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89
At first, the ears of these children were examined with each
week at the Clinic, and very soon they understood that they were
ixpected to come up with no discharge in their ears at all A few
children who were rather refractory were made to come daily and
in '2 or 3 cases we had to ask one of the parents to come along in
order to explain the matter to them and insist on the treatment
being carried out. Finally the scheme was firmly established
58 cases attended the Clinic for treatment. 5 caves were
acute-as mentioned above and were referred elsewhere. It were
fresh cases of transient ear discharge which cleared up very quickly
on routine treatment. In 32 cases the ear discharge had been
present from a week to 3 months. In 5 of these cases there was a
considerable degree of external otitis and the ear disease ceased
very soon after this condition had been cured.
The method of dealing with these cases was as follows.
On the first attendance at the Clinic, the ear was cleaned out with
a little peroxide of hydrogen for the purpose of examining the drum
head. The condition of the drum head was noted on the medical
card. The ear was then dried out with a little methylated spirit
and the external meatus lightly coated with Ung.Hyd.Ox.Flav B.P.
The child was.then instructed in mopping his ear and was given
Mime of the special sticks to take home. This procedure was fllowed
on each subsequent visit of the child to the Clinic and them provement
noted until finally the child was discharged. The 32 cases
were cured.
There were 11 old cases in whom the discharge had been
present for over 6 months. These in turn were made to come up
daily for a week, some of them for longer until they were well on
the way to recovery and were carrying out the treatment faithfully
3 of the children were too young to treat themselves and
were done by their parents. One child had a large polyous protruding
through the perforation in the drum head and was preferred
to Hospital for currettage.
4 of the cases had a severe and offensive external optics which
appeared to be chiefly responsible for the discharge and they cleared
up on the routine treatment of dry mopping but with the ox Fla.v.
applied 4 times daily.
In one child who was very resistant and had a large old
Perforation, we instilled silver nitrate once daily for 3 day and then
carried on with the routine treatment. The discharge cased and
the perforation is practically healed.