Abstract
IN THIS day of specialization and super-specialization it is unusual for a specialty journal such as theArchives of Otolaryngologyto receive recognition in the editorial pages of The Journal of the American Medical Association . The Nov 4 issue of this most widely read of all medical journals, cites the article by Gardner in the current issue of theArchives of Otolaryngologyon massive late postoperative hemorrhage after tonsillectomy. Incriminated is suture injury of the facial branch of the internal maxillary artery. Gardner points out that this artery may be brought close to the surface of the tonsil fossa by pressure on the base of the tongue in the Rose position when an unnecessarily wide tongue blade is used. A suture placed in the fossa to control superficial bleeding may then penetrate the facial artery. When the suture dissolves massive hemorrhage occurs through the fistula created by the suture to
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