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A 16-Year Follow-up in Apache Indians

N. Wendell Todd, Jr, MD; Carol A. Bowman, MD

Arch Otolaryngol. 1985;111(9):606-608.

Abstract
• A 16-year follow-up survey of native Americans living in Canyon Day, Ariz, did not show improvement in the 9.3% rate of clinically significant otitis media. However, the manifestations were more benign, especially in children, and included the spectrum of otitis media. A genetically determined eustachian tube difference may explain the high rate of occurrence of otitis media in these Apache Indians. Improvements in living conditions and health care may explain the change to less severe manifestations.

(Arch Otolaryngol 1985;111:606-608)

Author Affiliations
From the Department of Otorhinolaryngology and Communication Sciences, Phoenix Indian Medical Center. Dr Todd is now with Emory University, Atlanta.

Footnotes
Accepted for publication March 20, 1985.

The opinions expressed herein are those of the authors and do not necessarily reflect the views of the Indian Health Service.

Reprint requests to Emory University, 1365 Clifton Rd, Atlanta, GA 30322 (Dr Todd).

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