The pretonsillectomy clinic

The Significance of the Tonsils in Pædiatrics

“…He comments on the physiological enlargement at the age of six and again at puberty and associates this with great changes in development and immun-?logical responses to unaccustomed herd Infections. This view is supported by Denzer and Fclshin (1943) who observe…”

“…He comments on the physiological enlargement at the age of six and again at puberty and associates this with great changes in development and immunological responses to unaccustomed herd infections. This view is supported by Denzer and Felshin (1943) who observe hypertrophy of the tonsils in recent child immigrants to the United States. Griffiths (1937) assumes that the lymphatic ring at the upper entrance to the air passages absorbs small numbers of organisms resulting in a gradual immunity.…”

Paediatrics—II

“…The extreme frequency with which the operation has at times been advised is illustrated by the findings of a survey of 1,000 New York 11‐year‐old school children quoted by Denzer and Felshin (1943), 610 of these children had had their tonsils removed. The remainder were referred three times to a different group of school medical officers and all but 65 were advised to have their tonsils taken out.…”

Societies' Proceedings

“…Many others feel that the appearance of the tonsil should not influence one's decision concerning the desirability of its removal (e.g. Denzer and Felshin, 1943 ;Brennemann, 1925 ;Dean, 1934). Most will agree that the mere size of the tonsil is no indication for the operation, except in the very rare cases in which the tonsils are so enormous that they may cause obstruction of respiration.…”

“…THE remarkable antipathy possessed by many for the tonsil is exemplified by the work of Denzer and Felshin (1943). They examined 1,000 11-year-old New York school children and found that 610 had had their tonsils removed.…”