입원환자의 이비인후과적 자문 및 협의진단의 임상 연구 -제1보-

Abstract

Authors have clinical and statistical analysis on 302 consulted in-patients from other departments who were admtted at Dongsan medical center, Keimyung University from January, 1985 to December, 1985. We analize them by sex, age, monthly distribution, disease entity, department and operation in order to ascertain whether they have ENT disease or not, to chardcterize of the ENT disease who were consulted to our department and to improve interdepartmental consultation. The results are as follows; (We exclude consultation for emergency operation) 1. By sex, the ratio of male and female was 188:114, indicating more male patients than female by 1.7. 2. By monthly distribution, 37 patients (12.3%) in May which was the highest followed by 30 patients (9.9%) in Dec., 29 patients (9.6%) in Aug. and 28 patients (9.3%) in NOv. There was no specificity in distribution. 3. By age, 61 patients (20.2%) belong to 3rd decade which was the highest and the next were 6th decade, under 10 years, and 5th decade in order. 4. By interdepartmental distribution of the 302 consulted patients, the internal medicine had 72 cases (23.8%) which was the highest and the next were neurosurgery, pediatrics, enurology and orthopedic surgery in order. 5. By distribution of the location of disease 134 cases (43.4%) were otologic disease which is the greatest incidence, followed by normal finding 60 cases (20.1%), orpharngeal disease 46 cases (14.9%), nasal and paranasal sinus disease 41 cases (13.3%), laryngeal & tracheal disease 14 cases (4.5%), and neck disease 12 cases (3.9%), in order. By departmental distribution, the otologic disease was frequently found in the most departments while oral and pharyngeal disease were found most frequently in the depqrtments of general surgery and thoracic surgery. 6. In normal finding, 7 cases out of 15 cases from internal medicine were audiologic evaluation before kidney transplantation, 3 cases from internal medicine were audiologic evaluation before kidney transplantation, 3 cases from urology which were malignant neoplasm and audiologic evaluatioin before chemotherapy. More active consultation should be made for the patients who need operation for kidney transplantatioin and hemodialysis nad those who need ototoxic chemotherapy before taking any ation. 7. By frequency of E.N.T. disease and symptom, 104 cases (42.1%) were hearing loss which was the highest followed by nasal obstruction 27 (10.9%), pharyngitis 19 (7.7%), vertigo 15 (6.1%), stomatitis 14 (5.8%), tinnitus and neck mass 10 (4.0%), respectively. 8. Of the 134 cases (54.3%) of otologic disease consulted patients, 104 cases (42.3%) were hearing loss which was the highest followed by vertigo and tinnitus. 9. Of the 41 cases (16.6%) of nasal disease consulted patients, 27 cases (10.9%) were nasal obstruction which was the highest followed by epistaxis and anosomia. 11. Of the 14 cases (5.7%) of laryngeal and tracheal diseases consulted patients, 5 cases (2.0%) were laryngitis which was the highest followed by vocal cord paralysis, speech difficulty and tracheocutaneous fistula. 12. Of the 12 cases (4.9%) of neck disease consulted patients 10 cases (4.0%) were neck mass. 13. Operations had been performed in 17 (6.9%). The most frequently employed one is endoscopy (6), and the next are pharyngolaryngeal biopsy (3), external ear canal reconstruction (2), repair of tracheocutaneous fistula (1), tonsillectomy (1), tonsillectomy & tympanostomy tube insertion (1), intranasal ethmoidectomy & polypectomy (1), radical mastoidectomy (1), and antral irrigation (1).