London's Pulse: Medical Officer of Health reports 1848-1972

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Leyton 1933

[Report of the Medical Officer of Health for Leyton]

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173
Group II. Enlargement of tonsils—second degree.
i.e., tonsils partly obscuring posterior pillars of
fauces.
Group III. Enlargement of tonsils—third degree.
i.e., tonsils protruding beyond posterior pillars of
fauces into nasopharynx.
Group IV. Nasal obstruction only.
i.e., cases with mouth breathing, but without appreciable
tonsillar defect.
Group V. Tonsils septic.
i.e., with pus exuding from tonsillar crypts.
Each group has been divided into four sub-groups as follows:—
Sub-group A.—Only tonsils defective.
Sub-group B.—Tonsils defective and tonsillar glands enlarged.
Sub-group C.—Tonsils defective and mouth breathing.
Sub-group D.—Tonsils defective, enlarged tonsillar glands, and
mouth breathing.
Group I (650 Cases).
Tonsils Enlarged—First Degree.

Table I.

No. of CasesGroup I650 Cases
Sub-group(A) 359(B) 152(C) 107(D) 32
Initial Recommendation.
Observation275101411
Operation84516631
Performed34192915
Improved31 (91%)19 (100%)29 (100%)15 (100%)
Stationary3 (9%)0—0—0—
Worse0—0—0—0—
Not performed50323716
Improved30 (60%)19 (59%)20 (54%)8 (50%)
Stationary12 (24%)8 (25%)13 (35%) 4 (11%)4 (25%)
Worse8 (16%)5 (16%)4 (25%)
Subsequent Recommendation.
Observation18887311
Improved93 (49%)53 (61%)18 (58%)1 (100%)
Stationary93 (49%)32 (37%)13 (42%)0—
Worse2 (2%)(2%)0—0—
Operation.8714100
Performed24330
Improved22 (92%)3 (100%)3 (100%)0—
Stationary2 (8%)0—0—0—
Worse0—0—0—0—
Not performed.631170—
Improved13 (20%)1 (10%)1 (14%)0—
Stationary4 (7%)1 (10%)0—0—
Worse46 (73%)9 (80%)6 (86%)0—