Faucial Tonsils Research Articles

The relative position of the deeper vessels of the neck with the end of the needle in local ansthesia around the faucial tonsil

The LaryngoscopeVolume 40, Issue 7 p. 539-543 Article The relative position of the deeper vessels of the neck with the end of the needle in local ansthesia around the faucial tonsil†‡ Dr. Philip S. Stout, Dr. Philip S. Stout PhiladelphiaSearch for more papers by this author Dr. Philip S. Stout, Dr. Philip S. Stout PhiladelphiaSearch for more papers by this author First published: July 1930 https://doi.org/10.1288/00005537-193007000-00011 † Read before the Philadelphia Laryngological Society, March 3. 1930. ‡ Cadaver studies with iodized oil in vessels; Roentgen ray photographs. AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Volume40, Issue7July 1930Pages 539-543 RelatedInformation

AN UNUSUAL CASE OF FOREIGN BODY RETAINED IN THE MOUTH

With the exception of the foreign bodies that lodge in the crypts of the faucial tonsils and intentially concealed foreign bodies, as in the case of thieves or smugglers, foreign bodies retained in the mouth are rare. Occasionally, sharp pieces of bone of fish, fowl or beef penetrate the epithelial lining and remain embedded in the soft tissue for a longer or shorter period of time. The case herein described is unusual for several reasons, the most interesting of which are its unique or at least rare location, surrounding the tongue at the root, and the fact that its whereabouts remained a mystery for seventeen days. REPORT OF CASE Helen M., a colored girl, aged 3 years, was admitted to the clinic of the Eye, Ear, Nose and Throat Hospital on Nov. 19, 1929, with a history of having swallowed a watch ring two days before. She had been to

A STUDY OF TEN THOUSAND PAIRS OF TONSILS, WITH SPECIAL REFERENCE TO THE PRESENCE OF CARTILAGE, BONE, TUBERCULOSIS AND BODIES SUGGESTIVE OF ACTINOMYCOSIS

During the last three decades, and especially in the last ten years, much has been written regarding the pathologic changes in the faucial tonsils. The early reports were of individual cases which demonstrated features that seemed to be unusual. Gradually, larger groups were studied, until within the last five years a number of articles have been published covering the systematic examination of the pathologic changes in several thousand cases. Throughout these years, various features have been mentioned: tumors, abscesses, the presence of foreign bodies, giant cells, cholesterol, foreign substances, concretions and cysts. However, three pathologic changes in the tonsils have received particular attention. In the order of their interest these have been cartilage and bone, tuberculosis and bodies resembling those seen in actinomycosis. All investigators agree that these three groups are definite. Yet, a wide divergence of opinion exists as to the percentage frequency of each and opinions differ

TONSILLECTOMY: MODIFIED AND ORIGINAL TECHNIC

The removal of the faucial tonsils has become one of the most commonplace operations in the realm of surgery, and the methods of procedure are as numerous as the physicians who attempt the operation. This is a lamentable fact for all concerned, especially for the patient. The end-results accurately reflect the degree of skill, experience and surgical judgment of the operator. Though each may have some points of technic peculiar to himself that may often be used advantageously by another, the fact remains, as in all surgical operations, that only by study and observation of the modus operandi of skilled and experienced laryngologists can the wheat be sifted from the chaff. Only then are laryngologists able to correlate their own ideas and skill with the best methods to be used in their daily work. They must ever bear in mind that they are dealing with anatomic structures the functions

The Incidence of Tuberculous Infection in the Faucial and Pharyngeal Tonsils of Children

The Incidence of Tuberculous Infection in the Faucial and Pharyngeal Tonsils of Children

ABSCESS OF THE LUNG FOLLOWING TONSILLECTOMY: REPORT OF A CASE

Lois M., aged 15, was operated on by a general practitioner on Oct. 1, 1927, for removal of her faucial tonsils. She apparently recovered from the operation, and returned to school, but about two weeks later a pain developed in the upper portion of the right side of her chest, with severe headaches and nausea, confining her to bed. The physician who performed the operation was called, and gave his opinion that she had pyelitis and sinusitis. She had fever at the time, the temperature running to 102.5 F., but never higher. She expectorated considerable blood and mucus from time to time. Infection of the sinuses was not revealed by the x-ray. A genito-urinary surgeon was consulted, and he advised that the patient be removed to a hospital for cystoscopy. She remained in the hospital about a week. Her temperature was said to have returned to normal, but on her

The Incidence of Tuberculous Infection in the Faucial and Pharyngeal Tonsils of Children

The Incidence of Tuberculous Infection in the Faucial and Pharyngeal Tonsils of Children

