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August 28, 1909


JAMA. 1909;LIII(9):692-695. doi:10.1001/jama.1909.92550090002002g

Without going into the consideration of anatomic details, I will proceed at once to the discussion of some of the various methods of dealing surgically with diseased tonsils. The complete removal of all tonsillar tissue that is at the time or is liable in the future to become diseased, with the incurrence of the minimum danger from hemorrhage or infection, constitutes an ideal to which we should strive in our operative technic. Any procedure short of this falls short of the ideal. At the same time circumstances arise which will not permit of the more thorough-going methods, in which case we adopt one of the procedures for the destruction of the lacunæ. The best of these consists in slitting the lacunæ which may be reached by means of a bent knife, and afterward cauterizing them with nitrate of silver fused on a copper probe

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