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A STUDY OF TEN THOUSAND PAIRS OF TONSILS, WITH SPECIAL REFERENCE TO THE PRESENCE OF CARTILAGE, BONE, TUBERCULOSIS AND BODIES SUGGESTIVE OF ACTINOMYCOSIS

A STUDY OF TEN THOUSAND PAIRS OF TONSILS, WITH SPECIAL REFERENCE TO THE PRESENCE OF CARTILAGE,... Abstract During the last three decades, and especially in the last ten years, much has been written regarding the pathologic changes in the faucial tonsils. The early reports were of individual cases which demonstrated features that seemed to be unusual. Gradually, larger groups were studied, until within the last five years a number of articles have been published covering the systematic examination of the pathologic changes in several thousand cases. Throughout these years, various features have been mentioned: tumors, abscesses, the presence of foreign bodies, giant cells, cholesterol, foreign substances, concretions and cysts. However, three pathologic changes in the tonsils have received particular attention. In the order of their interest these have been cartilage and bone, tuberculosis and bodies resembling those seen in actinomycosis. All investigators agree that these three groups are definite. Yet, a wide divergence of opinion exists as to the percentage frequency of each and opinions differ References 1. Orth, Johannes: Arbeiten aus dem pathologischen Institut in Göttingen , Berlin, A. Hirschwald, 1893, p. 60. 2. Deichert, H.: Ueber Knorpel-und Knochenbildung in den Tonsillen , Arch. f. path. Anat. 141:434, 1895.Crossref 3. Walsham, Hugh: Occurrence of Cartilaginous and Bony Nodules in the Tonsil , Lancet 2:394, 1898.Crossref 4. Nösske, Hans: Ueber Knorpel-und Knochenbildung in den Tonsillen , Deutsche Ztschr. f. Chir. 66:559, 1902.Crossref 5. Tramontano-Guerritore, G.: A proposito di formazioni ossee e cartilginee nella tonsilla palatina umana , Sperimentale 77:465, 1923. 6. Moore, I.: Osseous and Cartilaginous Formations in the Tonsils , J. Laryngol. & Otol. 39:117 and 195, 1924. 7. Forman, Jonathan: The Occurrence of Nodules of Cartilage in the Tonsil , Ann. Otol. Rhin. & Laryng. 27:137, 1918. 8. Reitmann, Karl: Ueber das Vorkommen von Knorpel und Knochen in den Gaumentonsillen , Monatschr. f. Ohrenh. 37:321, 1903. 9. Portmann, G., and Spalaïkovitch, R.: Contribution à l'étude du tissu cartilagineaux amygdalien , Rev. de laryngol. 44:543, 1923. 10. Hambrecht, Leonora, and Nuzum, F. R.: A Correlated Study of the Indications for Tonsillectomy and of the Pathology and Bacteriology of the Excised Tonsils , Arch. Int. Med. 29:635 ( (May) ) 1922. 11. Robertson, C. M.: Certain Facts Concerning Faucial Tonsils , J. A. M. A. 47:1725 ( (Nov. 24) ) 1906. 12. Weller, C. V.: The Incidence and Histopathology of Tuberculosis of the Tonsils , Arch. Int. Med. 27:631 ( (June) ) 1921. 13. Wright, Jonathan: Actinomycosis of the Tonsil , Am. J. M. Sc. 128:74, 1904. 14. Davis, D. J.: A Comparative Study of the Crypt Content of Tonsils of Man, Pig, and Cow , J. A. M. A. 81:1172 ( (Oct. 6) ) 1923. 15. Broders, A. C.: Personal communication to the author. 16. Weller, C. V.: The Incidence and Histopathology of Bone and Cartilage in the Tonsils , Ann. Otol. Rhin. & Laryng. 