Pedersen C B, Zachau-Christiansen B
ENT-Department, University Hospital, Aarhus, Denmark.
Scand J Soc Med. 1988;16(1):15-9. doi: 10.1177/140349488801600103.
It is generally recognized that chronic otitis media and sequelae of this disease are frequently encountered among the native population of Greenland, but the prevalence of chronic otitis in Greenland has not previously been systematically traced. Treatment for this disease has improved and we expect an increased demand for treatment of this disease among Greenland natives. To evaluate the need of treatment the prevalence of chronic otitis media in two large Greenland towns was assessed. The study population included 303 persons aged 11-20 years and 305 aged 41-50 years. Medical histories were recorded and objective examinations were performed using e.g. oto-microscopy. Among the young participants, 8% had chronic suppurative otitis and 14% sequelae of chronic otitis media. Among the older participants, 2% had suppurative otitis and 13% sequelae of chronic otitis. It is estimated, using Scandinavian criteria, that 8.6% of the participants would have benefitted from an ear operation either to stop otorrhea and/or to improve the hearing. The launching of an oto-surgical effort in Greenland is considered justifiable on the grounds of the importance of hearing to communication and the isolation in point of the native Greenland population.
人们普遍认识到,慢性中耳炎及其后遗症在格陵兰原住民中屡见不鲜,但此前格陵兰慢性中耳炎的患病率尚未得到系统追踪。这种疾病的治疗方法已有改进,我们预计格陵兰原住民对这种疾病治疗的需求将会增加。为评估治疗需求,对格陵兰两个大城镇的慢性中耳炎患病率进行了评估。研究人群包括303名11至20岁的人和305名41至50岁的人。记录了病史,并使用例如耳显微镜进行了客观检查。在年轻参与者中,8%患有慢性化脓性中耳炎,14%有慢性中耳炎后遗症。在年长参与者中,2%患有化脓性中耳炎,13%有慢性中耳炎后遗症。根据斯堪的纳维亚标准估计,8.6%的参与者本可通过耳部手术受益,以停止耳漏和/或改善听力。鉴于听力对于交流的重要性以及格陵兰原住民所处的与世隔绝状态,在格陵兰开展耳外科手术被认为是合理的。