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Article
October 1933

COLLEGE OF PHYSICIANS OF PHILADELPHIA AND NEW YORK ACADEMY OF MEDICINE, SECTIONS OF OTOLARYNGOLOGY

Arch Otolaryngol. 1933;18(4):554-559. doi:10.1001/archotol.1933.03580060586014

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Abstract

Postoperative Pulmonary Complications; Are They Preventable? Dr. Chevalier Jackson, Philadelphia.  This subject may be considered best by presenting clinical cases arranged in three groups: (1) cases of postoperative atelectasis; (2) cases of abscess following tonsillectomy, and (3) cases of inspiration of instruments or of other substances at the time of operation. These three groups are distinct. Postoperative atelectasis follows abdominal and occasionally pelvic operations; it is not primarily suppurative, and one does not see it after tonsillectomy or other operations about the head or the upper air passages. In group 2, on the contrary, a sudden onset with fulminating symptoms of abscess, including foul expectoration, follows immediately or shortly after tonsillectomy or an operation about the upper air passages. This type of suppuration does not follow abdominal or pelvic operations unless it is due to a septic infarct. In group 3 there is the long symptomless interval characteristic of the

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