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Special attention is being given to the conservative
treatment of hypertrophied and diseased tonsils as against routine
operation. The principal method used has been that of tonsil
suction, referred to in our previous reports. In all, 73 cases
received treatment as against 38 the previous year. Unfortunately,
a considerable proportion of these 'lapsed' owing chiefly to
evacuation, before the prescribed courses could be completed but
in the great majority, even with part treatment, improvement was
noticeable, and those who were able to complete the course were
clear of all symptoms for which the treatment was undertaken, with
definite reduction in the size of the consils.
It will be noted in the figures of the returns the high
numbers in the 'lapsed' columns. The great majority of these cases
were evacuated under the urgent schemes last summer and autumn.
It will also be noticed that the total number of children treated
for nose and throat conditions exceeds the total for purely ear
affections. This is on the right lines as it is in the early
recognition and treatment of these nose and throat defects that the
majority of later ear and hearing troubles are prevented.
Proets displacement method in nasal sinus affections has
established itself as a definitely valuable diagnostic and
therapeutic measure. Zinc ionisation ha s b een retained as the
method of choice as the most efficient treatment of chronic Otorrhoea.
A steady improvement in the regularity of attendances and
appreciation by the parents is noticeable, following an intensified
'follow up' system by the school medical department, but owing to
war conditions a number of lapses is inevitable.
The following are the Tables of classification
11.