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The brevity of this paper will preclude the consideration of inflammation of the tonsils due to syphilis, tuberculosis, lupus and malignant disease. Chronic amygdalitis is primarily and essentially a chronic disease of the tonsillar crypts, and rational treatment must aim at their destruction or removal. While usually attended with hypertrophy, such is not always the case. The enlargement is often so slight as to be hardly appreciable, and the morbid process is of so low a grade as to present, except at occasional intervals, but few of the usual features of inflammation. Knight has divided hypertrophied tonsils into three groups: 1, those that are decidedly increased in volume and constantly project beyond the palatine arches; 2, flat diffuse tonsils which project but slightly into the fauces except during the act of retching; 3, those that encroach upon the pharyngeal space and yet do not appear beyond the free margin of
ELLEGOOD JA. THE TREATMENT OF CHRONIC INFLAMMATION OF THE TONSILS. JAMA. 1898;XXX(11):593–594. doi:10.1001/jama.1898.72440630019001h
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