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TONSILS AND ADENOIDS

TONSILS AND ADENOIDS Abstract INDICATIONS CONSIDERATION of tonsils and adenoid tissue has been directed principally in the past toward when they should be removed. Recently, however, physicians have come to realize that there are definite times and circumstances during which adenotonsillectomy is better deferred, or is even contraindicated. In addition, some have begun to attribute definite beneficial functions to these structures.Hoover1 believes that when the removal of pharyngeal lymphoid tissue would not be of benefit to the patient, i. e., when existing disease will not be cleared up or when the recurrence of previous difficulties will not be prevented, then the removal is contraindicated. Especially is this true when surgical intervention might further complicate a patient's condition, as in the presence of hemophilia, leukemia, acute anemia, Hodgkin's disease, or carcinoma, or during an acute infectious disease or upper respiratory tract infection. He does not consider age as a contraindication, stating that when References 1. Hoover, W. B.: Lymphoid Tissue of the Pharynx , S. Clin. North America 31:911 ( (June) ) 1951. 2. Lederer, F. L.: Indications for Tonsillectomy and Adenoidectomy , Postgrad. Med. 10:191 ( (Sept.) ) 1951. 3. Gale, A. H.: Pros and Cons of Tonsillectomy , Brit. M. J. 1:133 ( (Jan. 20) ) 1951.Crossref 4. Kaiser, A. D.: The Significance of the Tonsils in the Development of the Child , J. A. M. A. 115:1151 ( (Oct. 5) ) 1940.Crossref 5. Discussion on the Tonsil and Adenoid Problem , Proc. Roy. Soc. Med. 43:317 ( (May) ) 1950. 6. György, E., and Székely, Á.: Absorption and Effect of Penicillin Injected into the Tonsils on the Bacterial Flora of the Tonsils , Acta oto-laryng. 39:62 ( (Feb.) ) 1951.Crossref 7. Leivers, E.: Adenotonsillectomy: Indications and Application of Surgical Techniques , California Med. 75:351 ( (Nov.) ) 1951. 8. King, J. T.: Infections in Cardiovascular Disease (Peter T. Bohan Lectureship in Medicine) , Am. Pract. & Digest Treat. 2:403 ( (May) ) 1951. 9. Richtnér, N. G.: Tonsillectomy in Chronic and Postacute Rheumatoid Arthritis , Acta oto-laryng. 38:419 ( (Oct.) ) 1950. 10. Wheatley, D.: Acute Follicular Tonsillitis Treated with Oral Penicillin , Practitioner 166:166 ( (Feb.) ) 1951. 11. Kao, Y. E.; Feng, S. F., and Yuan, Y. T.: The Occurrence of Hypoglycemia During Acute Tonsillitis in Children: Report of 2 Cases , Chinese M. J. 69:60 ( (Jan.) -Feb.) 1951. 12. Christofferson, K., & Richtnér, N. G.: Clinical, Bacteriologic and Pathoanatomic Considerations in Chronic Tonsillitis , Acta oto-laryng. 39:102 ( (June) ) 1951. 13. Bryan, J. T.: Primary Tuberculosis of the Adenoids in a 28-Year-Old Nurse: Case Report , J. Tennessee M. A. 44:293 ( (July) ) 1951. 14. Belal, A.: Latent Tuberculosis in Tonsils and Adenoids: Study of 127 Cases , J. Laryng. & Otol. 65:414 ( (June) ) 1951. 15. Belal, A.: Bilharzial Ova in Adenoid Tissue , J. Roy. Egyptian M. A. 34:41 ( (Jan.) ) 1951. 16. Lewis, G. K.; Gottstein, W. K., and Costanzo, V. A., Jr.: Congenital Neurogenic Malformation of the Faucial Tonsil , A. M. A. Arch. Otolaryng. 54:172 ( (Aug.) ) 1951. 17. Reeves, E., and Brill, R.: More Complete Adenoidectomy to Overcome Interference with Nasal Breathing by the Salpingonasal and Salpingopalatine Folds , Laryngoscope 61:146 ( (Feb.) ) 1951. 18. Tionloc, R. C.: Traction Sutures in Tonsillectomy , A. M. A. Arch. Otolaryng. 54:198 ( (Aug.) ) 1951. 19. Hartzell, M. K.: Simple Procedure to Reduce Post-Operative Tonsil Bed Bleeding , Northwest Med. 50:936 ( (Dec.) ) 1951. 