Cholesteatomas in Greenlandic Inuit. A retrospective study and follow-up of treated cases from 1976-91.

P. Homøe*, P. Bretlau

*Corresponding author af dette arbejde

    Publikation: Bidrag til tidsskriftArtikelForskningpeer review

    Abstrakt

    Chronic otitis media is frequent among the Inuit in Greenland, but reports of cholesteatomas are rare. To describe cholesteatoma in Greenland, we have performed a retrospective study and follow-up of Greenlandic Inuit treated at the ENT-department, Rigshospitalet, Denmark in the period 1976-91. We found 35 Greenlandic Inuit with cholesteatoma, the first in 1976. Median age was 19 years. The total incidence was calculated to 5 per 100.000 per year, or 2 new cases per year. The geographical distribution showed less cholesteatomas among the people with a traditional way of life in the Hunter region. The complication rate was 11%. The extension and pathology of the cholesteatomas indicated late and infrequent contact with an ENT specialist. The follow-up study revealed 53% dry ears with intact tympanic membrane, and 47% with intermittent ear discharge. Residual or recurrent cholesteatoma was found in 46% of the patients, less frequently when the primary operation included mastoidectomy with canal wall-down technique. We recommend this operation in most Greenlandic Inuit with cholesteatomas.

    OriginalsprogEngelsk
    Sider (fra-til)86-90
    Antal sider5
    TidsskriftArctic medical research
    Vol/bind53
    Udgave nummer2
    StatusUdgivet - apr. 1994

    Fingeraftryk

    Udforsk hvilke forskningsemner 'Cholesteatomas in Greenlandic Inuit. A retrospective study and follow-up of treated cases from 1976-91.' indeholder.

    Citationsformater