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57
Before the war, the great majority of cases were
chronic discharging ears; often so profuse was the dis
charge that the children were sent home from school. The
Hospital Out Patients Departments were unable to clear up
these cases largely because daily treatment was required,
and also a follow up system to ensure the attendance of
the child, did not exist. The E. N,T School Clinics assisted
by the Minor Ailment Clinics, giving daily treatment,
were able to clear up a great many of these cases, although
cases of chronic mastoiditis had to be referred for operation
It is a great step forward, that this type of case
is now rarely seen and a handicapping defect causing, at
least, permanent middle ear deafness has been removed.
Nowadays the cases referred to the School E.N. T,
Clinics are -
1 those giving symptoms of infected Tonsils and/or
Adenoids.
Efforts are made to clear up the infection by nasal
drops, breathing exercises etc., but if the trouble
persists, the cases are referred for operation.
2. cases of deafness.
Usually these are of the catarrhal middle ear type,
which can be cleared up with treatment
Sometimes the deafness is of the inner ear type, the
result of infective conditions such as mumps, or of
congenital abnormality Unfortunately, treatment will
not help these cases, but careful assessment is neces
sary to ensure that their education is affected to
the smallest extent.
3 cases of chronic sinus disease