July 14, 1883


JAMA. 1883;I(1):17-18. doi:10.1001/jama.1883.02390010027001b

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[Read to the Section on Ophthalmology, Otology and Laryngology.]

The question of hæmorrhage after the excision of enlarged tonsils is still unsettled, and no single method for their removal is universally approved. Those looking to others for advice as to the dangers of the operation, must be bewildered by the extreme difference in opinion held by experts on this subject. There are those who, advocating the ideas of Schmidt and his sympathizers, discourage the use of all sharp instruments as dangerous to life; others, however, accepting the views of MacKenzie, insist upon the indiscriminate removal of enlarged tonsils by the knife. Safety, as we might expect, lies between the two extremes. Experience directed my attention to a middle course, and results demonstrated its advisability. My conclusions, with the reasons for forming them, the following cases will briefly explain:

Case i. A laboring man of powerful build, and in the apparent

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