20. Hyde, T. L.: Failure of Tonsillectomy , J. A. M. A. 146:1478 ( (Aug. 18) ) 1951. 21. Beatty, H. G.: Relation Between Tonsil and Adenoid Operations and Cleft Palate , A. M. A. 145:379 ( (Feb. 10) ) 1951.Crossref 22. Stoksted, P.: Rhinometric Examinations of Schoolchildren with Adenoid Vegetations , Acta oto-laryng. 39:44 ( (Feb.) ) 1951.Crossref 23. Slater, H. M., and Stephen, C. R.: Anaesthesia for Tonsillectomy and Adenoidectomy , Canad. M. A. J. 64:22 ( (Jan.) ) 1951. 24. Jackson, K.: Psychologic Preparation as a Method of Reducing the Emotional Trauma of Anesthesia in Children , Anesthesiology 12:293 ( (May) ) 1951.Crossref 25. MacDonald, T. J. C.: A Preliminary Report on the Anaesthetic Properties of Iso Propyl Chloride , Brit. J. Anaesth. 22:92 ( (April) ) 1950.Crossref 26. Lockett, J.: Isoprophyl Chloride as an Anaesthetic for Tonsillectomy , Brit. J. Anaesth. 23:117 ( (April) ) 1951.Crossref 27. Furstenberg, A. C.; Wood, L. A.; Magielski, J. E., and McMahon, G. F.: An Evaluation of Cocaine Anesthesia: The Perpetuation of Equivocal Concepts , Trans. Am. Ophth. 55:643 ( (July) -Aug.) 1951. 28. Somers, K.: Intravenous Procaine Following Tonsillectomy , Ann. Otol. Rhin. & Laryng. 60:175 ( (March) ) 1951. 29. Wright, W. K., and Pray, L. G.: Factors Influencing Late Secondary Hemorrhage Following Tonsilloadenoidectomy , A. M. A. Arch. Otolaryng. 53:277 ( (March) ) 1951. 30. Pearlman, S. J., and Loewy, A.: Secondary Tonsillar and Adenoid Hemorrhage in Relation to Barometric Pressure Changes , A. M. A. Arch. Otolaryng. 53:527 ( (May) ) 1951. 31. Miller, A. H.: Tonsillectomy and Adenoidectomy and Poliomyelitis , A. M. A. Arch. Otolaryng. 53:160 ( (Feb.) ) 1951. 32. MacGregor, I. W.: The Relationship of Poliomyelitis and Tonsillectomy , J. Laryng. & Otol. 65:289 ( (April) ) 1951. 33. Goerke, L. S., and Bower, A. G.: Poliomyelitis Following Tonsillectomy: A Report of 6 Cases , Ann. West. Med. & Surg. 5:770 ( (Sept.) ) 1951. 34. Faber, H. K.; McNaught, R. C.; Silverberg, R. J., and Dong, L.: Experimental Production of Post-Tonsillectomy Bulbar Poliomyelitis , Proc. Soc. Exper. Biol. & Med. 77:532 ( (July) ) 1951. 35. Adams, J. M.; Carpenter, C. M.; French, J. D.; Pressman, J. J.; Smith, J. L., and Klein, S. J.: Experimental Poliomyelitis: Use of Human Gamma Globulin in Tonsillectomized Monkeys , Laryngoscope 61:1010 ( (Oct.) ) 1951. 36. Bishoff, H. W.; Leyva, F. R.; Rice, E. C., and Haymaker, W.: Brain Abscess as a Complication of Tonsillectomy and Adenoidectomy: with a Clinicopathologic Report of 3 Fatal Cases , M. Ann. District of Columbia 20:429 ( (Aug.) ) 1951. 37. Froeschels, E.: "Postoperative" Hyperrhinolalia (Rhinolalia Aperta) , A. M A. Arch. Otolaryng. 54:140 ( (Aug.) ) 1951. 38. Rogers, A., and Jones, F. W.: Pneumoperitoneum Following Tonsillectomy , Gastroenterology 19:349 ( (Oct.) ) 1951. 39. Orton, H. B.: Symposium: Malignant Tumors; Malignant Neoplasms of the Tongue, Tonsils and Hypopharynx: Evaluation of Surgical Treatment , Tr. Am. Acad. Ophth. 55:226 ( (Jan.) -Feb.) 1951. 40. Lampe, I.: Symposium: Malignant Tumors; Malignant Neoplasms of the Tongue, Tonsils and Hypopharynx: Evaluation of Radiation Therapy , Tr. Am. Acad. Ophth. 55:231 ( (Jan.) -Feb.) 1951. 41. Hirst, O. C., and Charland, R. A.: Lymphosarcoma of the Tonsil: Review of Literature and Report of 2 Cases , A. M. A. Arch. Otolaryng. 54:60 ( (July) ) 1951.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

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American Medical Association
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Copyright © 1953 American Medical Association. All Rights Reserved.
