The subject of tonsillectomy and adenoidotomy has great interest for the pediatrician. In common with others, we have been impressed with the unsatisfactory basis on which the indications for the operation rest. Personal opinions are of little worth in evaluating the results that are obtained. Any one with large clinical experience can recall patients whose improvement after tonsillectomy, and apparently because of it, constitutes an argument for its value; on the other hand, other patients can be brought to mind in whom the failure to improve after operation might be equally valid proof of the failure of tonsillectomy to accomplish the expected or the desired results. The pediatrician may well be concerned with the problem, for the rhinolaryngologist, whose opinion is often relied on when tonsils and adenoids are removed, has little opportunity to study the effects of his work.
Doubts as to the benefits from tonsillectomy in many cases
SELKIRK TK, MITCHELL AG. EVALUATION OF THE RESULTS OF TONSILLECTOMY AND ADENOIDOTOMY. Am J Dis Child. 1931;42(1):9–41. doi:10.1001/archpedi.1931.01940130016002