The Tonsil-Adenoidectomy Enigma
This extensive commentary on the literature concerning an age-old enigma deserves the thoughtful consideration of every pediatrician. It is an analysis of the horrors and confusion which still prevail concerning the results of, and indications for, removal of the tonsils and adenoids in children. As it is written by a pediatrician, a suspicion of bias would he understandable, but this will have to be demonstrated by cogent reasons from the advocates of the procedure who wish to argue for continuance of its present widespread usage. Condemnation of the present employment of the operation is so complete that one is still left confused as to the proper indications for tonsillectomy, if any. Also left unexplained is the reason for the present situation after so many years of preaching of a conservative point of view. Will another exposé bring improvement or must some more compelling tactic be employed? The author states "The operation retains its vogue in the face of well-documented evidence that, in the overwhelming majority of cases, it is useless." This sets the stage for a great debate. Perhaps clarification and positive action will follow.
