—Hypertrophy of the pharyngeal tonsil is, in many cases, combined with enlargement of one or more other parts of Waldeyer's so-called lymphatic ring of the pharynx, and of the adenoid or lymphatic tissue found in all the mucous membranes. The symptoms produced by these abnormal conditions, while mainly traceable to the pharyngeal tonsil, may not be ascribed to it entirely, but must be considered in reference to a possible constitutional anomaly of which the adenoid vegetations are but a local manifestation. The most common of these is the excessive discharge which flows either into the nasopharynx or into the nose. It is of thick consistency, sometimes with a slight odor, and comes from Luschka's tonsil itself or from the nose. The tonsillar secretion in conjunction with the venous stasis, especially of the posterior ends of the lower turbinals, and the mechanical interference with drainage of the nasal chambers, by
MORGENTHAU G. SYMPTOMS AND DIAGNOSIS OF HYPERTROPHY OF THE PHARYNGEAL TONSIL. JAMA. 1900;XXXV(20):1271–1273. doi:10.1001/jama.1900.24620460021001j
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