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To the Editor.—A simple analysis of the resolution of forces which exists in the tissues of the tongue and tonsil fossae as a tongue blade is placed demonstrates that as the blade depressing the tongue is widened, the lines of force move laterally around its edges. This result is indicated indirectly in Dr. Och's own references to tension, which tension does not seem that significant with the use of a narrow tongue blade, as I recommended. Obviously fossa tension is also influenced by such things as the tongue size, mouth size, and shape, and especially the degree of tongue depression.
The record of Dr. Ochs and staff is an enviable one, but nevertheless serious secondary tonsillar hemorrhage has been a reported problem of a number of other surgeons, all of whom I suspect would object to being accused of blind suturing. The accidental perforation of an anomalous facial
GARDNER JF. TONSILLECTOMIES-Reply. Arch Otolaryngol. 1969;89(3):559. doi:10.1001/archotol.1969.00770020561031
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