View report page

38
amongst the respective examiners, and perhaps a history of "cough"
or "frequent colds," or the child "is not thriving" or he snores,
needs only to be mentioned to be condemned.
A very valuable and instructive paper has just recently been
published by Dr. J. Alison Glover, recently a senior medical officer,
Board of Education, entitled, "The Paediatric Approach to Tonsillectomy"
in the "archives of Disease in Childhood"—March, 1948.
In this he covers the whole ground of tonsillectomy in children,
and his able analyses and conclusions should be carefully studied by
everybody who has to deal with this subject.
The audiometer is regularly employed to check up on all those
cases attending the clinic who have had ear affections or are referred
for deafness. The pure-tone audiometer is used at the Deaf School
to determine audiograms of all those children attending, who can
be tested. The gramophone audiometer is very useful in testing a
number of children at the same time, to find out if there is any
hearing deficiency and how much. The pure-tone machine, on the
other hand, is a very specialised instrument and is qualitative as
well as quantitative'; it detects in what particular "frequencies"
and to what extent, there is loss of hearing, but cases have to be
examined separately.
Two special sessions were held at the School for the Deaf
during the year, and all the children attending this school were
examined for any ear, nose and throat defects; and where nccessary,
suitable treatment arranged for. A good deal of treatments are
carried out at the school, such as diastolisation, nasal drops, certain
ear treatment, etc.
We have treated during the summer season 5 cases of hay fever
by nasal zinc ionisation. In all 5 cases the symptoms subsided and
the patients were free of any further "attacks'' of hay fever during
the year. As a rule, we give a treatment once a week for four weeks,
irrespective of any quiescence of symptoms following the first
treatment. With careful technique, this method affords a valuable
relief in hay fever, and is lasting, in a large number of instances.
The usual special Table of Returns is appended. These Tables
we find very useful for a quick and accurate review of the different
groups of cases; the various conditions present and the treatments
carried out, and the results.