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operation, child and growth

ADENOIDS. Soft tissue that grows on the sides or roof of the space at the back of the nasal passages. The adenoid varies in size, and often blocks the passage by which air is conveyed into the ear as well as that ItY hich one must breathe when breathing through the nostrils.

It has been stated that 90 per cent. of the cases of deafness in children are caused by adenoids, and that earache and acute abscess of the internal ear are also the occasional results.

lotith-breathing is very apt to induce catarrh of the throat and chest, and an almost constant nasal catarrh is one of the most marked symp toms of this malady. Ultimately, too, malformations of the chest, such as pigeon-breast, may in some cases be produced. But the most important evil result of adenoids is that they may be a channel of infection for the fatal disease of titherculous meningitis—through this channel the tubercle bacilli may get into the brain. The symptoms of adenoid growth are an elongated face, dropping jaw, pinched nose, open mouth, raised eyebrows, mid a vacant expression. The sufferer appears to have a permanent cold and sometimes a hacking cough. Enlarged tonsils also accompany the disease.

.1denoids are not directly dangerous to life, although they may be so indirectly.

Treatment.—Once the presence of adenoids is assured, the best thing to be done in pronounced cases is to have them removed by an operation. This operation is simple and safe. TWO days in bed on a light diet after the operation has been performed, and the child is well again. But slight growth of tissue does not always call for an operation. As a child advances in years cases of this kind get well without medical interference. For this reason it is advisable before the operation to ascertain definitely that the growth proves an obstruction to normal breathing. Sometimes, after an operation has been performed the child will vomit blood. This need not necessarily cause alarm ; it may be merely bringing lip some of the blood that it has swallowed while under the operation.

The surgeon who is to perform the operation will give the mother of the child instructions how to care for it before and after the operation.