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with a course of "displacement." We are now using, immediately
after the displacement with the usual Ephedrine sol., a 5 to 10 per
cent Albucid solution, (Schering's) by the displacement method.
The results so far obtained are very gratifying and we propose to
extend this further. Hospital operative treatment is essential in
some of the chronic instances and we referred three of these bad
cases to hospital where they were operated on.
Diastolisation has been used as in previous years in the majority
of those affected by rhinitis or nasal catarrh and in these instances
where deafness is an associated factor, we find diastolisation with
oscillation-vibration, of the greatest value. It is important, however,
to stress the point that the correct technique of diastolisation
be carried out. There is a definite technique to get the desired
results remembering that diastolisation is a physiological and not a
mechanical procedure.
For chronic otorrhoea and acute cases which do not respond
quickly to "antiseptic treatment," zinc ionisation is in our
experience the most efficient and rapid method for successful results,
hut our numbers of chronic otorrhoea are very limited.
Such adjuvants as cod liver oil and malt, tonics, etc., are
provided wherever the children show any indication for their use.
The general standard of nutrition and average health of those
children seen at Aural Clinics during the year was quite good,
taking all circumstances into account. The provision of daily meals,
milk, and suitable tonics has been a valuable factor in maintaining
the good health of the school children.