THE PROBLEM of pharyngeal lymphoid tissue has been with otolaryngologists for a long time. For years this tissue has had an importance in the oropharynx in connection with certain types of chronic sore throat, as a factor in excessive secretion in the throat, and it has been regarded with suspicion in the presence of any systemic disease in which a focus of infection might play an important role. No one knows the real meaning of lymphoid tissue. After removal of the tonsils and adenoids of the young child, this tissue has been observed to become prominent on the pharyngeal wall as "granules" and laterally as bands. Lillie1and others have referred to this reaction as compensatory, suggesting that the lymphoid tissue has a purposeful place and that this new distribution is an attempt on the part of nature to replace at least in part that which was surgically removed. There