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0096-6894
DOI
10.1001/archotol.1953.00710030710012
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Abstract

Abstract INDICATIONS CONSIDERATION of tonsils and adenoid tissue has been directed principally in the past toward when they should be removed. Recently, however, physicians have come to realize that there are definite times and circumstances during which adenotonsillectomy is better deferred, or is even contraindicated. In addition, some have begun to attribute definite beneficial functions to these structures.Hoover1 believes that when the removal of pharyngeal lymphoid tissue would not be of benefit to the patient, i. e., when existing disease will not be cleared up or when the recurrence of previous difficulties will not be prevented, then the removal is contraindicated. Especially is this true when surgical intervention might further complicate a patient's condition, as in the presence of hemophilia, leukemia, acute anemia, Hodgkin's disease, or carcinoma, or during an acute infectious disease or upper respiratory tract infection. He does not consider age as a contraindication, stating that when References 1. Hoover, W. B.: Lymphoid Tissue of the Pharynx , S. Clin. North America 31:911 ( (June) ) 1951. 2. Lederer, F. L.: Indications for Tonsillectomy and Adenoidectomy , Postgrad. Med. 10:191 ( (Sept.) ) 1951. 3. Gale, A. H.: Pros and Cons of Tonsillectomy , Brit. M. J. 1:133 ( (Jan. 20) ) 1951.Crossref 4. Kaiser, A. D.: The Significance of the Tonsils in the Development of the Child , J. A. M. A. 115:1151 ( (Oct. 5) ) 1940.Crossref 5. Discussion on the Tonsil and Adenoid Problem , Proc. Roy. Soc. Med. 43:317 ( (May) ) 1950. 6. György, E., and Székely, Á.: Absorption and Effect of Penicillin Injected into the Tonsils on the Bacterial Flora of the Tonsils , Acta oto-laryng. 39:62 ( (Feb.) ) 1951.Crossref 7. Leivers, E.: Adenotonsillectomy: Indications and Application of Surgical Techniques , California Med. 75:351 ( (Nov.) ) 1951. 8. King, J. T.: Infections in Cardiovascular Disease (Peter T. Bohan Lectureship in Medicine) , Am. Pract. & Digest Treat. 2:403 ( (May) ) 1951. 9. Richtnér, N. G.: Tonsillectomy in Chronic and Postacute Rheumatoid Arthritis , Acta oto-laryng. 38:419 ( (Oct.) ) 1950. 10. Wheatley, D.: Acute Follicular Tonsillitis Treated with Oral Penicillin , Practitioner 166:166 ( (Feb.) ) 1951. 11. Kao, Y. E.; Feng, S. F., and Yuan, Y. T.: The Occurrence of Hypoglycemia During Acute Tonsillitis in Children: Report of 2 Cases , Chinese M. J. 69:60 ( (Jan.) -Feb.) 1951. 12. Christofferson, K., & Richtnér, N. G.: Clinical, Bacteriologic and Pathoanatomic Considerations in Chronic Tonsillitis , Acta oto-laryng. 39:102 ( (June) ) 1951. 13. Bryan, J. T.: Primary Tuberculosis of the Adenoids in a 28-Year-Old Nurse: Case Report , J. Tennessee M. A. 44:293 ( (July) ) 1951. 14. Belal, A.: Latent Tuberculosis in Tonsils and Adenoids: Study of 127 Cases , J. Laryng. & Otol. 65:414 ( (June) ) 1951. 15. Belal, A.: Bilharzial Ova in Adenoid Tissue , J. Roy. Egyptian M. A. 34:41 ( (Jan.) ) 1951. 16. Lewis, G. K.; Gottstein, W. K., and Costanzo, V. A., Jr.: Congenital Neurogenic Malformation of the Faucial Tonsil , A. M. A. Arch. Otolaryng. 54:172 ( (Aug.) ) 1951. 17. Reeves, E., and Brill, R.: More Complete Adenoidectomy to Overcome Interference with Nasal Breathing by the Salpingonasal and Salpingopalatine Folds , Laryngoscope 61:146 ( (Feb.) ) 1951. 18. Tionloc, R. C.: Traction Sutures in Tonsillectomy , A. M. A. Arch. Otolaryng. 54:198 ( (Aug.) ) 1951. 