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August 1960

Facility in Tonsilloadenoidectomy Management: Conclusions from 2,400 Consecutive Cases

Author Affiliations

Houston, Texas

Arch Otolaryngol. 1960;72(2):183-187. doi:10.1001/archotol.1960.00740010188005

The word facility was chosen for its context of meaning "skill" rather than "ease." For everyone will agree that, though tonsilloadenoidectomy (T and A) is often classified as minor surgery, its performance may entail great worry and troublesome complications. It is more properly classified as a major operation. As one of the earliest surgical procedures of the ancients and the most widely performed surgical operation today, it is of great importance to several groups in medical practice. Hence any knowledge contributing to facility or skill of management should be worthwhile. The purpose of this discussion is to pass on some knowledge gained from the 2,400-case series.

By way of introduction the following is pertinent. All cases in the series were operated on by the author in his private practice. Indefinite follow-up and delegation of responsibility make "house cases" unsuitable for the present purpose. The majority of cases were T and