Medical treatment usually is ineffective as far as reduction of the growths is concerned, but as there is often an undoubted connection between lymphoid enlargements in childhood and future tuberculosis of the lung, much can be done to prevent this by general means. The surgical treatment of adenoid vegetation is the one to be considered, therefore, and the first subject that presents itself is whether it is better to employ general anesthesia in operations for removal of the hypertrophied pharyngeal tonsil or not.
The advantages of operation without anesthesia are avoidance of the dangers of enforced insensibility, the fact that the operation loses much of its formidable appearance to the child's parents, and the absence of the disagreeable after-effects of anesthesia. The objections to operation without an anesthetic are many. The first is the pain inflicted. It is comfortable for the operator to imagine that the nasopharynx is not especially
FREER OT. THE TREATMENT OF ADENOID VEGETATIONS OF THE NASOPHARYNX. JAMA. 1900;XXXV(21):1340–1346. doi:10.1001/jama.1900.24620470030001j
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