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Finally, I would emphasise the very great importance of a few
points in connection with the scope and aims of these E.N. T. clinics.
1. The prevention and relief of impaired hearing in children
at earliest possible stage. Thus it is of the utmost importance in
the preservation of the normal hearing to detect as soon as possible
any impairment however slight and to investigate in detail and diagnose
correctly the cause and give immediate and appropriate treatment.
Also to remove any potential causes and continue treatment until the
hearing is restored to normal. Any neglect here will certainly
allow the condition to progress to chronicity and risk of permanent
deafness later on.
2. The early detection, exact cause of and suitable treatment
to relieve nasal respiratory insufficiency. This condition is quite
common among children of school age and very often earlier, and
prompt remediation is urgent because of widely dispersed effects and
possible later permanent disabilities far removed from the site of
origin.
3. Exact diagnosis is imperative. Every care must be taken
not to mistake 'effect' for 'cause', which so frequently happens, or
what is 'secondary' for 'primary'.
In the matter of treatment it is, of course, essential to employ
the appropriate remedy if success is to be obtained, otherwise it is
waste of time and energy.
It is equally true that the correct technique, with strict
adherence to its essential details, must be used in the application of
treatment."
Mr. W. McKenzie, Consultant to the Park Lane Clinic, reports:-
"The work is quite steady and I think it is likely to remain so
for three or four years at least, if not longer. The audiology
service in the schools is a great help and I hope that this will
expand in future because many of these deaf children can be helped
by the removal of the adenoids.
The striking feature of my clinic in the last twelve months has
been the absence of chronic otorrhoea and this is not due to specialised
treatment but to the improved health of the children".
Child Guidance Centres
Dr. K. A. Graf, Medical Director of the Hornsey Child
Guidance Centre, reports:-
"This was my third year as the Medical Director of the Child
Guidance Centre, and working as an unchanged team we were again
fully occupied with the problems of diagnosing and treating emotional
maladjustment among the over 13000 children in the Authority's and
private schools in Hornsey. On paper our establishment may appear
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