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. 1990 Apr;36:745–747.

Modern Concepts of Tonsillectomy

P Modi, J Steinberg
PMCID: PMC2280580  PMID: 21234026

Abstract

Tonsillectomy and adenoidectomy is still the most commonly performed surgical procedure in North America. The indications for surgery are constantly debated and seem to vary subjectively. The merits of performing a tonsillectomy for what is an essentially benign condition must be taken in perspective and require a more scientific approach. It is important to understand the pathophysiology of Waldeyer's ring and the changes brought about by recurring infections in the region. Treatment protocols vary, as do physician attitudes. Many tonsillectomies are still performed by surgeons other than otolaryngologists: for example, by family physicians and general surgeons. The authors discuss the indications and the scientific basic for tonsillectomy.

Keywords: adenoidectomy, family medicine, otolaryngology, pathophysiology, tonsillectomy, Waldeyer's ring

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Agren K., Engquist S., Danneman A., Feychting B. Local versus general anaesthesia in tonsillectomy. Clin Otolaryngol Allied Sci. 1989 Apr;14(2):97–100. doi: 10.1111/j.1365-2273.1989.tb00343.x. [DOI] [PubMed] [Google Scholar]
  2. Bieluch V. M., Martin E. T., Chasin W. D., Tally F. P. Recurrent tonsillitis: histologic and bacteriologic evaluation. Ann Otol Rhinol Laryngol. 1989 May;98(5 Pt 1):332–335. doi: 10.1177/000348948909800503. [DOI] [PubMed] [Google Scholar]
  3. Kavanagh K. T., Beckford N. S. Adenotonsillectomy in children: indications and contraindications. South Med J. 1988 Apr;81(4):507–514. doi: 10.1097/00007611-198804000-00023. [DOI] [PubMed] [Google Scholar]
  4. Levy S., Brodsky L., Stanievich J. Hemorrhagic tonsillitis. Laryngoscope. 1989 Jan;99(1):15–18. doi: 10.1288/00005537-198901000-00004. [DOI] [PubMed] [Google Scholar]
  5. Parker A. J., Maw A. R., Szallasi F. An objective method of assessing nasality: a possible aid in the selection of patients for adenoidectomy. Clin Otolaryngol Allied Sci. 1989 Apr;14(2):161–166. doi: 10.1111/j.1365-2273.1989.tb00355.x. [DOI] [PubMed] [Google Scholar]
  6. Phillips D. E., Bates G. J., Parker A. J., Griffiths M. V., Green J. Digital and mirror assessment of the adenoids at operation. Clin Otolaryngol Allied Sci. 1989 Apr;14(2):131–133. doi: 10.1111/j.1365-2273.1989.tb00349.x. [DOI] [PubMed] [Google Scholar]
  7. Surján L., Jr Reduced lymphocyte activation in repeatedly inflamed human tonsils. Acta Otolaryngol. 1980 Mar-Apr;89(3-4):187–194. doi: 10.3109/00016488009127127. [DOI] [PubMed] [Google Scholar]
  8. Surow J. B., Handler S. D., Telian S. A., Fleisher G. R., Baranak C. C. Bacteriology of tonsil surface and core in children. Laryngoscope. 1989 Mar;99(3):261–266. doi: 10.1288/00005537-198903000-00005. [DOI] [PubMed] [Google Scholar]
  9. Yamanaka N., Sambe S., Harabuchi Y., Kataura A. Immunohistological study of tonsil. Distribution of T cell subsets. Acta Otolaryngol. 1983 Nov-Dec;96(5-6):509–516. doi: 10.3109/00016488309132738. [DOI] [PubMed] [Google Scholar]

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