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Treatments for practically all the E.N.T. defects found after
examination at the clinic, are carried out at the aural clinic or the
treatment clinics arranged in connection with the aural clinic.
Only those cases which require operation, such as the removal of
tonsils and adenoids, mastoid operation, those cases requiring" a
very special investigation for deafness, and hearing aids, are referred
to hospital. Approximately these are not more than a dozen
in the course of the year.
I find that the general results of clinic treatment carefully
carried out are very satisfactory.
The other special clinics i.e., the dental, eye, psychiatric,
speech, chest and heart clinics, have been very helpful in connection
with certain cases seen at the aural clinic. Occasionally
associated with ear, nose and throat abnormal conditions are
defects which come within the scope of these other specialities,
requiring special opinion and treatment. The fact that these special
clinics are situated locally, have regular sessions and times, are
easily accessible and have been very co-operative, plays an important
part in the smooth running and success of the aural clinic
and is a great advantage to the general well being of the patient.
Besides, this arrangement is very convenient for the parents,
saving time, longer journeys and delays in the necessary examination,
which must inevitably happen when children are referred to
distant centres.
The usual annual sessional E.N.T. clinic for the deaf children
at the School for the Deaf was held during the year at the school.
Treatment for those requiring' it was arranged at the aural clinic.
The general health of the children seen at the ear, nose and
throat clinic during the year, apart from their particular ear, nose
or throat defects, was very satisfactory. Only a very small
number could be considered below the average standards of
development and nutrition.
The number of children who attended the clinic and total
attendances during the year are shown in the Statistical Summary
at the end of this Report.
(iv) Orthopaedic Scheme.—The Scheme is under the clinical
charge of Mr. B. Whitchurch Howell, F.R.C.S., Consulting Orthopaedic
Surgeon, assisted by Miss H. Garratt, C.S.P., who has
again given effective and conscientious treatment to her patients.
The following tables show the work done at the clinic;—