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The number of children, seen now at the Clinic with chronic otorrhoea is
very small - only seventeen c ses in all were seen during the year. This
is in marked contrast to the findings of some years age when the great
majority of ear cases then seen at a clinic were suffering from chronic
otorrhoca. Two factors have in the main been responsible for this welcome
improvement, 1) early detection and treatment of acute otorrhoea and nasal
conditions predisposing to car suppuration, and 2) treatment of chronic
otorrhoea by the Friel method of zinc ionisation.
The subject of the treatment of "enlarged tonsils" is one that always
engages attention. It is still a subject of debate - "Tonsils: In or Out?"
We adopt a conservative' line towards removal. Hypertrophy, "enlargement"
(unless gross) in itself is not a clinical indication for removal. We
have treated a large number of children during the last six years by
onservative methods, such as tonsil suction with suitable antiseptic, tonsil
painting with attention to any nasal defects present, especially sinusitis
and we are satisfied that this procedure is preferable to "hit or miss"
method of mass removal, A certain number of children have had tonsillectomy
performed before they attended the Clinic, privately, and we have found
amongst many of these the most intractable cases of sinusitis.
The condition of sinusitis in children is one that demands special
attention. It is much commoner than is supposed and sinusitis can be
present without showing much, if any, "external" signs. This can be easily
demonstrated by the us of Proetz sinus "displacement". We find the
"displacement" method of the greatest value in sinus infections and during
the ye r we have been using in displacement a 10% solution of Albucid
(Schering) after the usual ephedrine. The results arc remarkably good,
A summary of the statistics of the Ear, Nose and Throat work is appended:-
Total number of children seen at the Aural Clinic during 1945 360
School children 253
Pre-school children 76
Ear casus - School - acute 38
chronic 17
Pre-school - chronic 25
Hose and throat cases - School 167
Pre-school 51
Miscellaneous cases 31
Number of cases treated by - Ionisation 14
Diastolisation 106
Proetz Displacement 20
Tonsil (conservative) 50
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