THE EFFECT OF NASO-PHARYNGEAL OPERATIONS ON RENAL FUNCTION

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Abstract
As measured by the urea clearance and phenolsulphone-phthaleine tests the operations of tonsillectomy, adenoid-ectomy and tooth extractions have usually had no effect on kidney function. In very exceptional cases renal function may be depressed in the days immediately following operation. Red blood cells and casts in the urine were frequently increased for some days after operation without any concurrent fall in renal function. Plasma proteins and urinary protein were not significantly affected by these operations, while hemoglobin in some cases was slightly decreased. The authors conclude that these operations seldom have any effect, favorable or unfavorable, on the progress of renal disease, but that when the general hygiene of the patient demands such an operation, it is not necessary to refuse it, unless the renal disease is in the terminal stage (urea clearance below 20% of normal) or the general condition of the patient is unfavorable.

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