It is the purpose of this paper to present some observations on the relationship of ear disease and nasopharyngeal lymphoid tissue. Interest in pharyngeal lymphoid tissue occurred very early in the history of medicine. Hippocrates referred to swellings and inflammations of the throat in 400 B. C. Celsus described a method for removing the tonsils in 50 A. D. The word adenoid first appeared in the literature during the Roman domination of medicine. Alubucasis published what is perhaps the first account of the indications for tonsillectomy, about 1100 A. D.1 Numerous reports on this subject have been published, but many questions concerning this problem still remain unanswered.
Clinical evidence has long supported the assumption that diseases of the Eustachian tube and middle ear are frequently related to changes of the lymphoid tissue of the nasopharynx. The anatomical continuity of the structures of the Eustachian tube and the nasopharynx is
R. E. JORDAN. Nasopharyngeal Lymphoid Tissue and Its Relationship to Hearing. AMA Arch Otolaryngol. 1955;62(6):579–582. doi:10.1001/archotol.1955.03830060011003