19. Hartzell, M. K.: Simple Procedure to Reduce Post-Operative Tonsil Bed Bleeding , Northwest Med. 50:936 ( (Dec.) ) 1951. 20. Hyde, T. L.: Failure of Tonsillectomy , J. A. M. A. 146:1478 ( (Aug. 18) ) 1951. 21. Beatty, H. G.: Relation Between Tonsil and Adenoid Operations and Cleft Palate , A. M. A. 145:379 ( (Feb. 10) ) 1951.Crossref 22. Stoksted, P.: Rhinometric Examinations of Schoolchildren with Adenoid Vegetations , Acta oto-laryng. 39:44 ( (Feb.) ) 1951.Crossref 23. Slater, H. M., and Stephen, C. R.: Anaesthesia for Tonsillectomy and Adenoidectomy , Canad. M. A. J. 64:22 ( (Jan.) ) 1951. 24. Jackson, K.: Psychologic Preparation as a Method of Reducing the Emotional Trauma of Anesthesia in Children , Anesthesiology 12:293 ( (May) ) 1951.Crossref 25. MacDonald, T. J. C.: A Preliminary Report on the Anaesthetic Properties of Iso Propyl Chloride , Brit. J. Anaesth. 22:92 ( (April) ) 1950.Crossref 26. Lockett, J.: Isoprophyl Chloride as an Anaesthetic for Tonsillectomy , Brit. J. Anaesth. 23:117 ( (April) ) 1951.Crossref 27. Furstenberg, A. C.; Wood, L. A.; Magielski, J. E., and McMahon, G. F.: An Evaluation of Cocaine Anesthesia: The Perpetuation of Equivocal Concepts , Trans. Am. Ophth. 55:643 ( (July) -Aug.) 1951. 28. Somers, K.: Intravenous Procaine Following Tonsillectomy , Ann. Otol. Rhin. & Laryng. 60:175 ( (March) ) 1951. 29. Wright, W. K., and Pray, L. G.: Factors Influencing Late Secondary Hemorrhage Following Tonsilloadenoidectomy , A. M. A. Arch. Otolaryng. 53:277 ( (March) ) 1951. 30. Pearlman, S. J., and Loewy, A.: Secondary Tonsillar and Adenoid Hemorrhage in Relation to Barometric Pressure Changes , A. M. A. Arch. Otolaryng. 53:527 ( (May) ) 1951. 31. Miller, A. H.: Tonsillectomy and Adenoidectomy and Poliomyelitis , A. M. A. Arch. Otolaryng. 53:160 ( (Feb.) ) 1951. 32. MacGregor, I. W.: The Relationship of Poliomyelitis and Tonsillectomy , J. Laryng. & Otol. 65:289 ( (April) ) 1951. 33. Goerke, L. S., and Bower, A. G.: Poliomyelitis Following Tonsillectomy: A Report of 6 Cases , Ann. West. Med. & Surg. 5:770 ( (Sept.) ) 1951. 34. Faber, H. K.; McNaught, R. C.; Silverberg, R. J., and Dong, L.: Experimental Production of Post-Tonsillectomy Bulbar Poliomyelitis , Proc. Soc. Exper. Biol. & Med. 77:532 ( (July) ) 1951. 35. Adams, J. M.; Carpenter, C. M.; French, J. D.; Pressman, J. J.; Smith, J. L., and Klein, S. J.: Experimental Poliomyelitis: Use of Human Gamma Globulin in Tonsillectomized Monkeys , Laryngoscope 61:1010 ( (Oct.) ) 1951. 36. Bishoff, H. W.; Leyva, F. R.; Rice, E. C., and Haymaker, W.: Brain Abscess as a Complication of Tonsillectomy and Adenoidectomy: with a Clinicopathologic Report of 3 Fatal Cases , M. Ann. District of Columbia 20:429 ( (Aug.) ) 1951. 37. Froeschels, E.: "Postoperative" Hyperrhinolalia (Rhinolalia Aperta) , A. M A. Arch. Otolaryng. 54:140 ( (Aug.) ) 1951. 38. Rogers, A., and Jones, F. W.: Pneumoperitoneum Following Tonsillectomy , Gastroenterology 19:349 ( (Oct.) ) 1951. 39. Orton, H. B.: Symposium: Malignant Tumors; Malignant Neoplasms of the Tongue, Tonsils and Hypopharynx: Evaluation of Surgical Treatment , Tr. Am. Acad. Ophth. 55:226 ( (Jan.) -Feb.) 1951. 40. Lampe, I.: Symposium: Malignant Tumors; Malignant Neoplasms of the Tongue, Tonsils and Hypopharynx: Evaluation of Radiation Therapy , Tr. Am. Acad. Ophth. 55:231 ( (Jan.) -Feb.) 1951. 41. Hirst, O. C., and Charland, R. A.: Lymphosarcoma of the Tonsil: Review of Literature and Report of 2 Cases , A. M. A. Arch. Otolaryng. 54:60 ( (July) ) 1951.Crossref

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Jun 1, 1953

References