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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176
In this small group only one case was not recommended
operation on first examination, and that case improved.
Operation Cases.—100 per cent, of the cases operated on
improved, and 50 per cent, of those not operated on also improved.
The percentage improvement in this sub-group is, however, not
so high as in the previous sub-groups.
It is interesting to note that in this sub-group operations are
performed within a shorter period of time than in the other subgroups.
The majority of the operations were performed within
the first year after recommendation.
Since a considerable proportion of these cases clear up without
operation, the question of treatment by this method might be
postponed for six months. If there is then no improvement,
operation should be recommended.
Group II (1,462 Cases).
Tonsils Enlarged—Second Degree.
Table II.
No. of Cases. | Group 11 | 1,462 Cases | |||
---|---|---|---|---|---|
Sub-group | (A) | (B) | (C) | (D) | |
935 | 269 | 188 | 70 | ||
Initial Recommendation. | |||||
Observation | 304 | 36 | 16 | — | |
Operation | 631 | 233 | 172 | 70 | |
Performed | 276 | 92 | 63 | 37 | |
Improved | 270 (98%) | 91 (99%) | 56 (89%) | 36 (97%) | |
Stationary | 3 (1%) | 1 (1%) | 7 (11%) | 0 — | |
Worse | 3 (1%) | 0 — | 0 — | 1 (3%) | |
Not Performed | 355 | 141 | 109 | 33 | |
Improved | 199 (56%) | 73 (52%) | 43 (39%) | 13 (39%) | |
Stationary | 98 (28%) | 42 (30%) | 50 (46%) | 14 (43%) | |
Worse | 58 (16%) | 26 (18%) | 16 (15%) | 6 (18%) | |
Subsequent Recommendation. | |||||
Observation | 203 | 28 | 8 | — | |
Improved | 101 (50%) | 20 (71%) | 5 (62.5%) | 0 — | |
Stationary | 99 (49%) | 8 (29%) | 3 (37.5%) | 0 — | |
Worse | 3 (1%) | 0 — | 0 — | 0 — | |
Operation | 101 | 8 | 8 | — | |
Performed | 34 | — | 5 | — | |
Improved | 34 (100%) | — | 5 (100%) | — | |
Stationary | 0 — | 0 — | 0 — | 0 — | |
Worse | 0 — | 0 — | 0 — | 0 — | |
Not performed | 67 | 8 | 3 | — | |
Improved | 19 (28%) | 3 (37.5%) | 1 (33%) | 0 | |
Stationary | 9 (14%) | 0 — | 0 — | 0 — | |
Worse | 39 (58%) | 5 (62.5%) | 2 (67%) | 0 — |