[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
January 1971


Author Affiliations

Pediatric Otolaryngology Children's Hospital of Philadelphia 1740 Bainbridge St Philadelphia 19146

Arch Otolaryngol. 1971;93(1):110. doi:10.1001/archotol.1971.00770060142026

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


To the Editor.—The article "Audiologic and Otologic Screening of Disadvantaged Children" in the April Archives, (Fay et al: 91:366-370) contains a statement that I feel needs amplification.

A recommendation for T & A was made in 88 of 255 or a third of the children examined. In the first paragraph the authors state that these children are the bottom of the barrel and have had virtually no medical care and apparently little past history was available. The turnover was rapid and there was apparently no opportunity to follow these patients. In view of these facts, I do not see how a recommendation could be made that they have a major surgical procedure. There is much difference of opinion among physicians regarding T & A but I feel that almost everyone agrees a history and a period of observation is necessary to arrive at a reasonable approach to patients

First Page Preview View Large
First page PDF preview
First page PDF preview