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April 1993

Otitis Media in the Republic of Palau A Case-Series Study

Author Affiliations

From the Department of Otolaryngology, Division of Pediatric Otolaryngology, University of Pittsburgh (Pa) (Drs Chan and Swarts); the Department of Pediatrics, University of Hawaii, Honolulu (Drs Rudoy and Dever); and the Ministry of Health, Koror, Republic of Palau (Dr Mesubed).

Arch Otolaryngol Head Neck Surg. 1993;119(4):425-428. doi:10.1001/archotol.1993.01880160073011

• Race is a known epidemiologic determinant for the development of otitis media. This study assessed the severity of otitis media in a subpopulation (N=73; mean age, 13.2 years) receiving care from the ear clinic in the Republic of Palau, a US Trust Territory, through a questionnaire and an otologic examination. The mean age of patients with otorrhea (2.5 years) was found to be significantly different from the mean age at which they began to swim (4 years). Otitis media—related sequelae were found to involve more than half of ears or subjects examined. No statistical difference was noted when various patient characteristics were compared with the severity of disease. Our clinical impression is that this subpopulation is severely affected by otitis media and its sequelae. Prospective studies are required to identify risk factors present in the population at large.

(Arch Otolaryngol Head Neck Surg. 1993;119:425-428)