Otorhinolaryngological diseases of Geriatric visiting Tertiary Care Hospital in Nepal: An Overview of neglected and underrated field

Abstract

Background and Objectives: In Nepal, person aged 60 years and above is considered elderly. The population of Nepal is approximately 30 million, and people aged 60 years and above makes about one tenth of the total population. This study aims to report the main complaints and prevalence of otorhinolaryngological diseases in patients aged 60 years and above, who visited outpatient otolaryngology department of Manmohan Memorial College and Teaching Hospital, Kathmandu, Nepal during study period.
 Material and Methods: It is a prospective descriptive cross-sectional study done in Manmohan Memorial College and Teaching Hospital, Kathmandu, Nepal for the duration of a year. All patients aged 60 years and above attending to Ear, Nose and throat (ENT) Outpatient Department were included in the study. The information including demographic data, ENT Complaints and physical examination were noted. Analysis of data was done and report was prepared.
 Results: Total of six hundred and ninety three patients were enrolled over the period of one year for the study. Number of Male and female patients in the study were almost equal. The otological problems had the highest prevalence constituting 51.7% of the study population. More than Twenty eight (28.3 %) percent had oral and oropharyngeal pathologies. Nasal complaints constituted 10.8% of the study population and 9.2% had pathologies related to neck and others.
 Conclusion: Hearing loss is the most common diagnosis among all the otological pathologies and epistaxis the most common nasal problem. Head and Neck malignancy is also increasing among the geriatric population.

Pattern of Otorhinolaryngolic Diseases in Geriatric Population

“…Among disorders of nose and paranasal sinuses, epistaxis secondary to hypertension was found to be the most common nasal disorder in geriatric patients. Malignancy of larynx was found to be the most common disease among the patients with laryngeal pathology in which glottic malignancy was found to be the most common, chronic pharyngitis in pharynx and in oral cavity malignancy tongue was the most common (10)(11)(12).…”