Vitamin D Deficiency in South Sharqiya in Oman and its Impact in ENT Patients- A Retrospective Study
Journal Title: Bengal Journal of Otolaryngology and Head Neck Surgery - Year 2016, Vol 24, Issue 3
Abstract
IntroductionVitamin D deficiency has multitude of causes and can present with varying clinical manifestations. Studies show that it can lead on to recurrent respiratory infections, ear infections and deafness. Vitamin D also has immunomodulant action. Here we discuss the varying features concerning an Otolaryngologist in general as far as Vitamin D metabolism is concerned.Materials and MethodsThis retrospective study was performed on 800 patients 152 males and 648 females of different socioeconomic background at secondary level regional referral hospital under Ministry of Health in Sultanate of Oman. The patients attending the outpatient clinic with various complaints and not responding to conventional treatment were advised for assessment of vitamin D [25 (OH) D] level in blood. The patients were evaluated with general history, blood samples of serum calcium, phosphate, alkaline phosphatase and serum vitamin D level were measured by the most standardized laboratory of the country.ResultsOut of 800 patients, 275 cases had Vitamin D levels below 20 ng/ml and 167 patients had values greater than 30 ng/ml in serum.81% patients with vitamin D deficiency were females.56.25% patients were between third and sixth decade. Otolaryngologic manifestations were acute and recurrent URTI (n=352) 44%. 7% of the patients presented with recurrent ear infection (otitis externa). The rest of them presented to a lesser extent with deafness, otosclerosis.DiscussionVitamin D deficiency has been reported worldwide as one of the commonest deficiency diseases. It can lead to autoimmune dysfunctions, Beta cell dysfunction in pancreas, Multiple sclerosis, recurrent chest infections and congestive cardiac failure. Studies have shown the involvement of cochlea with sensorineural hearing loss and otosclerosis.ConclusionVitamin D deficiency has multi system implications as patients presenting with different signs and symptoms. Mass level screening and vitamin D supplementation should be planned to decrease its varied and multidimensional ill effects on health. Adequate vitamin D supplementation and sensible sunlight exposure to reach optimal vitamin D status are among the front line factors of prophylaxis for spectrum of disorders.
Authors and Affiliations
Hasan Abdul Cader Segana, Reghunandanan Nair, Fahim Ahmed Shah
Keywords
Related Articles
- EP ID EP433938
- DOI -
- Views 52
- Downloads 0
Book Review
When an eminent teacher and otologist like Dr Asok Kumar Saha comes out with a book on Otology, the expectations would naturally be high. I must admit that the presentation and contents of the book have surpassed my expe...
Fractured Tracheostomy Tube - An Unusual Foreign Body in Tracheobronchial Tree
IntroductionApproximately 20% of patients with tracheostomy are discharged from hospital with the tracheostomy tube in situ. Proper long term care and management of such tracheostomy patients remains as a challenge to c...
Acetic Acid Instillation after Canal Wall Down Mastoidectomy
Introduction:Persistent otorrhoea and granulation tissue in the mastoid cavity are common post-operative complications of Canal Wall Down Mastoidectomy. In order to avoid the same and to achieve a dry cavity instillation...
A Comparative Study of Conventional versus Endoscopic Septoplasty
IntroductionThe standard surgical treatment for symptomatic deviated septum is septoplasty. This is usually done conventionally using the headlight. However, in recent years the endoscopic method has emerged as an altern...
Endoscopic Tympanomastoid Surgery - Our Experience
Introduction In last few decades medical science has seen resurgence of minimally invasive surgery by development of endoscopes with adequate illumination, magnification and image quality. Although operating microscope...