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From this table it will be seen that the percentage of successful results for the
whole of London was 57 per cent., with 436 cases still under treatment on the 31st
December, 1926. Tympanic sepsis cases show 75 per cent. cures. The following
are the percentages for the various divisions:—
N.W. Lissonia 68.3% with 37 still under treatment on 31 /12/26.
Kenley-st. 37.1 % „ 39 „ „ „ „
N.E. 60.7% „ 65 „ „ „ „
E. 47.4% „ 139 „ „ „ „
S.E. 50.9% „ 93 „ „ „ „
S.W. 67.9% „ 63 „ „ „ „
The low percentage at Kenley Street treatment centre is due to the large number
of attic disease cases in which an attempt has been made to cure without operation.
Children requiring operation for mastoid disease are admitted by special
arrangement with the Metropolitan Asylums Board to the Downs Hospital, and
on their return are kept under observation at the Board's After-Care Clinic at
Kentish Town.
Patients. Ears.
Number of patients referred from Downs Hospital to Kentish Town 262 306
,, referred from Downs Hospital 1925 continuing treatment in 1926 70 94
Total 332 400
1926. - -
Number discharged from Downs Hospital requiring no treatment 36 43
,, discharged from Downs Hospital, treated at L.C.C. clinic and cured 6 8
,, discharged from Downs Hospital still under treatment L.C.C. clinic 8 8
„ treated Kentish Town and discharged cured 101 115
„ still under treatment at Kentish Town 99 120
„ lapsed 6 6
,, referred back to D.H. for further operation 6 6
1925.
Number treated Kentish Town and discharged cured 58 79
,, transferred to L.C.C. clinics 9 11
,, lapsed in 1926 3 4
Total number of mastoids cured in 1926 159 191
During the past year (in April) ultra violet ray irradiation was introduced at
Kentish Town as an adjuvant in the treatment of ears. The instrument used was
a Tungsten arc lamp. Though many cases appeared to respond and benefit from
this treatment, more experience is required before anything of definite value can be
said on the matter. During the year 1,329 irradiations were employed.
Details
relating to
the Downs
Hospital and
the After
Care Clinic,
Kentish
Town.
Another method of treatment introduced during the year is diastolisation.
This treatment, which is not practised in England, was introduced in France by
Dr. Gautier of Paris, and is extensively used in the Paris clinics on the school children.
It is employed in cases of defective nasal respiration, particularly those due to
hypertrophic rhinitis and the like. The instruments employed are graduated
hollow bougies of rubber, shaped to the exact contour of the nasal canal. These
are connected by a nozzle and indiarubber tubing to a "pear" by means of which
the bougies may be inflated and deflated. By a combined "to and fro" movement
of the bougie and a simultaneous inflation and deflation, the treatment is
accomplished.
Diastolisation.