On account of the situation of the tonsil, the radical operation for its removal is beset with certain difficulties and dangers. It is the purpose of this paper to discuss the best methods of surmounting the difficulties and eliminating the dangers.
The difficulties and dangers may be briefly enumerated as those arising from the anesthetic; the obscuration of field and embarrassment of respiration due to flow of blood and mucus, and the danger of hemorrhage. Another difficulty lies in the adequate exposure and illumination of the field of operation These difficulties not only add to the danger of the operation, but interfare with the perfection and artistic detail of the work. My ideas may be best shown by description of the instruments used and the method employed in operating. In this operation I use a number of instruments of my own device. The principle running through them all is the
CULLOM MM. REFINEMENTS WHICH RENDER TONSILLECTOMY SAFE, SURGICAL AND SATISFACTORY. JAMA. 1912;LIX(12):1114–1120. doi:10.1001/jama.1912.04270090358070
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