東京都立病院耳鼻咽喉科における島嶼医療の取り組み

概要

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Our Department is responsible for medical treatment in the Tokyo metropolitan area and Izu-Ogasawara islands. One hundred fifty nine referred patients from the medical institution of Izu-Ogasawara islands in the last five years were investigated based on their medical records. Thirty two patients a year visited our department, consisting of 66 females and 93 males aged 1 to 90 years with a mean of 56.4 years. Complications of lifestyle-related disease such as hypertension and diabetes mellitus were recognized in 43% and ear diseases were more frequent. Four cases (3%) were transported by emergency, which comprised 2 cases of acute epiglottitis, one case of severe massive epistaxis and one case of acute tonsillitis. Twenty seven cases (17%) were hospitalized immediately and 23 cases needed surgical treatments, comprising 4 tympanoplasties, 3 adenotonsillectomies, 3 tonsillectomies, 3 endoscopic sinus surgeries and 2 parotidectomies.