32:687, 1923-1924. 17. Lippincott, L. S.: Conclusions from the Correlation of Laboratory Findings, Clinical Symptoms, and End Results in Tonsillectomy , New Orleans M. & S. J. 78:395, 1925-1926. 18. Carmody, T. E.: Histo-Pathology of the Faucial Tonsil , Laryngoscope 24:587, 1914. 19. Babbitt, J. A.: Pathology of the Faucial Tonsil , Ann. Otol. Rhin. & Laryng. 16:802, 1907. 20. Wood, G. B.: The Anatomy, Physiology and Pathology of the Tonsillar Structure in Relation to Cryptogenic Infections , Med. Rec. 98:593, 1920. 21. Hillkowitz, Philip: The Occurrence of Cartilage in the Tonsil , Ann. Otol. Rhin. & Laryng. 33:473, 1924-1925. 22. Kellert, Ellis: The Pathological Histology of Tonsils Containing Hemolytic Streptococci , J. M. Research 41:387, 1920. 23. Bilancioni, G.: Aspetto clinico e istologia pathologica delle tonsille palatine , Stomatol. 22:635, 1924. 24. Bell, H. H.: Further Observations on the Histopathologic Changes in the Excised Faucial Tonsils , Ann. Otol. Rhin. & Laryng. 33:1224, 1924. 25. Davis, J. E.: The Pathology of the Tonsil , Ann. Otol. Rhin. & Laryng. 33:657, 1924. 26. Dietrich, A.: Das pathologisch-anatomische Bild de chronischen Tonsillitis , Ztschr. f. Hals-, Nasen- u. Ohrenh. 4:429, 1922-1923. 27. Manchik, H.: Recherches sur le tissu cartilagineux des amygdales , Arch. internat. de laryngol. 1:257, 1922. 28. Weller, C. V.: The Incidence and Pathogenesis of Tonsillar Concretions , Ann. Otol. Rhin. & Laryng. 33:79, 1924. 29. Davis, D. J.: The Actinomyces-Like Granules in Tonsils , J. Infect. Dis. 14:144, 1914. 30. Castellani, A.; Douglas, Mackenzie, and Thomson, T.: Further Observations on Tonsillomycoses , J. Trop. Med. 26:19, 1923. 31. Poncet, M. A.: Actinomycose de l'amygdale; phlegmen cervical consécutif , Lyon méd. 102:1166, 1904. 32. Bell, H. H.: Bacterial Flora on the Faucial Tonsils with Especial Reference to the Hemolytic Streptococci and Associated Histopathological Changes , Ann. Otol. Rhin. & Laryng. 33:305, 1924-1925. 33. Grosevenor, L. N.: Actinomyces in Tonsillar Crypts , Illinois M. J. 19:513, 1911. 34. Ruge, H.: Ueber Actinomyces, ahnliche Gebilde in den Tonsillen , Ztschr. f. klin. Med. 30:529, 1896. 35. Ellis, J. W.: Actinomyces-Like Bodies in the Tonsils , J. A. M. A. 28:1241 ( (June 26) ) 1897. 36. Beck, J. C.: Some Points in Anatomy, Pathology and Surgical Treatment of the Faucial Tonsils , Ann. Otol. Rhin. & Laryng. 18:38, 1909. 37. Bergey, D. H.: Manual of Determinative Bacteriology , Baltimore, Williams & Wilkins Company, 1925, p. 462. 38. Magath, T. B.: Personal communication to the author. 39. Stackman, E. C.: Personal communication to the author. 40. Fitch, C. P.: Personal communication to the author. 41. Howarth, W. G., and Gloyne, S. R.: The Nature and Pathology of Infection in the Tonsil , J. Laryngol. Rhinol. & Otol. 39:429, 1924. 42. Sewall, E. C.: Histologic Examination of the Faucial Tonsils with Reference to Tuberculosis , J. A. M. A. 57:868 ( (Sept. 9) ) 1911. 43. Willis, B. C.: Inflammatory Pathology of the Tonsil , South. M. J. 7:747, 1914. 44. Wood, G. B., and Case, E. A.: Tonsillar Pathology in Relation to Systemic Infection , Ann. Otol. Rhin. & Laryng. 33:958, 1924. 