The controversy concerning the advisability of performing a tonsillectomy on a tuberculous patient has been reopened by Newhart, Cohen and Van Winkle1 in an article summarizing their experience at Glenlake Sanatorium. This study was begun in 1919 and is based on tonsillectomies performed on 324 tuberculous patients, including 100 children. The authors conclude that "the tuberculous patient whose progress towards recovery is hindered by pathology of the tonsils should not arbitrarily be denied the benefits of a tonsillectomy because he has tuberculosis."
They advise tonsillectomy only for those patients for whom the operation is definitely indicated and not for patients in a hopelessly advanced stage or for patients during the acute stage of tuberculosis, except in an extreme emergency. They define an emergency case as that of a patient with dysphagia, a severe irritative cough or vomiting due to pathologic tonsils. Adults should be operated on under
WOOD GB. Progress in Otolaryngology: Summaries of the Bibliographic Material Available in the Field of Otolaryngology: LARYNGEAL TUBERCULOSIS. Arch Otolaryngol. 1935;21(2):210–222. doi:10.1001/archotol.1935.00640020219014
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