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To the Editor.—Dr. James Gardner's discussion of "Sutures and Disasters in Tonsillectomy" in the November 1968 Archives, incriminates the use of a wide tongue blade as a factor in bringing the facial artery medially, so that it is closer to the surface of the tonsil fossa. He mentions a tongue blade which I described at a meeting of the academy, which is even wider than the McIvor blade he uses. He infers that with the use of this blade, even more difficulty would be expected. The wider blade instrument pushes the soft tissue of the floor of the mouth inferiorly and laterally below the mandible, and it would seem to me that it would move the facial artery further from the fossa.
There are five surgeons in our hospital doing T & A's, and they all prefer this blade. Since introducing it in 1961, about 7,000 T & A's
OCHS IL. TONSILLECTOMIES. Arch Otolaryngol. 1969;89(3):559. doi:10.1001/archotol.1969.00770020561030
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