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(e) Nose and Throat Defects The scheme for treatment remained
the same as detailed in previous reports.

(f) Mr Disease and Defective Hearing. Ear Clinic - Dr. Francis
Clarke reports as follows:-
"The number of patients seen at the Aural clinic during
1942 was greatly in increase of that of the previous years since
the outbreak of war, mainly due to the steady return of those
evacuated during the war years 1939-1942, and accordingly the
number of attendances at the treatment sessions proportionately
increased.
"The general scheme of work in operation during the past
years has been carried on in 1942. A greater number of children
has been treated for "diseased" tonsils by the recently introduced
method of "Suction", and on the whole, the results are good and
justify the continuance of this method. Mow, one regular
fortnightly session is set apart for this treatment alone. A very
interesting point in connection with this treatment is the
remarkably good attendance of the children (with their parents)
until the prescribed course is finished. Very seldom has there
been more than one absentee from an appointment list of about 15,
and more often none. This would tend to show that the parents are
satisfied, and appreciate an improvement in the child's condition.
"The had a slight increase during the year in the number of
cases of acute otorrhoea, following, as usual, an increased amount
of measles and scarlet fever.
"The early and successful treatment of these acute ear
conditions is most important, to prevent their becoming chronic.
the wish here to stress the importance of "Suction" treatment, from
the very start of the otorrhoea. It empties the middle ear of the
accumulated discharge and consequently relieves the tissues of the
attendant irritation and pain, which retard healing, and equally
provides free drainage by keeping the perforation potent. Daily
suction and thorough cleansing, followed by a two or three hourly
application of 2% Carbolic Glycerine drops has given excellent
results - always remembering to treat any associated nasal
conditions at the same time.
"Sinus infection cases have been treated by Iroetz
Displacement, method and the nasal catarrh and rhinitis cases by
Dia stolisation.
"The number of cases now seen of chronic otorrhoea are very
few and these are treated by the established method of Zinc
Ionisation, which, in our experience, still gives the best and
Quickest results.
""The Deaf School which was temporarily evacuated at the
outbreak of war has returned, and suitable cases are referred there
for appropriate treatment.
"It might be said that the unavoidable dislocation caused in
the regular working of the clinic in the first year or two of the
war has now nearly disappeared. During the year we have not
noticed amongst the children attending the clinic any abnormal
deterioration in general health or nutrition or any neglect where a
large number of the mothers are engaged in war work".
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