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ment has on many 'large' and unhealthy-looking tonsils. ' Large,'
angry-looking tonsils reduce in size by 50%, and return to normal
appearance when the sinusitis is cured.
A number of children were treated for rhinitis, nasal obstruction,
mouth breathing, etc., by diastolization with the usually good
results which follows from this line of treatment. It must be
emphasized here, in regard to diastolization, that the case must
be suitable and that the technique, so carefully worked out by
its French authors, must be correct in every detail if the desired
results are to be obtained.
In the case of impaired hearing in children due to such nasal
conditions as rhinitis, tubal catarrh, nasal obstruction, diastolization
with vibration gives the most successful results. The early detection
and treatment of impaired hearing in the child is most important
in order to prevent this defect becoming chronic and permanent
in later life.
During the year, two special E.N.T. examination sessions were
held at the School for the Deaf. Treatment was prescribed where
necessary and two cases which required special ear treatment,
ionization, were treated at the Aural clinic. Hearing aids have
been supplied to a number of children at the school and these
aids have been found very helpful in the education of these
children.
On the whole, the attendances of the children at the clinics
for their various treatments have been satisfactory. A certain
number of cases, 21, did not complete the course of treatment
prescribed. Some of these left the district or left school ; others
failed to attend through illness, etc., and a few were referred
to hospital for tonsils/adenoids operation by their private doctor.
With the exception of a few cases, the standard of general
health of all the children seen at the clinic during the year was
well maintained and good. In the instances where it was considered
advisable, the school medical staff prescribed such useful remedies
as cod liver oil and malt, tonics, vitamin preparations, etc., and
also arranged for periods of convalescent treatment in the country
for suitable cases.
In this respect, the school and pre-school children of Walthamstow
are well cared for.