學齡童の耳鼻科疾患檢査並にアデノイド扁桃切除後の成績

　はしがき

　学齢童の身体的欠陷のうち，眼や耳の如き感覚器の障碍は智的発育と密接な関聯があるから特に注意すべきものである．

　耳科領域のうち聽器の保護は最も重視すべきものであるが，なかんずく学齢期に於て聽力障碍や感冐罹患の直接の原因となるアデノイド並に口蓋扁桃肥大（以下扁肥）は其の罹患率の高い点と全身の発育にも関聯する点から観て我々が最も関心を持つものである.

Ikeda investigated morbidity rate of disease of the ear, nose and throat in school children and noted the effects of adenotonsillectomy on individual scholastic records. Of total number of 1405 children, under this survey, covering the range of age group from the first to the sixth grade inclusively, it was revealed that, 23.47% were found with adenoids; 19.7 % with hypertrophied tonsils, and, 19.5 % afflicted with ozena. If those who suffered from abstructed nasal breathing were included among adenoid affections, this number would have increased to 75% of the total. Children afflicted with hyper-trophic tonsillitis and/or ozena were more prone to show positive tuberculin tests, while the adenoid groups were less so. Following adenotonsillectomy, complaints such as, mouth-breathing, nasal voice, impaired hearing, noctu- ria and frequeut attacks of colds were comple-tely relieved in 80 % of children that underwe-nt such operative procedures. Scholastic adva-nce after operation as compared to that of before showed a large improvement, most markedly in mathematics which was followed in turn by language and other memory works.