PMID: 16521468Mar 9, 2006Paper

The historical review of the adenotomy

Otolaryngologia polska. The Polish otolaryngology
Andrzej Kierzek

Abstract

The opinions of famous foreign and also such Polish physicians as Jan Sedziak, Władysław Wr6blewski, Zdzisław Dmochowski on problem of removal of hypertrophic pharyngeal tonsil are presented first of all. An unsuccessful trials of conservative treatment are pointed out. Adenotomy was preformed in general anaesthesia, especially by chloroform, in "half-anaesthization", in local anaesthesia. The problems of anaesthesia are presented widely. The various method of removal of hypertrophic pharyngeal tonsils by forceps, by curettes, by loops, by nail are depicted with full particulars. The Loewenberg's forceps in various modifications, the Gottstein's curette and later the Beckmann's and La Force's adenotoms were best. The problem of rinsing of nose after the operation and influence of this rinsing on complications in auditory organ, the problem of postoperative relapses are discussed. The postoperative complications after adenotomy, bleeding and haemmorhage early and late, running of bits of tonsil into larynx, the inflammations of upper respiratory tract are also presented. The Jan Miodoński's and Jan Danielewicz's modern opinions at a performance of problem of adenotomy are depicted finally.

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