Otorhinolaryngologic Evaluation of Brick Kiln Workers: ENT Findings of Brick Kiln Workers

Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5262-5268. doi: 10.1007/s12070-020-02031-4. Epub 2020 Aug 14.

Abstract

Brick kiln workers were evaluated in the field using otorhinolaryngologic and head and neck surgery (ENT) assessments. One-hundred and twenty laborers were assessed. The subjects were divided into three categories according to the work area: before the brick kiln, in the brick kiln, and after the brick kiln. Two evaluations were made, a questionnaire and an ENT examination. If structural changes were observed during the examination, the complication was deemed structural. Seventeen laborers who completed the questionnaire did not participate in the examination. A total of 103 laborers participated in the study: 29 before the brick kiln, 63 in the brick kiln, and 11 after the brick kiln. While general otologic complications were observed in 26 (25.2%) laborers, structural otologic complications were observed in 2 (1.9%). While general nasal complications were observed in 70 (68.0%) laborers, structural nasal complications were observed in 27 (26.2%). Although the general otologic and structural nasal complication rates were higher in the brick kiln group, the general, structural otologic, and nasal complication rates did not reach statistical significance among groups (p > 0.05). Both the general and structural nasal complication rates were significantly higher in laborers who had worked for more than 10 years and did not wear a mask (p < 0.01). We detected prominent nasal pathologies in brick kiln workers in our ENT-based study. These pathologies were much more common in laborers who had worked for over 10 years and did not wear a mask.

Keywords: Brick; ENT; Kiln; Nasal; Worker.