This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

II. Technical Aspects

PAUL GUGGENHEIM, M.D.

AMA Arch Otolaryngol. 1956;64(5):361-372.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Numerous techniques have been described both for exposing the nasopharynx to direct view and for dealing with the diseased adenoid visualized. A historical resumé of these was presented in two previous publications.^* The purpose of the present paper is to discuss these methods in a comparative way. This will be done under several headings.

Shortcomings of Blind Adenoidectomy

Although nowhere explicitly stated as such, a "decompressive" concept of adenoidectomy seems to have been implicit in much of the thinking about adenoid surgery before the introduction of the direct technique by Andrew Love³ and L. K. Guggenheim. While even a poorly done adenoidectomy will usually relieve postnasal obstruction due to a large central adenoid mass, such incomplete surgery will frequently fail to prevent recurring bouts of otitis media or to alleviate conduction hearing impairment due to obstruction of the Eustachian orifices. We know that many children whose nasopharynges are literally . . . [Full Text PDF of this Article]

Author Affiliations
Topeka, Kan.

Footnotes
Accepted for publication May 16, 1956.

Article illustrated by the author.

References 1 and 2.

References 4 and 5.

References 4 and 5.

CiteULike    Connotea    Del.icio.us    Digg    Facebook    Reddit    Technorati    Twitter     What's this?