45. Holsti, O.: Bidrag til kännedomen om tonsillerna vid de reumatiska ledgangsaffektionerna. En pathologisk-anatomisk och klinisk studie , Finska läk.sällsk. handl. 66:365, 1924. 46. Crowe, S. J.; Watkins, S. S., and Rothholz, A. S.: Relation of Tonsillar and Nasopharyngeal Infections to General Systemic Disorders , Bull Johns Hopkins Hosp. 28:1, 1917. 47. Barnes, H. A.: The Tonsils; Faucial, Lingual, and Pharyngeal: With Some Account of the Posterior and Lateral Pharyngeal Nodules , St. Louis, C. V. Mosby Company, 1914, p. 17. 48. Morris, A. G.: Clinical and Pathological Study of Tonsil Cases , Ann. Otol. Rhin. & Laryng. 32:864, 1923-1924. 49. Judd, E. S.: Treatment of Tuberculous Glands of the Neck , Ann. Surg. 52:758, 1910. 50. Weller, C. V.: Personal communication to the author. 51. North, John: The Physiology and Pathology of the Tonsils , J. A. M. A. 19:451 ( (Oct. 15) ) 1892. 52. Maffeo, Luigi: Sul contenuto colesterinico delle tonsille faringea e palatina , Riforma med. 39:146, 1923. 53. Aikman, John: Trichinosis in Children , New York State J. Med. 26:20, 1926. 54. Allen, H.: Cystic Tonsil , Tr. Path. Soc. Phila. 4:68, 1874. 55. Finder, G.: Zur pathologischen Anatomie der Tonsills , Arch. f. Laryngol. u. Rhinol. 7-8:351, 1898. 56. Ritter, Hans: Ein Beitrag zur pathologischen Anatomie der Gaumenmandeln , Arch. f. Laryngol. u. Rhinol. 13-14:121, 1903. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

A STUDY OF TEN THOUSAND PAIRS OF TONSILS, WITH SPECIAL REFERENCE TO THE PRESENCE OF CARTILAGE, BONE, TUBERCULOSIS AND BODIES SUGGESTIVE OF ACTINOMYCOSIS

Archives of Otolaryngology , Volume 10 (2) – Aug 1, 1929

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American Medical Association
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Copyright © 1929 American Medical Association. All Rights Reserved.
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0003-9977
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10.1001/archotol.1929.00620050023002
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Abstract

Abstract During the last three decades, and especially in the last ten years, much has been written regarding the pathologic changes in the faucial tonsils. The early reports were of individual cases which demonstrated features that seemed to be unusual. Gradually, larger groups were studied, until within the last five years a number of articles have been published covering the systematic examination of the pathologic changes in several thousand cases. Throughout these years, various features have been mentioned: tumors, abscesses, the presence of foreign bodies, giant cells, cholesterol, foreign substances, concretions and cysts. However, three pathologic changes in the tonsils have received particular attention. In the order of their interest these have been cartilage and bone, tuberculosis and bodies resembling those seen in actinomycosis. All investigators agree that these three groups are definite. Yet, a wide divergence of opinion exists as to the percentage frequency of each and opinions differ References 1. Orth, Johannes: Arbeiten aus dem pathologischen Institut in Göttingen , Berlin, A. Hirschwald, 1893, p. 60. 