Outcome of mobile ear surgery for chronic otitis media in remote areas
Objectives The Inuit of Greenland, Canada and Alaska suffer from chronic otitis media (COM). In Greenland these patients used to be referred to Denmark for ear surgery. This was expensive and unsatisfactory, and the results were poor. A mobile ear surgery project was developed. Design The study is l...
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crwiley:10.1016/j.otohns.2008.03.014 2024-06-02T08:07:21+00:00 Outcome of mobile ear surgery for chronic otitis media in remote areas Homøe, Preben Siim, Christian Bretlau, Poul 2008 http://dx.doi.org/10.1016/j.otohns.2008.03.014 https://onlinelibrary.wiley.com/doi/pdf/10.1016/j.otohns.2008.03.014 https://onlinelibrary.wiley.com/doi/full-xml/10.1016/j.otohns.2008.03.014 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Otolaryngology–Head and Neck Surgery volume 139, issue 1, page 55-61 ISSN 0194-5998 1097-6817 journal-article 2008 crwiley https://doi.org/10.1016/j.otohns.2008.03.014 2024-05-03T11:38:52Z Objectives The Inuit of Greenland, Canada and Alaska suffer from chronic otitis media (COM). In Greenland these patients used to be referred to Denmark for ear surgery. This was expensive and unsatisfactory, and the results were poor. A mobile ear surgery project was developed. Design The study is longitudinal and prospective with follow‐up. Subjects and Methods The 274 patients were selected according to severity of COM and hearing loss. Only air conduction (AC) audiometry was obtained. Median age was 27 years and 55% were females. Results Closure rates at three weeks, one year, and two years were 67 percent, 72 percent, and 76 percent, respectively. Median AC pure tone average improvement was 15 dB and 12 dB after one year and two years, and 73 percent and 67 percent were satisfied. Outcome was associated with quality of the surgical skills ( P < 0.002). We found marked spontaneous fluctuations between the follow‐ups. Conclusion The results of mobile ear surgery in Greenland are acceptable. Mobile ear surgery may be implemented in areas with limited access to health care, eg, in developing countries. Article in Journal/Newspaper Greenland inuit Alaska Wiley Online Library Canada Greenland Otolaryngology–Head and Neck Surgery 139 1 55 61 |
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Wiley Online Library |
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language |
English |
description |
Objectives The Inuit of Greenland, Canada and Alaska suffer from chronic otitis media (COM). In Greenland these patients used to be referred to Denmark for ear surgery. This was expensive and unsatisfactory, and the results were poor. A mobile ear surgery project was developed. Design The study is longitudinal and prospective with follow‐up. Subjects and Methods The 274 patients were selected according to severity of COM and hearing loss. Only air conduction (AC) audiometry was obtained. Median age was 27 years and 55% were females. Results Closure rates at three weeks, one year, and two years were 67 percent, 72 percent, and 76 percent, respectively. Median AC pure tone average improvement was 15 dB and 12 dB after one year and two years, and 73 percent and 67 percent were satisfied. Outcome was associated with quality of the surgical skills ( P < 0.002). We found marked spontaneous fluctuations between the follow‐ups. Conclusion The results of mobile ear surgery in Greenland are acceptable. Mobile ear surgery may be implemented in areas with limited access to health care, eg, in developing countries. |
format |
Article in Journal/Newspaper |
author |
Homøe, Preben Siim, Christian Bretlau, Poul |
spellingShingle |
Homøe, Preben Siim, Christian Bretlau, Poul Outcome of mobile ear surgery for chronic otitis media in remote areas |
author_facet |
Homøe, Preben Siim, Christian Bretlau, Poul |
author_sort |
Homøe, Preben |
title |
Outcome of mobile ear surgery for chronic otitis media in remote areas |
title_short |
Outcome of mobile ear surgery for chronic otitis media in remote areas |
title_full |
Outcome of mobile ear surgery for chronic otitis media in remote areas |
title_fullStr |
Outcome of mobile ear surgery for chronic otitis media in remote areas |
title_full_unstemmed |
Outcome of mobile ear surgery for chronic otitis media in remote areas |
title_sort |
outcome of mobile ear surgery for chronic otitis media in remote areas |
publisher |
Wiley |
publishDate |
2008 |
url |
http://dx.doi.org/10.1016/j.otohns.2008.03.014 https://onlinelibrary.wiley.com/doi/pdf/10.1016/j.otohns.2008.03.014 https://onlinelibrary.wiley.com/doi/full-xml/10.1016/j.otohns.2008.03.014 |
geographic |
Canada Greenland |
geographic_facet |
Canada Greenland |
genre |
Greenland inuit Alaska |
genre_facet |
Greenland inuit Alaska |
op_source |
Otolaryngology–Head and Neck Surgery volume 139, issue 1, page 55-61 ISSN 0194-5998 1097-6817 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.1016/j.otohns.2008.03.014 |
container_title |
Otolaryngology–Head and Neck Surgery |
container_volume |
139 |
container_issue |
1 |
container_start_page |
55 |
op_container_end_page |
61 |
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