The conclusion in my previous paper1 was that the adenoid is a physiologic lymphatic structure admirably designed to expose the greatest possible lymphatic surface as a barrier to the entrance of nasal infection through the nasopharyngeal mucosa into the general circulation.
In a series of over three hundred children the adenoid was left at the time the tonsils were removed. Daily expulsive blowing exercises were insisted on as after-treatment. Nasal breathing improved; colds and sinus symptoms and acute and chronic aural conditions were less frequent.
The problem of immunity in infections of the upper respiratory tract in children involves so much in its ultimate results that I do not think an apology is necessary for again presenting it for consideration. The end-results of infections of the nasal sinuses involving deeply the mucous membrane and also the bone, in varying degrees of osteomyelitis, and the mastoid involvements which extend to
LEMERE HB. ADENOIDS AND IMMUNITY: A FURTHER CONTRIBUTION. Arch Otolaryngol. 1933;18(3):326–331. doi:10.1001/archotol.1933.03580060348007
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