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SCHOOL Medical service annual report - AURAL,clinic, 1946
by
Doctor F. P. M. Clarke
Throughout the year 1946 the usua11 weekly session of the E r,
Nose and thoro?t Clinic w.s held on Saturday mornings. The numbers
attending and the regularity of the attendances for. treatment have
increased as more normal, peace-time conditions were being restored.
The evacuated children have returned and the schools, suffering from
certain amount of disorganisation. and depletion of numbers
during the wary year steadily resumed their pro?w?r normal routine.
All these factors make for a better, and more regular attendance of
school children patients at the Clinics.
The main principles of the working of the • Clinic con??ion as
in previous years and the incidence of the various condition.
of the Clinic, such as ear diseases, defects of the nose and throat,
deafness and other conditions, continued in much the same, relative
proportions as in previous years. The greater majority of patients
seen were those referred for diseases of the nose and throat. The
number of 'ear' cases relatively is much less than those of nose and
throat. The number of chronic discharging ears is very small. To a
great extent this is due to the special attention which is paid to
the early detection end treatment of the 'acute' running ear. The
all important point to bear in mind is to try and prevent the 'acute'
ear becoming 'chronic'. We have for some time new followed a strict
routine of insisting on a11 cases of acute discharging ears being
treated at the Clinic daily where required and we regularily employ
'ear-suction' with 10% Albucid, penicillin or Carbolized Glyedrin
solutions after careful cleansing of the ear. Any co-existing nasal
affection, which is very frequently present, is always treated as
well. With this procedure we have received excellent results - the
majority of 'acute ears' are 'dry' in week. For the 'chronic'
discharging ears we use Zinc Ionization.
For cases of Sinus Infection we employ Proetz nasal
'displacemtent', using for infected eases 10% solution of Schorings
Albucid. For certain other types of nasal infections we use a 10%
solution of argyrol or Collesol argentum. The results generally are
very satisfactory. One point which wish to stress is the very
noticeable effect that successful nasal treatment has on diseased or
hypertrophied tonsils. The tonsils end tonsil symptoms, such as
recurrent sore throats, subside very remarkably in many instances after
a course of nasal treatment.
Diastolisation or intra-nasal massage, as described in previous
reports, has been used, in a number of cases for such conditions as
nasal catarrh, rhinitis, deafness, mouth-breathing etc. It is a
Valuable method in suitable cases.
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