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79
Of the 218 cases referred for examination 31 failed to attend.
Of the 187 attending 67 were successfully treated and discharged,
52 were successfully treated but kept under observation, 16 were
referred for hospital treatment and 52 were still under treatment
at the clinic at the end of the year.
The bulk of the work continued to be the supervision and
treatment of otitis media. Cases of otorrhoea were examined and
treated once a fortnight until the discharge from the middle ear
ceased. This work at the Clinic was supplemented by treatment
at the Minor Ailment Clinic each day where the ears were thoroughly
cleansed by swabbing and by the instillation of drops by nurses
specially instructed in the work.
The leaving of this daily treatment or what might be called
"ear toilet" to parents has not proved satisfactory. It
requires a degree of skill to remove discharge from the middle
ear so that the instillation of ear drops may have the desired effect
and not merely add to a reservoir of pus in the meatus. The
importance of this part of the work cannot be too greatly
stressed in the successful treatment of this condition.
It is gratifying to note the continued success obtained in the
treatment of chronic otitis media. Sixty-two cases out of a total
of 116 were successfully treated, 14 were referred for hospital
treatment and 40 cases were continuing to receive treatment at the
end of the year.
In the following table the results of treatment in cases referred
to the Clinic in 1936 but which required continued treatment in
1937 are shown:—