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British Journal of Preventive & Social Medicine logoLink to British Journal of Preventive & Social Medicine
. 1974 Feb;28(1):1–9. doi: 10.1136/jech.28.1.1

A review of investigations into adenotonsillectomy

G A Venters 1,2, M J Bloor 1,2
PMCID: PMC478808  PMID: 4593441

Abstract

Operations on the tonsils and adenoids are among the most commonly performed of all operations but present a wide range of problems when attempts are made to evaluate the results. This article reviews the findings of the major evaluative studies and discusses the general difficulties that confront them, particularly those that arise from failure to take into account the extensive web of social factors that precipitate a child towards operation and colour interpretation of symptomatology. It suggests that, while variations in operation rate persist on a geographic basis, variations according to social class have almost disappeared.

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Selected References

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

  1. BAKWIN H. The tonsil-adenoidectomy enigma. J Pediatr. 1958 Mar;52(3):339–361. doi: 10.1016/s0022-3476(58)80126-2. [DOI] [PubMed] [Google Scholar]
  2. Bolande R. P. Ritualistic surgery--circumcision and tonsillectomy. N Engl J Med. 1969 Mar 13;280(11):591–596. doi: 10.1056/NEJM196903132801105. [DOI] [PubMed] [Google Scholar]
  3. Evans H. E. Tonsillectomy and adenoidectomy. Review of published evidence for and against the T and A. Clin Pediatr (Phila) 1968 Feb;7(2):71–75. doi: 10.1177/000992286800700205. [DOI] [PubMed] [Google Scholar]
  4. FRY J. Are all "T's and A's" really necessary? Br Med J. 1957 Jan 19;1(5011):124–129. doi: 10.1136/bmj.1.5011.124. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. FURMAN R. A. Handling parental pressure for T and A. J Pediatr. 1959 Feb;54(2):195–199. doi: 10.1016/s0022-3476(59)80062-7. [DOI] [PubMed] [Google Scholar]
  6. Feinstein A. R., Levitt M. The role of tonsils in predisposing to streptococcal infections and recurrences of rheumatic fever. N Engl J Med. 1970 Feb 5;282(6):285–291. doi: 10.1056/NEJM197002052820601. [DOI] [PubMed] [Google Scholar]
  7. Glover J. A. The Incidence of Tonsillectomy in School Children: (Section of Epidemiology and State Medicine). Proc R Soc Med. 1938 Aug;31(10):1219–1236. [PMC free article] [PubMed] [Google Scholar]
  8. Levy A. M., Tabakin B. S., Hanson J. S., Narkewicz R. M. Hypertrophied adenoids causing pulmonary hypertension and severe congestive heart failure. N Engl J Med. 1967 Sep 7;277(10):506–511. doi: 10.1056/NEJM196709072771003. [DOI] [PubMed] [Google Scholar]
  9. Luke M. J., Mehrizi A., Folger G. M., Jr, Rowe R. D. Chronic nasopharyngeal obstruction as a cause of cardiomegaly, cor pulmonale, and pulmonary edema. Pediatrics. 1966 May;37(5):762–768. [PubMed] [Google Scholar]
  10. MERTZ J. C. Tonsillectomy and respiratory illness in the populations of two communities in New York State. Milbank Mem Fund Q. 1954 Jan;32(1):5–21. [PubMed] [Google Scholar]
  11. Mawson S. R., Adlington P., Evans M. A controlled study evaluation of adeno-tonsillectomy in children. J Laryngol Otol. 1967 Jul;81(7):777–790. doi: 10.1017/s0022215100067694. [DOI] [PubMed] [Google Scholar]
  12. McCORKLE L. P., HODGES R. G., BADGER G. F., DINGLE J. H., JORDAN W. S., Jr A study of illness in a group of Cleveland families. VIII. Relation of tonsillectomy to incidence of common respiratory diseases in children. N Engl J Med. 1955 Jun 23;252(25):1066–1069. doi: 10.1056/NEJM195506232522502. [DOI] [PubMed] [Google Scholar]
  13. Roydhouse N. A controlled study of adenotonsillectomy. Lancet. 1969 Nov 1;2(7627):931–932. doi: 10.1016/s0140-6736(69)90591-1. [DOI] [PubMed] [Google Scholar]
  14. Starey C. J. A Hospital Outpatient Referral Survey: A Study of the Referral Habits of a Group of General Practitioners. J Coll Gen Pract. 1961 May;4(2):214–222. [PMC free article] [PubMed] [Google Scholar]

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