2. Deichert, H.: Ueber Knorpel-und Knochenbildung in den Tonsillen , Arch. f. path. Anat. 141:434, 1895.Crossref 3. Walsham, Hugh: Occurrence of Cartilaginous and Bony Nodules in the Tonsil , Lancet 2:394, 1898.Crossref 4. Nösske, Hans: Ueber Knorpel-und Knochenbildung in den Tonsillen , Deutsche Ztschr. f. Chir. 66:559, 1902.Crossref 5. Tramontano-Guerritore, G.: A proposito di formazioni ossee e cartilginee nella tonsilla palatina umana , Sperimentale 77:465, 1923. 6. Moore, I.: Osseous and Cartilaginous Formations in the Tonsils , J. Laryngol. & Otol. 39:117 and 195, 1924. 7. Forman, Jonathan: The Occurrence of Nodules of Cartilage in the Tonsil , Ann. Otol. Rhin. & Laryng. 27:137, 1918. 8. Reitmann, Karl: Ueber das Vorkommen von Knorpel und Knochen in den Gaumentonsillen , Monatschr. f. Ohrenh. 37:321, 1903. 9. Portmann, G., and Spalaïkovitch, R.: Contribution à l'étude du tissu cartilagineaux amygdalien , Rev. de laryngol. 44:543, 1923. 10. Hambrecht, Leonora, and Nuzum, F. R.: A Correlated Study of the Indications for Tonsillectomy and of the Pathology and Bacteriology of the Excised Tonsils , Arch. Int. Med. 29:635 ( (May) ) 1922. 11. Robertson, C. M.: Certain Facts Concerning Faucial Tonsils , J. A. M. A. 47:1725 ( (Nov. 24) ) 1906. 12. Weller, C. V.: The Incidence and Histopathology of Tuberculosis of the Tonsils , Arch. Int. Med. 27:631 ( (June) ) 1921. 13. Wright, Jonathan: Actinomycosis of the Tonsil , Am. J. M. Sc. 128:74, 1904. 14. Davis, D. J.: A Comparative Study of the Crypt Content of Tonsils of Man, Pig, and Cow , J. A. M. A. 81:1172 ( (Oct. 6) ) 1923. 15. Broders, A. C.: Personal communication to the author. 16. Weller, C. V.: The Incidence and Histopathology of Bone and Cartilage in the Tonsils , Ann. Otol. Rhin. & Laryng. 32:687, 1923-1924. 17. Lippincott, L. S.: Conclusions from the Correlation of Laboratory Findings, Clinical Symptoms, and End Results in Tonsillectomy , New Orleans M. & S. J. 78:395, 1925-1926. 18. Carmody, T. E.: Histo-Pathology of the Faucial Tonsil , Laryngoscope 24:587, 1914. 19. Babbitt, J. A.: Pathology of the Faucial Tonsil , Ann. Otol. Rhin. & Laryng. 16:802, 1907. 20. Wood, G. B.: The Anatomy, Physiology and Pathology of the Tonsillar Structure in Relation to Cryptogenic Infections , Med. Rec. 98:593, 1920. 21. Hillkowitz, Philip: The Occurrence of Cartilage in the Tonsil , Ann. Otol. Rhin. & Laryng. 33:473, 1924-1925. 22. Kellert, Ellis: The Pathological Histology of Tonsils Containing Hemolytic Streptococci , J. M. Research 41:387, 1920. 23. Bilancioni, G.: Aspetto clinico e istologia pathologica delle tonsille palatine , Stomatol. 22:635, 1924. 24. Bell, H. H.: Further Observations on the Histopathologic Changes in the Excised Faucial Tonsils , Ann. Otol. Rhin. & Laryng. 33:1224, 1924. 25. Davis, J. E.: The Pathology of the Tonsil , Ann. Otol. Rhin. & Laryng. 33:657, 1924. 26. Dietrich, A.: Das pathologisch-anatomische Bild de chronischen Tonsillitis , Ztschr. f. Hals-, Nasen- u. Ohrenh. 4:429, 1922-1923. 27. Manchik, H.: Recherches sur le tissu cartilagineux des amygdales , Arch. internat. de laryngol. 1:257, 1922. 28. Weller, C. V.: The Incidence and Pathogenesis of Tonsillar Concretions , Ann. Otol. Rhin. & Laryng. 