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ELECTROSURGICAL EXTIRPATION OF THE TONSILS:  A CLINICAL STUDY OF THE VARIOUS METHODS EMPLOYED, WITH THEIR END-RESULTS

LEWIS J. SILVERS, M.D.
Arch Otolaryngol. 1930;12(4):511-523. doi:10.1001/archotol.1930.03570010575010.
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Many conflicting views are now prevalent as to the efficacy of electrosurgery in the complete extirpation of the tonsils. There are those who have attempted the method and for diverse reasons have found it unsatisfactory; then there are others who, like McKenzie,1 are convinced that surgical diathermy will come to be the method of choice in the removal of tonsils in adults.

Opinions are so divergent that it occurred to me to analyze my six years' experience with a gradually changing technic. By elucidating methods for the successful electrothermic extirpation of tonsils, and by noting possible causes of failure, I may clarify a new subject that has been greatly shrouded by ignorance and misunderstanding.

Modern medicine emphatically supports the principle of eradicating all foci of infection. A tonsil as the possible focus of infection may be either conservatively treated or radically removed, depending on indications. Electrosurgery opportunely comes to

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