View report page

Diseased Tonsils with? Adenoid Excess and Acute Tympanic Suppuration.
Operated on 2(1 of which also had Diseased
Teeth and Path. Nasal Septal
Deflection).
Awaiting 1(also with Diseased Teeth and
Path. Nasal Sepal Deflection).
Diseased Tonsils with? Adenoid Excess and Acute Tympanico-Mastoid
Suppuration.
1 Case treated without operation.
Chronic Tympanico-Mastoid Suppuration.
Total 48(of these 7 have been operated
on, and all cured or much improved).
(a) With Diseased Tonsils and? Adenoid Excess* Total 31. Operated
on Tonsils and Adenoid Excess only, Total 21 ; all much
improved, except 1.
(b) Several of these Aural Cases also suffered with Diseased Teeth,
or Pathological Nasal Septal Deflections, or both.
One Case had Nasal Sinusitis as well.
Nasal Sinusitis.
Total 4(one of wnich showed Polypoid
Disease).
Catarrhal Rhinitis.
Total 7
Eustachian Deafness.
Total 12 (nearly all associated with Diseased
Tonsils and ? Adenoid
Excess and some with Pathological
Nasal Septal Deflections
as well, and some with Diseased
Teeth).
REMARKS.
•
"In cases of recurrent Adenoid excess in the nasopharynx, despite previous
Adenoidectomy, experience has shown that its reappearance is due to natural
defensive reaction against a further bacterial invasion, so that when this new
infection has subsided, so does the Adenoid excess. This has been proved at
operations designed for its further removal, when no excess has been found.
Therefore it seemed much more reasonable and fairer to the patient to find
some means of counteracting the infective process without having recourse
to a further operation. This result can be achieved by giving nasal guttae,
of which I find the most efficacious for children to be Argyrol 5% t.d.s., at
the same time making every effort to raise the general resistance. Sulfex drops
(Ephedrine and Sulphathiazol), are useful in conditions of Acute Mucopurulent
Rhinitis, but they are not devoid of toxic effects if used too freely,
whereas Argyrol appears to be quite non-toxic.
"A very large number of cases presenting Nasal Catarrh, often with
swelling of the Inferior Turbinals, are cured by performing Tonsillectomy and
Adenoidectomy, but, amongst these chidren, I have found a few instances of
persistence of this Turbinal swelling, despite the operation, even when followed
by the use of Nasal guttae ; but I have not considered it right to remove any
portion of these valuable structures, the loss of which is more disadvantageous
than their retention . . . even if causing some obstruction.
40