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November 1957

AdenoidectomyAn Evaluation of the Original Technique

Author Affiliations

Alameda, Calif.

AMA Arch Otolaryngol. 1957;66(5):517-524. doi:10.1001/archotol.1957.03830290023004

Examination of the surgical techniques for adenotonsillectomy, as described in the medical literature during the past 75 years, discloses that adenoidectomy has received somewhat less than adequate attention. The methods of tonsillectomy, as well as the technique of most surgeons, may vary from personal preference, but, generally speaking, they accomplish a satisfactory result. In the past decade this slight has been partially corrected by recognition of adenoidectomy as a somewhat more than trivial procedure and in many cases deserving of equal if not more attention than tonsillectomy.

The Byzantine period1 of medical history produced a record of perhaps the earliest attempt to perform an adenoidectomy. Paul of Aegina (A. D. 625-690) wrote in Greek, while in Alexandria in A. D. 640, of treatment of projections in the nasal space and upper throat area.2 He advocated passing a ligature through a tube into the nose and pulling the end

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