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October 15, 1932

Guide to Localized Bi-Terminal Tonsillar Coagulation.

JAMA. 1932;99(16):1377. doi:10.1001/jama.1932.02740680073036

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In this little book Dr. Doane details his methods of tonsillar coagulation. He first discusses the anatomy of the tonsils and adjacent parts, such as the pillars, the fossae and the blood and nerve supply. The author is of the opinion that, unless there are special indications, the plica semilunaris and plica triangularis should not be removed during electrocoagulation. He insists that a very careful history be taken in order to elicit details regarding previous infections of the tonsils, glands, nasal accessory sinuses, larynx, ear and nose. All laryngologists have observed caseous plugs in the tonsils, and many laryngologists are of the opinion that they are found in practically all tonsils and that unless they produce a fetor ex ore their presence is not a definite indication for tonsillectomy. Dr. Doane says: "While one cannot say positively that this material is infected and infecting, it is practically safe to assume

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