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      Prevalence of Otolaryngologic Diseases in South Korea: Data from the Korea National Health and Nutrition Examination Survey 2008

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          Abstract

          Objectives

          The aims of this study were to evaluate the prevalence of otolaryngologic diseases in Korea.

          Methods

          We obtained data from the 2008 Korea National Health and Nutrition Examination Surveys (KNHANES), which were cross-sectional surveys of the civilian, non-institutionalized population of South Korea (n=4,930). A field survey team that included an otolaryngologist, nurses, and interviewers moved with a mobile examination unit and performed otolaryngologic interviews and physical examinations.

          Results

          The prevalence of subjective hearing loss, tinnitus, preauricular fistua, tympanic membrane perforation, and cholesteatoma were 11.97%, 20.27%, 2.08%, 1.60%, and 1.18%, respectively. Dizziness and vestibular dysfunction were common among Korean adults, since 23.33% of the participants reported symptoms of dizziness or imbalance, and the prevalence of vestibular dysfunction was 3.86%. The prevalence of nasal diseases was relatively high, as the prevalence of allergic rhinitis, chronic rhinosinusitis, and a deviated nasal septum were 28.01%, 7.12%, and 42.94%, respectively. Subjective dysphonia was found in 6.60% of the participants, and the prevalence of subjective dysphonia increased with age.

          Conclusion

          This is the first nation-wide epidemiologic study to assess the prevalence of otolaryngologic diseases by both the Korean Otolaryngologic Society and the Ministry of Health and Welfare. Considering the high prevalence of otolaryngologic diseases in Korea, the results call for additional studies to better prevent and manage otolaryngologic diseases.

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          Most cited references44

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          Prevalence of voice disorders in teachers and the general population.

          Over 3 million teachers in the United States use their voice as a primary tool of trade and are thought to be at higher risk for occupation-related voice disorders than the general population. However, estimates regarding the prevalence of voice disorders in teachers and the general population vary considerably. To determine the extent that teachers are at greater risk for voice disorders, 2,531 randomly selected participants from Iowa and Utah (1,243 teachers and 1,288 nonteachers) were interviewed by telephone using a voice disorder questionnaire. Prevalence-the number of cases per population at risk at a specific time-was determined. The prevalence of reporting a current voice problem was significantly greater in teachers compared with nonteachers (11.0% vs. 6.2%), chi(2)(1) = 18.2, p 4 weeks in duration), compared with acute voice disorders (20.9% vs. 13.3%), chi(2)(1) = 8.7, p =.003. To assess the association between past voice disorders and possible risks, adjusted odds ratios (ORs) were estimated using multiple logistic regression. The results identified that being a teacher, being a woman, being between 40 and 59 years of age, having 16 or more years of education, and having a family history of voice disorders were each positively associated with having experienced a voice disorder in the past. These results support the notion that teaching is a high-risk occupation for voice disorders. Important information is also provided regarding additional factors that might contribute to the development of voice disorders.
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            Voice disorders in the general population: prevalence, risk factors, and occupational impact.

            Epidemiologic studies of the prevalence and risk factors of voice disorders in the general adult population are rare. The purpose of this investigation was to 1) determine the prevalence of voice disorders, 2) identify variables associated with increased risk of voice disorders, and 3) establish the functional impact of voice disorders on the general population. Cross-sectional telephone survey. A random sample (n = 1,326) of adults in Iowa and Utah was interviewed using a questionnaire that addressed three areas related to voice disorders: prevalence, potential risk factors, and occupational consequences/effects. The lifetime prevalence of a voice disorder was 29.9%, with 6.6% of participants reporting a current voice disorder. Stepwise logistic regression identified specific factors that uniquely contributed to increased odds of reporting a chronic voice disorder including sex (women), age (40-59 years), voice use patterns and demands, esophageal reflux, chemical exposures, and frequent cold/sinus infections. However, tobacco or alcohol use did not independently increase the odds of reporting of a chronic voice disorder. Voice disorders adversely impacted job performance and attendance, with 4.3% of participants indicating that their voice had limited or rendered them unable to do certain tasks in their current job. Furthermore, 7.2% of employed respondents reported that they were absent from work 1 or more days in the past year because of their voice, and 2% reported more than 4 days of voice-related absence. The results of this large epidemiologic study provide valuable information regarding the prevalence of voice disorders, factors that contribute to voice disorder vulnerability, and the functional impact of voice problems on the general population.
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              Adult chronic rhinosinusitis: definitions, diagnosis, epidemiology, and pathophysiology.

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                Author and article information

                Journal
                Clin Exp Otorhinolaryngol
                CEO
                Clinical and Experimental Otorhinolaryngology
                Korean Society of Otorhinolaryngology-Head and Neck Surgery
                1976-8710
                2005-0720
                December 2010
                22 December 2010
                : 3
                : 4
                : 183-193
                Affiliations
                Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
                [1 ]Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
                [2 ]Department of Otorhinolaryngology, The Catholic University of Korea School of Medicine, Seoul, Korea.
                [3 ]Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University School of Medicine, Seoul, Korea.
                [4 ]Department of Otorhinolaryngology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
                [5 ]Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea.
                [6 ]Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea.
                [7 ]Department of Otorhinolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea.
                [8 ]Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University School of Medicine, Seoul, Korea.
                [9 ]Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea.
                [10 ]Division of Chronic Disease Surveillance, Korea Centers for Disease Control & Prevention, Seoul, Korea.
                Author notes
                Corresponding author: Chul Hee Lee, MD. Department of Otorhinolaryngology, Seoul National University Hospital, 101 Daehangno, Jongno-gu, Seoul 110-744, Korea. Tel: +82-2-2072-2448, Fax: +82-2-745-2387, chulhee@ 123456snu.ac.kr
                Corresponding author: Young Taek Kim, PhD. Division of Chronic Disease Surveillance, Korea Centers for Disease Control & Prevention, Nokbeon-dong, Eunpyeong-gu, Seoul 122-701, Korea. Tel: +82-2-380-2930, Fax: +82-2-380-1430, ruyoung@ 123456korea.kr
                Article
                10.3342/ceo.2010.3.4.183
                3010536
                21217958
                fa413620-89d2-4e73-a664-a2a00e06be33
                Copyright © 2010 by Korean Society of Otorhinolaryngology-Head and Neck Surgery.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 15 October 2010
                : 08 November 2010
                Categories
                Original Article

                Otolaryngology
                ear diseases,epidemiology,nose diseases,laryngeal diseases,prevalence
                Otolaryngology
                ear diseases, epidemiology, nose diseases, laryngeal diseases, prevalence

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