離島における耳鼻咽喉科診療（続報）

THE STATE OF ENT PRACTICE IN AN ISOLATED ISLANDS

　I．緒言

　昭和48年3月より昭和49年10月まで数回に亘り，長崎県五島奈良尾町，上五島町，奈留町および長崎県対馬の上対馬町の4カ所にて耳鼻咽喉科専門診療を実施したのでその総合成績を報告し，併せて離島での耳鼻咽喉科診療の今後の問題点について考察した。

　During the period of 6 months, from March 1973 to October 1974, the authors made numerous visits to a number of isolated islands in Nagasaki prefecture for ENT consultations and treatments. The summary of their observations are as follow: (1) Among the patients seen, the number of young people, particularly in their twenties, were surprisingly few.

　(2) The number of patients that required continued medical attention was 29.3% and among these 10.7% required surgical treatment.

　(3) The affections noted were chronic rhinitis, chronic sinusitis, chronic tonsillitis, highly sensative laryngopharyngeal reflex and loss of conductive hearing in the aged. The morbidity here was much higher than compared to other normal areas of this country.

　(4) The urgent necessity of establishing a better means of care for the islanders is strongly emphasized by the authors.