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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181
Sub-group D (25 Cases).
Tonsils defective, tonsillar glands enlarged and mouth breathing.
In this group there were only 25 cases, of whom 80 per cent,
were operated on with complete success. None of the non-operation
cases improved.
The numbers here are small, but seem to indicate that operation
is the only possible treatment.
Group IV (29 Cases).
Nasal Obstruction Only.
This small group consists of the cases with nasal obstruction
producing mouth breathing, and showing no tonsillar defect whatsoever.
The small number of these cases is rather surprising, as one
had supposed this condition to be much more common. The
number of cases amounts to little over 1 per cent, of the whole
number of cases analysed.

Table IV.

No. of Cases Group IV29
Initial Recommendation.
Observation11
Operation18
Performed6
Improved5 (84%)
Stationary1 (16%)
Worse0 —
Not performed12
Improved4 (33.3%)
Stationary5 (41.6%)
Worse3 (25%)
Subsequent Recommendation.
Observation10
Improved8 (80%)
Stationary2 (20%)
Worse0 —
Operation1
Performed
Improved0 —
Stationary0 —
Worse0 —
Not performed1
Improved0 —
Stationary0 —
Worse1 —

Observation Cases.—Only one case in this group was recommended
operation later. The numbers are small, but 8 out of 10
cases improved, two remaining stationary.