33:79, 1924. 29. Davis, D. J.: The Actinomyces-Like Granules in Tonsils , J. Infect. Dis. 14:144, 1914. 30. Castellani, A.; Douglas, Mackenzie, and Thomson, T.: Further Observations on Tonsillomycoses , J. Trop. Med. 26:19, 1923. 31. Poncet, M. A.: Actinomycose de l'amygdale; phlegmen cervical consécutif , Lyon méd. 102:1166, 1904. 32. Bell, H. H.: Bacterial Flora on the Faucial Tonsils with Especial Reference to the Hemolytic Streptococci and Associated Histopathological Changes , Ann. Otol. Rhin. & Laryng. 33:305, 1924-1925. 33. Grosevenor, L. N.: Actinomyces in Tonsillar Crypts , Illinois M. J. 19:513, 1911. 34. Ruge, H.: Ueber Actinomyces, ahnliche Gebilde in den Tonsillen , Ztschr. f. klin. Med. 30:529, 1896. 35. Ellis, J. W.: Actinomyces-Like Bodies in the Tonsils , J. A. M. A. 28:1241 ( (June 26) ) 1897. 36. Beck, J. C.: Some Points in Anatomy, Pathology and Surgical Treatment of the Faucial Tonsils , Ann. Otol. Rhin. & Laryng. 18:38, 1909. 37. Bergey, D. H.: Manual of Determinative Bacteriology , Baltimore, Williams & Wilkins Company, 1925, p. 462. 38. Magath, T. B.: Personal communication to the author. 39. Stackman, E. C.: Personal communication to the author. 40. Fitch, C. P.: Personal communication to the author. 41. Howarth, W. G., and Gloyne, S. R.: The Nature and Pathology of Infection in the Tonsil , J. Laryngol. Rhinol. & Otol. 39:429, 1924. 42. Sewall, E. C.: Histologic Examination of the Faucial Tonsils with Reference to Tuberculosis , J. A. M. A. 57:868 ( (Sept. 9) ) 1911. 43. Willis, B. C.: Inflammatory Pathology of the Tonsil , South. M. J. 7:747, 1914. 44. Wood, G. B., and Case, E. A.: Tonsillar Pathology in Relation to Systemic Infection , Ann. Otol. Rhin. & Laryng. 33:958, 1924. 45. Holsti, O.: Bidrag til kännedomen om tonsillerna vid de reumatiska ledgangsaffektionerna. En pathologisk-anatomisk och klinisk studie , Finska läk.sällsk. handl. 66:365, 1924. 46. Crowe, S. J.; Watkins, S. S., and Rothholz, A. S.: Relation of Tonsillar and Nasopharyngeal Infections to General Systemic Disorders , Bull Johns Hopkins Hosp. 28:1, 1917. 47. Barnes, H. A.: The Tonsils; Faucial, Lingual, and Pharyngeal: With Some Account of the Posterior and Lateral Pharyngeal Nodules , St. Louis, C. V. Mosby Company, 1914, p. 17. 48. Morris, A. G.: Clinical and Pathological Study of Tonsil Cases , Ann. Otol. Rhin. & Laryng. 32:864, 1923-1924. 49. Judd, E. S.: Treatment of Tuberculous Glands of the Neck , Ann. Surg. 52:758, 1910. 50. Weller, C. V.: Personal communication to the author. 51. North, John: The Physiology and Pathology of the Tonsils , J. A. M. A. 19:451 ( (Oct. 15) ) 1892. 52. Maffeo, Luigi: Sul contenuto colesterinico delle tonsille faringea e palatina , Riforma med. 39:146, 1923. 53. Aikman, John: Trichinosis in Children , New York State J. Med. 26:20, 1926. 54. Allen, H.: Cystic Tonsil , Tr. Path. Soc. Phila. 4:68, 1874. 55. Finder, G.: Zur pathologischen Anatomie der Tonsills , Arch. f. Laryngol. u. Rhinol. 7-8:351, 1898. 56. Ritter, Hans: Ein Beitrag zur pathologischen Anatomie der Gaumenmandeln , Arch. f. Laryngol. u. Rhinol. 13-14:121, 1903.

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Aug 1, 1929

References