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Article
January 1931

ARE TONSILLAR RECURRENCES ENTIRELY DUE TO FAULTY OPERATIVE TECHNIC?

Arch Otolaryngol. 1931;13(1):37-46. doi:10.1001/archotol.1931.03660010047003
Abstract

The question of the postoperative recurrence of tonsil tissue is perhaps of greater importance now than ever before. This is so because of the increased number of physicians and general practitioners, as well as specialists, now performing tonsillectomies. Furthermore, the fact that tonsillar tissue that has recurred may be just as serious a focus of infection as the original tonsil makes this topic of vital importance. Repeatedly one meets with recurrences in instances in which one is positive that a perfect tonsillectomy was done.

Several years ago, one of us (S. J. P.) and Grichter1 examined tissues that were removed immediately after tonsillectomy from the margins of the operative site, and found that in 25 per cent of cases lymphoid structure was demonstrable. This lymphoid tissue varied from small collections of cells arranged sheetlike beneath the epithelium to accumulations in definite follicle formation with, at times, cryptlike structures closely

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