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September 19, 1931


JAMA. 1931;97(12):856. doi:10.1001/jama.1931.02730120036014

For more than ten years, physicians have been experimenting with removal of the tonsils by electrical desiccation. Various methods have been described for accomplishing this result. The apparatus employed provides for surface dehydration, for penetration of the mass or for the use of the endothermic knife. In a recent issue of the Archives of Otolaryngology, Dr. Lewis J. Silvers1 reviewed his own experiences of some six years in this field. He comes to the conclusion, in which he is joined by Skillern, that electrocoagulation is an entirely safe and commendable procedure when complications contraindicate the usual radical method. The method is not, however, wholly without danger and certainly requires as much skill and knowledge as is required for surgical removal. For this reason Silvers urges the use of electrosurgical desiccation for young patients with heart disease, tuberculosis or nephritis and the occasional use of the endothermic knife for the

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