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October 29, 1910

ENUCLEATION OF THE FAUCIAL TONSILSITS DIFFICULTIES AN CONTRA-INDICATIONS

Author Affiliations

Clinical Professor of Laryngology Detrot Collee f Medicine; Attending Rhinologist and Laryngologist, Harper Hospital; Laryngologit nd Otologst, Woan's Hospital and Infants' Home; Attending Laryngologist, Children's Free Hospital DETROIT

JAMA. 1910;55(18):1526-1530. doi:10.1001/jama.1910.04330180014006
Abstract

It is indeed a sad commentary on surgical procedure that it should be necessary to discuss at the present day any problem connected with the removal of the faucial tonsil. The fact remains, however, that an investigation of this operation throughout the civilized laryngologic world reveals many widely diverging and conflicting ideas in physiology, pathology, therapeutics and surgery. It is particularly the function of this Section, acting as a higher judicial court, to weigh such problems, and to establish, between enthusiasm and experience, a just and definite scientific basis of practice.

HISTORY AND STATUS OF THE RADICAL OPERATION  A glance at the extensive bibliography of McKenzie shows that tonsillectomy was performed by the ancients, and that Celsus recognized the value of enucleation by the finger.Writing in the year 10 A. D., Celsus1 says: "Tonsils which remain indurated after inflammation, if covered by a thin membrane, should be loosened

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