耳鼻咽喉科領域ニ於ケル 「リゾチーム」 ノ検索

In 1922 A. Fleming brought out some interesting facts in regard to the lytic substance present in the tissues and secretions of the body, which is capable of rapidly dissolving certain bacteria.He called it “Lysozym. ” A. Fleming and other investigators found Lysozym present in the tissues and secretions of the human body, animals and vegetables. But no one has studied the Lysozym in the mucous membrane of the human nose, tissue of the throat and pus of the ear.I first studied the lysozym which is present in the mucous membrane of the human nasal cavity (the normal or the hypertrophied mucous membrane of the iuferior, middle turbinated body) and mucous membrane of the human accessory nasal cavity (the normal or the affected membran). Further, I investigated it in the hypertrophied raucial tonsils, in the pharyngeal tonsils, in the impacted cerumen and in pus from peritonsillitis and from Schwartze's operation of mastoiditis. I extracted the membrane of these tissues and impacted cerumen with physiological salt solution. The organism used in this work is Bacillus Z, which was isolated by Bail in his laboratory.The summary of my experiments is as follows:1. I have first investigated the Lysozym in the mucous membrane of the human nasal cavity, accessory nasal cavity, pharyngeal tonsil and inpacted cerumen.2. The Lysozym in one normal mucous membrane of the nasal cavity partially dissolved the suspension of Baccillus Z, in 1: 7000 dilution. The Lysozym in the hypertrophied mucous membrane of the nasal cavity in 8 cases partially dissolved the Bacillus Z, in dilutions ranging from 1: 20000 to 1: 80000. The Lysozym in one normal membrane of the maxillary cavity partially dissolved the Bacillus Z, in 1: 7000 dilution, and in diseased maxillary cavity tissue in 9 cases partially dissolved the Bacillus Z, ranging between 1: 30000 and 1: 80000 dilution.In these few cases, the Lysozym in the normal tissues shows a weaker action than in the diseased tissues.3. The bacteriolytic action of the Lysozym in the membrane of the frontal cavity against the Bacillus Z, took place at the 1: 10000 dilution in one case.4. The bacteriolytic action of the Lysozym in the hypertrophied faucial tonsils in 6 cases occurred in dilution between 1: 7000 to 1: 50000.5. The bateriotytic action of the Lysozym contained in the hypertrophied pharyngeal tonsils took place in 1: 20000 to 1: 60000 dilutions in 4 cases.6. The bacteriolytic action of the Lysozym contained in the impacted cerumen occurred in dilutions of 1: 10000 to 1: 40000 in 5 cases.7. As above stated, the bacteriolytic action of the Lysozym contained in the pus also took place in dilutions of 1: 150000 to 1: 400000 in 6 cases.

GRADENIGO'S SYNDROME

The study of Gradenigo's syndrome presented by W. H. Sears, of Huntingdon, Pa., to the American Laryngological, Rhinological and Otological Society in 1925, as a candidate's thesis, has aroused new interest in the reporting of such cases. I have recently had a case in which this syndrome was present that was of more than passing interest to me. <i>History</i>.—On Dec. 14, 1926, Edwin B., white, aged 7, was brought into the clinic with a purulent discharge from the ear, of more than one month's duration. The child appeared fairly well developed and well nourished, and had been up and about since the otitis began. The ear was cleansed with solution of silver nitrate. The faucial tonsils were unusually large, and it was learned that the patient had had previous attacks of tonsillitis. The child had marked left convergent strabismus. His mother was told to bring him back the

CHRONIC TONSILLITIS: MICROSCOPIC PATHOLOGY

I have examined microscopically all tonsils removed in private and in clinic practice at Stanford University hospitals in San Francisco for two years, in all about 2,000 pairs, with the accompanying adenoids when present. I shall describe the microscopic picture of such specimens, giving some new features and emphasizing some old ones. Various workers have touched on many of these points, but this summary of the pathologic observations is based on the primary inflammatory nature of the changes in the different tissues of the tonsil, and I do not attempt to make an artificial subclassification of the various phases of this single process. I believe that a clearer understanding of the meaning of chronic tonsillitis is thus derived. A clinical correlation is not appended. ANATOMY The faucial tonsil is essentially a lymphatic gland, composed, therefore, of lymphoid follicles with active germinating centers, surrounded by a delicate reticulo-endothelial stroma supporting

A Case of Chronic Lymphatic Leukæmia associated with Enormous Enlargement of the Faucial Tonsils

A Case of Chronic Lymphatic Leukæmia associated with Enormous Enlargement of the Faucial Tonsils

END-RESULTS OF TONSILLECTOMY

No subject in medicine has caused greater discussion during the last fifty years than the faucial tonsil. Innumerable papers on every phase of it, medical, surgical, physiologic, pathologic, have been written. The laryngologist has been the object of constant ridicule and attack on its account. During recent years, however, the pendulum has swung in the other direction. No longer is the laryngologist solely responsible for the removal of the Internist, otologist, pediatrician, all have united in urging the removal of this alleged source of all human ills until the operation has become one of the most frequent in surgery. The Baltimore laryngologist who charged his friend paving the street in front of his office with tonsils may be recalled. At present it would rather be, for many enthusiasts, a case of blocking off the street with tonsils. The successful tonsillectomist who cannot boast of having slain his thousands

