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182
Operation Cases.—Five out of the six cases operated on improved,
and only four of the 12 not operated on improved.
The numbers here are small, but it is noteworthy that the cases
clearing up without operation took a long time to do so, and two
of those who did not improve developed serious defects. One
child had nasal catarrh, otitis media and eventually mastoiditis
2½ years after having been recommended operation. The other
child had recurrent otorrhcea over a period of 9 years. It is suggested,
therefore, that if the obstruction seems at all of an established
nature, operation is the treatment of choice.
Group V (125 Cases).
Septic Tonsils.
There are only 125 cases in this group and the degree of enlargement
of the tonsils has not been taken into consideration when
analysing them. All degrees of tonsillar enlargement, therefore,
are in Group V and this has been sub-divided into sub-groups
A, B, C and D as in the previous groups.