View report page

100
The operation for the removal of Tonsils and Adenoids is
carried out by arrangement with the Cottage Hospital and the
Redhill County Hospital, the child being admitted the night before
the operation and retained in Hospital at least one night after
the operation has been performed, thus giving the operating
Surgeon an opportunity of seeing the child and having him properly
prepared for his operation and also the opportunity of having the
child under his care beyond the period when alarming symptoms,
such as excessive bleeding, are likely to occur. Should the
Surgeon consider it necessary, the child is retained for more than
one night after the operation.
Instructions were given to the Medical Staff to assess the
condition of each child most particularly before making any
recommendation for operative treatment, and the conditions contained
in the following extract from the Report of the Chief
Medical Officer of Health of the Board of Education for 1929 are
carefully observed in the selection of cases
(a) That the condition is of such character or degree as to
require operative treatment.
(b) That no form of treatment other than removal will be
equally beneficial.
School Medical Officers are again urged to satisfy themselves
that the condition of the throat and nasopharynx is
such that has a detrimental effect on the child's health or
is practically certain to produce such an effect in the future.
Some of the patients likely to benefit by operation are set out
in tabular form by Dr. Priestman, School Medical Officer
of Folkestone, in his report for 1929.
(1) Where there is the obvious syndrome of deafness,
mouth breathing and chronic rhinorrhoea. ■
(2) When there are fairly frequent recurrences of
tis.
(3) When there are fairly frequent headaches and the
child is frequently hard of hearing.
(4) When common colds are invariably accompanied by
deafness.