. Diseases of infancy and childhood . 3. Other conditions, such as:— Acute of of soft palate or , especiallynasal. These have to be carefully considered. These conditions may existwith adenoids, but when alone may cause symptoms similar to those occa-sioned by the presence of the hypertrophied tissue, so an operation maynot result in the promised cure. Tn infants the examining finger, onaccount of its size, is out of the question, and the rhinoscopic mirror cannotbe employed.
. Diseases of infancy and childhood . 3. Other conditions, such as:— Acute of of soft palate or , especiallynasal. These have to be carefully considered. These conditions may existwith adenoids, but when alone may cause symptoms similar to those occa-sioned by the presence of the hypertrophied tissue, so an operation maynot result in the promised cure. Tn infants the examining finger, onaccount of its size, is out of the question, and the rhinoscopic mirror cannotbe employed. To be absolutely certain the curette must establish the diag-nosis. Prog^nosis.—The disorders arising from the presence are:Ivcpeated attacks of coryza, chronic rhinitis, arrest of nasal development,nasal stenosis, and mouth breathing, with the associated mental is a tendency to bronchitis, to spasmodic croup and asthma. Childrenwith adenoids usually have very poor ap]tetites. There is an associated. Fig. 130.—Digital INIethod of Exploring the Rhino-pharynx for Adenoids. (Original.) 414 DISEASES OF THE XOSE AND THROAT. gastric catarrh. Some authors^ state that measles, scarlet fever, and eartroubles are more frequently found in children where adenoids exist. Theirpresence is therefore a menace and they certainly invite infection. Treatment.—Meyer, of Copenhagen, certainly deserves the credit forthe plan of treatment used in these cases. The following method has beenused by me for some time:— It is best to use an aiKPsthetic, as most children with adenoids are of aneurotic temperament. A rapid anesthetic in children is chloroform. Some authors advisethe use of nitrous oxide followed by ether as the best means of producinganaesthesia. Deep anaesthesia is uncalled for, as in that condition the coughreflex would be abolished. It is better to do the operation completely ratherthan put a child to the pain and discomfort of repeated sittings. T
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