THE ADENOID PROBLEM

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Abstract
UNTIL recently the nasopharynx was the most neglected territory in the otolaryngologist's domain. Adenoidectomy is still the most unsatisfactory surgical procedure that he is called upon to perform. The majority still attempt to remove a highly vascular, loosely organized, and indefinitely demarcated structure from a cavity of irregular contour without the aid of sight. After use of the La Force adenotomes, the index finger is employed in an effort to detect remnants. These remnants are attacked either by friction with the gauze-covered finger or by curettes. The former method is largely useless. The latter not infrequently removes the full thickness of mucosa or cuts away cartilage from the tubal prominences, with resulting scarring. That these methods leave something to be desired, especially in children with conduction hearing problems, would seem well attested by the recent widespread popularity of the radium applicator. By some, this instrument has even been employed routinely

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