BACTERIOLOGIC STUDIES OF THE RESPIRATORY PASSAGES

The importance of hemolytic streptococci as the cause of fatal infections in infants and children is generally recognized. In bronchopneumonia, empyema, otitis media and in other serious conditions, these organisms are the predominant bacterial agents. In a previous study 1 it was pointed out that these streptococci are commonly found in normal and diseased conditions of the upper respiratory tract. These organisms were recovered from swab cultures of the pharynx and tonsillar surfaces in 61 per cent, of children, aged from 6 to 15 years, with simple hyperplastic tonsils. From the crypts of the extirpated tonsils of the same persons they occurred in 97 per cent, in large numbers. In adults, the hemolytic streptococci occur four times as frequently in nontonsillectomized as in tonsillectomized throats (from 58 per cent, to 15.8 per cent.). These data illustrate that the faucial tonsils are important sources of hemolytic streptococci. The nasopharynx and adenoid

LXX. Further Observations on the Histopathologic Changes in Excised Faucial Tonsils

LXX. Further Observations on the Histopathologic Changes in Excised Faucial Tonsils

XX. Bacterial Flora of Faucial Tonsils, with Especial Reference to Hemolytic Streptococci and Associated Histopathologic Changes

XX. Bacterial Flora of Faucial Tonsils, with Especial Reference to Hemolytic Streptococci and Associated Histopathologic Changes

The removal of the faucial tonsils

The removal of the faucial tonsils

The Tonsils, Faucial, Lingual and Pharyneal.

This admirable work may be studied with profit by every otolaryngologist. It begins with a discussion of the general nature of lymphoid tissue, with chapters devoted to the development of the tonsils, the anatomy and histology, and the question of the function. This part of the book is handled in a masterly manner which shows that the author has been a careful student of the subject. The chapters on the disease of the tonsils and on neoplasms are handled in the same clear, lucid manner characteristic of the whole book. The chapter on the surgery of the tonsils contains a very fair presentation of the surgical problems and the several methods of removing these structures. The method of removing the faucial tonsils with local anesthesia has not been presented as favorably as many surgeons who are using this method more extensively will feel that it deserves. The author fails to

On the use of radium to induce atrophy of the faucial tonsils–histologic evidence

The LaryngoscopeVolume 33, Issue 9 p. 681-690 Article On the use of radium to induce atrophy of the faucial tonsils–histologic evidence Dr. Walter A. Wells, Dr. Walter A. Wells Washington, D. C.Search for more papers by this author Dr. Walter A. Wells, Dr. Walter A. Wells Washington, D. C.Search for more papers by this author First published: September 1923 https://doi.org/10.1288/00005537-192309000-00005AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Volume33, Issue9September 1923Pages 681-690 RelatedInformation

THE ELECTROCOAGULATION METHOD OF TREATING DISEASED TONSILS

Various writers in this country, and, more particularly, in Germany, have recently been advocating the removal of the faucial tonsils by means of electrocoagulation. The virtues ascribed to this method, if they were true, would cast into discard the traditional methods of tonsillectomy. The application of the high frequency current to the tonsil, thereby coagulating it, is a simple office procedure. It is a bloodless operation, quickly performed, requiring no skill, dexterity or experience on the part of the operator. The high frequency current is readily controlled. Under suitable local anesthesia, the procedure can be carried out almost painlessly. With such obvious advantages, it is easily understood why this method should appeal so strongly to the general practitioner, and, perhaps, also to the specialist. One need but consider the tremendous interest aroused by the recent advocacy of the roentgen-ray treatment of diseased tonsils to understand why any plan which offers

INDICATIONS FOR TONSILLECTOMY IN INFANCY AND CHILDHOOD. IS THE MODERN TENDENCY TOWARD UNIVERSAL TONSILLECTOMY JUSTIFIED?

During the past few years there has been engendered in the minds of medical men an unbounded spirit of antagonism toward the faucial tonsils. The pendulum has been swinging toward extreme radicalism. The tonsils have been held responsible for almost every disease of childhood. As portals of entry and foci of infection they have been accused of producing every form of pathologic condition. The obsession has spread to the laity who are now, with or without medical advice, demanding the complete removal of the tonsils as a routine hygienic measure. Last year the medical school inspectors of New York City recommended tonsil treatment for 49,230 children. If the problem were extended to the whole country it would undoubtedly include more than a million children. Tonsillectomy is quite a major operation. Its risks are very definite. Numerous serious complications have been reported. A large number have not been reported. The indiscriminate