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The recurrence of adenoid vegetations after thorough curettage of the rhinopharynx suggests a diseased soil. Why should vegetations recur in some cases and not in others? The neuropathic child in which improper respiration and imperfect oxygenation of the lungs are factors invites reinfection by reason of a tendency to take cold because of subnormal conditions. Imperfect metabolism, especially the metabolism of fat and proteid, will give a deficient structure, which deficiency invites bacterial invasion. A weakened structure will permit the entrance of pathogenic bacteria, hence catarrhal or suppurative manifestations result therefrom. If structural weakness exists and the body is not given the proper food element, then restoratives will be demanded.
When such precautions are neglected after the removal of adenoids, we are not surprised to find a recurring adenoid vegetation. Occasionally we run across children with recurring adenoids, despite the fact that they have been given proper restorative treatment. If
FISCHER L. RECURRING ADENOIDS IN CHILDREN. JAMA. 1912;LVIII(2):106–107. doi:10.1001/jama.1912.04260010108016
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