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A further Series—12 in number—were cases of Nasal Sinusitis, with
Diseased Tonsils and Adenoid Excess, many of which were
operated on.
Four cases of Diseased Tonsils and Adenoid Excess complicated by Acute
Tympanic Suppuration were treated.
There were 5 Cases with Chronic Tympanico-Mastoid Suppuration and
Diseased Teeth.
There were 9 Cases of Chronic Tympanic Catarrh, mostly associated with
Diseased Tonsils and Adenoid Excess.
One Case of Tympanic Deafness was sent to the Speech Clinic, but is not
yet cured.
There was 1 Case with Nerve-deafness, Diseased Tonsils and Adenoid
Excess, and Diseased Teeth, who underwent operation, and then
Eustachian Catheterisation, and was definitely improved.
Another Case showed Acute Tympanico-Mastoid Suppuration with
Diseased Tonsils and Adenoid Excess.
One Case suffered with Nasal Sinusitis, and complicated by Acute
Tympanic Suppuration.
Six Cases showed Nasopharyngeal Adenoid Excess without Diseased
Tonsils.
Sixteen other Cases including the following:—
1 Asthma—greatly relieved by surgical Diathermy to the Inferior
Turbinals that were very swollen.
1 Foreign Body in the Left Ear, with Diseased Tonsils and Adenoid
Excess.
1 Congenitally deaf child, almost a mute.
GENERAL REMARKS
It is a very common experience to find that great relief in nasal breathing
is obtained after small puncture and lavage of one or both infected Maxillary
Sinuses . . . and, as regards the Sinusitis itself, this method of treatment once,
or twice in some cases, using very temporary general anaesthesia, has given very
encouraging results.
I have noticed that, in several instances, the Notes of Hospital Out-patient
Treatment, such as the above, have not been entered on the Aural Clinic
documents.
Of the various methods of relieving nasal obstruction in children, due to
mechanical faults, I have found none so efficacious as that of ' Straightening of
the nasal septum. This, carried out with a pair of special forceps, consists in
simple intra-nasal septal fracture, rarely needing the subsequent help of splints.
The manoeuvre occupies about one minute, causes no, or very slight haemorrhage,
and does not alter the external configuration of the nasal organ.
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