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Article
September 1, 1917

THE FOUNDATIONS OF VOICE IMPAIRMENT RESULTING FROM TONSILLECTOMY

JAMA. 1917;LXIX(9):709-714. doi:10.1001/jama.1917.02590360029009
Abstract

The following study is based on a careful investigation of the physiology of the soft palate and of the mechanicophysiologic importance of the tonsil, on a careful examination of 161 tonsillectomized throats, and on a study of thirty cases of voice or other disturbance resulting from tonsillectomy. The work has demonstrated the great need for accurate knowledge concerning the mechanical effects of tonsillectomy, and also has failed to quiet any feeling of unrest with respect to the effect of the operation on either the speaking or the singing voice. The study tends to prove that by reason of the important physiologic function of the capsule of the tonsil, the operation of tonsillectomy possesses a mechanicophysiologic importance much greater than that heretofore realized.

PHYSIOLOGY OF THE SOFT PALATE  Anatomically and physiologically, the faucial region is too complicated for easy or superficial interpretation. Certain anatomicophysiologic facts require emphasis:1. The posterior pillars,

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