File:Diseases of the nose and throat (1903) (14779736031).jpg

Identifier: diseasesofnose00knig (find matches)
Title: Diseases of the nose and throat
Year: 1903 (1900s)
Authors: Knight, Charles H. (Charles Huntoon), b. 1849
Subjects: Nose Throat
Publisher: Philadelphia, P. Blakiston's son & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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en. Their injurious effects are so obvious,the benefit following their removal is so apparent, and the risks of 256 DISEASES OF THE NOSE AND THROAT. the operation arc so slight, that there should be no hesitancy inadvising it when the necessity arises. We should endeavor to re-move as much of the morbid tissue as possible, in other words to doa tonsillectomy. and in order to accomplish this it may be neces-sary in exceptional cases to dissect out the deep-seated masses withblunt scissors or tonsil knife (Fig. 98), rather than undertake touse the amygdalotome. It is not sufficient to make a superficialsection for the reason that a remnant of tonsillar tissue containingdiseased follicles is very prone to become the subject of an acuteinflammatory process under circumstances which excited its occur-rence before operation. It rarely happens that the faucial tonsilreproduces itself after radical excision. In very young subjectswith a tendency to lymphoid hypertrophy there may be possibly a
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Fig. 98. Tonsil Knives. slight inclination to recurrence. But, as a rule, we find that theimproved general condition following a nearly complete extirpationresults in progressive shrinkage of what small stump may be left.On the other hand in certain cases a moderate growth of lymphoidremnants may take place precisely as in the case of adenoids in thepharyngeal vault. Yet the experience of Coakley, who states thathe did amygdalotomy four consecutive times within as many yearson tlie same patient, is most extraordinary. Three questions are almost invariably asked whenever a tonsil-lotomy is proposed ; whether there is any risk from hemorrhage orother sources, second, if the tonsils are likely to grow again, andfinally what effect if any their removal may have upon the voice orother bodily function. The first two have perhaps been sufficientlydiscussed. A fear of sexual impairment sometimes suggested is HYPERTROPHIED TONSILS. 257 based upon a process of reasoning similar to that which di

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