
Clinicians' Perspectives and Preferences in the Management of Allergic Rhinitis in India
Manjula Suresh*,
Krishna Kumar Manjunath
Issue:
Volume 12, Issue 2, December 2026
Pages:
45-51
Received:
2 July 2026
Accepted:
16 July 2026
Published:
10 August 2026
DOI:
10.11648/j.ijo.20261202.12
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Abstract: Objective: To assess expert clinicians' views on the role of montelukast–levocetirizine combination therapy in the management of allergic rhinitis, focusing on its effectiveness, safety, and routine clinical application in Indian healthcare settings. Methodology: This cross-sectional survey employed a structured questionnaire comprising 23 multiple-response items to capture clinicians' perspectives on prescribing practices, therapeutic preferences, clinical experiences, and observations regarding the use of the montelukast–levocetirizine combination for managing allergic rhinitis in routine practice. The collected responses were summarized using descriptive statistical methods. Results: A total of 458 clinicians completed the survey. Among the respondents, 71.83% favored combining an antihistamine with a leukotriene receptor antagonist for the long-term treatment of allergic rhinitis. Levocetirizine was identified as the antihistamine of choice by 93% of participants. Nearly half of the clinicians (47%) preferred the montelukast–levocetirizine combination over antihistamine monotherapy for managing acute allergic rhinitis. Furthermore, 93.67% reported that the combination was effective in relieving morning symptoms, while approximately 78% observed improvements in daytime nasal, nighttime nasal, and daytime ocular symptoms. In patients with coexisting bronchial asthma, 76% of respondents favored the antihistamine-leukotriene receptor antagonist combination. Overall, nearly 67% of clinicians perceived the montelukast-levocetirizine combination as offering greater efficacy, improved tolerability, and sustained long-term therapeutic benefit. Conclusion: The survey findings underscore that antihistamine and leukotriene receptor antagonist combination is the preferred therapeutic approach for AR among clinicians, with levocetirizine being the antihistamine of choice. Most physicians perceive the montelukast and levocetirizine combination to provide effective control of morning, daytime, and nighttime symptoms, along with improved efficacy, tolerability, and sustained clinical benefits.
Abstract: Objective: To assess expert clinicians' views on the role of montelukast–levocetirizine combination therapy in the management of allergic rhinitis, focusing on its effectiveness, safety, and routine clinical application in Indian healthcare settings. Methodology: This cross-sectional survey employed a structured questionnaire comprising 23 multiple...
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