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These 44 oases of actively discharging ears were treated as
follows:—
Eight were ionized of which five cleared up, three after
one application, one after two applications, and two after three
applications. Two did not respond to treatment, both were
referred to Croydon General Hospital, one with chronic mastoid
infection, and one with nasal obstruction requiring adenoideo
tomy.
Thirty-three were treated with insufflations of iodized
boracic powder, several of these having had preliminary treatment
with glycerine and carbolic drops, and where granulations
were present, these were cauterized with silver nitrate applications.
Of these cases twelve were dry and healed, and completed
treatment; fourteen were dry but still under observation;
and seven were improving but still under treatment.
Three were referred to Croydon General Hospital with
chronic mastoid infection, mastoidectomy was performed and
they still are under hospital treatment.
The results of the year's work have been very successful, particularly
those cases of otorrhoea treated with iodized boracic
powder. Many of the cases of otorrhoea referred to the Clinic have
been of long standing, with foul smelling discharges and unhealthy
granulations surrounding the perforation of the drum. These cases
with constant thorough cleansing and insufflations of iodized boracic
powder rapidly lose their offensive character, the middle ear becomes
much more healthy in appearance and in the majority of cases the
discharge completely ceases. The insufflation powder used is 0.75%
Iodine in Boracic Powder. The cases for ionization treatment aiv
somewhat limited, and require careful selection, being in the maio
the chronic catarrhal discharges; suitable cases respond well to
treatment.
RHEUMATISM CLINIC.
The Rheumatism Clinic is concerned with the diagnuD.„,
supervision, advice and re-examination of cases of juvenile
rheumatism. Treatment of cases is not undertaken at the Clinic,
but arrangements are made through it for the appropriate treatment
to be administered.
In the active and acute stage of the disease, children are
referred for Hospital in-patient treatment, or, where home
conditions are favourable, for domiciliary treatment by the
patients' own doctor.