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TYPES OF CASES EXAMINED. These fall into the following
broad categories: —
1. Tonsils and Adenoids.
2. Chronic Otitis Media.
3. Acute Otitis Media.
4. Deafness.
5. Rhinitis and Sinusitis.
6. Cervical Adenitis.
7. Chest Diseases.
The close integration of the various categories does not
permit of an exact numerical analysis.
SPECIAL POINTS.
Tonsils and Adenoids. Unless the need for operation is
most obvious, these cases are kept under observation for a
prolonged period in a form of pre-tonsillectomy clinic, as suggested
by the School Medical Officer.
Chronic Otitis Media. These cases are made to attend
assiduously until resolution occurs, and particular attention is
paid to the reserve of hearing. Others proceed to operation.
When necessary, the schools are asked to give front seats
in the classrooms.
In addition, the school teachers provide excellent progress
reports on their education.
Acute Otitis Media. The majority are admitted to Whipps
Cross Hospital for treatment, with subsequent follow-up at the
clinics.
DEAFNESS. The very deaf children attend Tunmarsh
Lane Deaf School, and a periodic survey is carried out. It has
not been possible to do this as often as one would like, but this
is scheduled for future extension.
Suspected deaf infants and children are given repeated
examinations at three to six months intervals. In this way the
children begin to know the examiner, and further knowledge of
their condition is gained.
Rhinitis and Sinusitis. The majority respond to simple
treatment, and further extension of this has been arranged when
the necessary equipment is available.
Resistant cases are admitted to hospital for operation.
Cervical Adenitis. These cases are carefully examined at
intervals to exclude tubercular adenitis, which is fortunately not
common in this Borough.
When necessary, the patch test is done.
Chest Diseases. Children with chronic chest ailments, other
than tuberculosis, have any necessary ear, nose and throat treatment
carried out, or in other cases are admitted to hospital for
bronchoscopy, bronchoscopic aspiration and bronchograms.
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