A Controlled Study of Adenotonsillectomy

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Abstract
A clinical trial to study the effects of adenotonsillectomy showed that children with a marked susceptibility to respiratory tract infection benefited from the operation, especially by a reduction in throat illness. They did not reach the state of health of the "normal" child so far as respiratory tract and nonrespiratory diseases were concerned even after two years, but the difference was lessened in the second year as the first-year improvement was increased in the second year. The difference between the hospitalized and the normal children could be due to an immunological defect in the former. The decision to operate should be made in the light of a documented history of the child's illnesses following a vigorous course of nasal hygiene which can alter the clinical state due to the removal of a source of infection.

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