CONSIDERATION of tonsils and adenoid tissue has been directed principally in the past toward when they should be removed. Recently, however, physicians have come to realize that there are definite times and circumstances during which adenotonsillectomy is better deferred, or is even contraindicated. In addition, some have begun to attribute definite beneficial functions to these structures.Hoover1 believes that when the removal of pharyngeal lymphoid tissue would not be of benefit to the patient, i. e., when existing disease will not be cleared up or when the recurrence of previous difficulties will not be prevented, then the removal is contraindicated. Especially is this true when surgical intervention might further complicate a patient's condition, as in the presence of hemophilia, leukemia, acute anemia, Hodgkin's disease, or carcinoma, or during an acute infectious disease or upper respiratory tract infection. He does not consider age as a contraindication, stating that when
ADIN LE, SINGLETON JD. TONSILS AND ADENOIDS. AMA Arch Otolaryngol. 1953;57(6):686–704. doi:10.1001/archotol.1953.00710030710012
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