File:The Cleveland medical journal (1910) (14586569130).jpg

Identifier: clevelandmedical09clev (find matches)
Title: The Cleveland medical journal
Year: 1910 (1910s)
Authors:
Subjects: Medicine Medicine
Publisher: Cleveland : The Cleveland Medical Journal Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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The nasopharynx in a child is long and shallow. The baseof the tongue is relatively thinner and the larynx is higher thanit is in an adult. If hypertrophied adenoid tissue is present in aninfant, it may obstruct the nasopharynx and also the larynx onaccount of the relatively high position of the latter. Inflamed faucial tonsils in infants are rather unusual.After the second year inflammation of the tonsils becomes moreand more common until the age of puberty is reached, at whichtime the nasopharyngeal and faucial tonsils usually tend toatrophy. Ingersoll—Tonsil and Adenoid Operation. 257 The necessity for removing diseased faucial and nasopharyn-geal tonsils is self-evident. Formerly the faucial tonsils weresimply amputated and the adenoid tissue more or less completelyremoved. The operation was done quickly with little regard forthoroughness and the results were frequently unsatisfactory.The child was kept quiet for a day or two and the whole pro-cedure was regarded rather lightly.
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Figure 1. Longitudinal section showing the left nasal fossa, nasopharynx andlarynx of a six months fetus, (a) Adenoid tissue located relatively lowdown so that its inferior border is below the opening of the larynx. Therather long tube-like structure of the nasopharynx shows distinctly andthe opening of the Eustachian tube can be seen just above the free borderof the soft palate. The turbinal bones all show distinctly. Four ethmoidalturbinates can be seen. The consensus of opinion of laryngologists in regard to themethod of operation upon the faucial tonsils has changed verymuch during the past few years and now the complete enuclea- 258 The Cleveland Medical Journal tion of the tonsil with its capsule is considered by far the bestoperation. The thorough removal of all of the adenoid tissue in thenasopharynx and the fossae of Rosenmueller is done after theenucleation of the tonsils and the whole operation is more radi-cal than it was formerly and is necessarily attended by more KALEVI

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