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INTRODUCTION: La santé bucco-dentaire fait partie intégrante de la santé générale et du bien-être de tous les individus selon l'OMS. L'objectif de cette étude était d'évaluer l'état buccodentaire des patients vus en consultation dans le service d'Odontostomatologie du Centre de Santé de Référence de Ouelessebougou au MALI. MÉTHODOLOGIE: Il s'agissait d'une étude prospective, transversale de type descriptif d' une période de 3 mois allant du 01 Août au 30 octobre 2018.L'étude portait sur tous les patients venus en première consultation dans le service. RÉSULTATS: Dans cette étude, le sexe masculin représentait 52% des cas avec un sex ratio de 1,08 %. La tranche d'âge la plus représentée était celle de 16 à 30 ans avec 53,25 %. La moyenne d'âge était de 30 ans. Parmi les pathologies bucco-dentaires, la carie dentaire était la plus représentée avec 94,14 % suivie des affections parodontales avec 71,82%. Cette étude a montré que 79 % des patients se brossaient les dents. Parmi les 122 patients qui se brossaient, 41,80% se brossaient 1 fois par jour, et 45,80% se brossaient 2 fois par jour. La méthode horizontale traumatisante était la plus présentée avec 78,68 %. Selon cette étude, 91% des patients avaient besoin d'enseignement de l'Hygiène Bucco-dentaire. CONCLUSION: Devant cette situation, une nouvelle orientation de la politique de santé bucco-dentaire basée sur l'odontologie préventive s'impose afin d'améliorer la santé et la qualité de vie des populations

INTRODUCTION: Oral health is an integral part of the overall health and well-being of all people according to the WHO. The objective of this study was to evaluate the oral status of patients seen in consultation in the Odonto-stomatology Department of the Ouelessebougou Reference Health Center in MALI. METHODOLOGY: This was a prospective, cross-sectional descriptive study of a 3-month period from August 1st to October 30th, 2018. The study included all the patients who had come for first consultation in the department. RESULTS: In this study, males accounted for 52% of cases with a sex ratio of 1.08%. The most represented age group was 16 to 30 years old with 53.25%. The average age was 30 years old. Among dental pathologies, tooth decay was the most represented with 94.14% followed by periodontal disease with 71.82%. This study showed that 79% of patients brushed their teeth. Of the 122 patients who brushed, 41.80% brushed once a day, and 45.80% brushed twice a day. The traumatic horizontal method was the most presented with 78.68%. According to this study, 91% of patients needed oral hygiene education. CONCLUSION: Given this situation, a new orientation of oral health policy based on preventive dentistry is needed to improve the health and quality of life of populations

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Telemedicine enables us to push back the geographical and interactive boundaries of medicine. With a role in humanitarian missions, it is particularly pertinent at two key stages: the preparation phase, and at postoperative follow-up after the mission. It is our intention to describe our experience of telemedicine within a humanitarian context. Four teleconsultations were organized between departments of maxillofacial surgery in Caen (France) and in Bamako (Mali). 21 patients were assessed regarding their care. The preparation phase, taking place several weeks before the mission, allowed us to meet the patients preselected by Prof Traore. We were also able to review imaging, such as previous X-rays or preoperative CT scans. After discussion between the two teams, a decision on the coordination of patient care was reached, namely surgery performed by Prof Traore and the local team in Bamako, or surgery during the next mission to Ouagadougou. Several weeks after the mission, patients attended postoperative consultation by means of teleconsultation. This covered wound assessment, management of complications, and scheduling of follow-up surgery. The benefits of telemedicine in humanitarian projects are manifold: real-time exchange of specialist skills with Malian colleagues, collective therapeutic decisions, academic value, and anticipation of anesthetic and surgical needs before missions.

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A cleft palate results from incomplete fusion of the lateral palatine processes, the median nasal septum and the median palatine process. This case report describes a rare case of congenital teratoma originating from the nasal septum that may have interfered with the fusion of the palatal shelves during embryonic development, resulting in a cleft palate. An infant girl was born at 40 weeks of gestation weighing 3020 g with a complete cleft palate associated with a large central nasopharyngeal tumour. Computed tomography (CT) of the head showed a well defined mass of mixed density. The tumour was attached to the nasal septum in direct contact with the cleft palate. A biopsy confirmed the teratoma. Tumour resection was performed at 5 months, soft palate reconstruction at 7 months and hard palate closure at 14 months. There was no sign of local recurrence 1 year later. Most teratomas are benign and the prognosis is usually good. However, recurrence is not rare if germ cell carcinomatous foci are present within the teratoma. For these reasons, we advocate the use of a two-stage procedure in which closure of the cleft palate is postponed until histological examination confirms complete excision of the teratoma.

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PURPOSE: Maxillomandibular ossifying fibroma is a benign tumor that affects young adults. Complete excision can allow satisfactory management with no recurrence. During a humanitarian mission, one is confronted with many types of damage from these fibromas. Their management requires wide resection (mandibulectomy interrupter or maxillectomy) and free flap reconstruction. However, technical conditions during a humanitarian mission might not allow the performance of a free flap reconstruction. How can such patients be managed? Should these patients receive a straightforward intervention performed on site during the mission or should they go to another country with a technical platform suitable for microsurgical reconstruction? PATIENTS AND METHODS: During a humanitarian mission in Ouagadougou, Burkina Faso, 6 patients with large ossifying fibromas traveled to France to undergo wide excision of the lesion and free flap reconstruction using the fibula. The Enfants du Noma paid for the travel and medical costs. RESULTS: No flap was lost. Four patients (67%) had local (disunity of scar or local infection) or general (malaria) complications that quickly resolved. CONCLUSIONS: Most teams agree that free flaps should not be performed during humanitarian missions, and only 1 German team practices in Sokoto, Nigeria. Therefore, medical travel is an attractive solution that allows optimal management and requires financial assistance from humanitarian organizations.

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