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December 16, 1939


JAMA. 1939;113(25):2257. doi:10.1001/jama.1939.02800500063022

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To the Editor:—  The subject of poliomyelitis following adenotonsillectomy is one of such importance that I submit the following tabulation of cases from the literature as a supplement to Dr. Felderman's letter in your issue of October 28. No case has been included in which the interval between operation and the onset of poliomyelitis was more than twenty-two days. The references will all be found in Stillerman and Fischer's paper (Am. J. Dis. Child.56:778 [Oct.] 1938) except the one to the more recent paper of Koskoff, Amshel and Lebeau (Arch. Pediat.56:19 [Jan.] 1939). The recent cases reported by Ayer and by Aycock are mentioned by Stillerman and Fischer as obtained by personal communication:As Stillerman and Fischer point out, the proportion of bulbar cases in poliomyelitis after adenotonsillectomy is so much higher than in poliomyelitis generally that the chances of its being accidental are statistically negligible

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