Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Leyton]
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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 Cases | Group I | 650 Cases | |||
---|---|---|---|---|---|
Sub-group | (A) 359 | (B) 152 | (C) 107 | (D) 32 | |
Initial Recommendation. | |||||
Observation | 275 | 101 | 41 | 1 | |
Operation | 84 | 51 | 66 | 31 | |
Performed | 34 | 19 | 29 | 15 | |
Improved | 31 (91%) | 19 (100%) | 29 (100%) | 15 (100%) | |
Stationary | 3 (9%) | 0— | 0— | 0— | |
Worse | 0— | 0— | 0— | 0— | |
Not performed | 50 | 32 | 37 | 16 | |
Improved | 30 (60%) | 19 (59%) | 20 (54%) | 8 (50%) | |
Stationary | 12 (24%) | 8 (25%) | 13 (35%) 4 (11%) | 4 (25%) | |
Worse | 8 (16%) | 5 (16%) | 4 (25%) | ||
Subsequent Recommendation. | |||||
Observation | 188 | 87 | 31 | 1 | |
Improved | 93 (49%) | 53 (61%) | 18 (58%) | 1 (100%) | |
Stationary | 93 (49%) | 32 (37%) | 13 (42%) | 0— | |
Worse | 2 (2%) | (2%) | 0— | 0— | |
Operation. | 87 | 14 | 10 | 0 | |
Performed | 24 | 3 | 3 | 0 | |
Improved | 22 (92%) | 3 (100%) | 3 (100%) | 0— | |
Stationary | 2 (8%) | 0— | 0— | 0— | |
Worse | 0— | 0— | 0— | 0— | |
Not performed. | 63 | 11 | 7 | 0— | |
Improved | 13 (20%) | 1 (10%) | 1 (14%) | 0— | |
Stationary | 4 (7%) | 1 (10%) | 0— | 0— | |
Worse | 46 (73%) | 9 (80%) | 6 (86%) | 0— |