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85
Results of Examination.
The presence of wax was only noted as a defect where it
existed in such quantity as to prevent a sufficient view of the
tympanic membrane. Such cases were treated at the Inspection
Clinic by syringing. Where this was not successful the case was
referred to the Ear Clinic for its removal by other means. After
removal of the wax the examination was completed by the auriscope
to ensure that no other disease of the ears existed.

It is noted in the above table that excessive wax is the predominating
defect and although it does not constitute ear disease
in the true sense it is a defect which, by reducing auditory acuity,
is likely to prevent a child from getting the full benefit from its
education. Otorrhoea was found in 16 children and the importance
of detecting this cannot be over-estimated for its neglect may
lead to more serious disease or irreparable impairment of hearing
in later life. The fact that middle ear disease frequently exists
without any external evidence of its presence, such as a discharge
from the external meatus, makes an auriscopic examination essential
to ensure that disease of this nature is absent.