Læknablaðið - 01.04.1952, Page 31

LÆKNABLAÐIÐ
135
úr hér, sem svo víða annars
staðar í læknisfræðinni, og hún
sýnir greinilega að tonsillec-
tomia veldur engum sjúkleg-
um truflunum, heldur er til
mikils gagns, þegar hún er
framkvæmd af gildum ástæð-
um.“ ....
SUMMARY.
Tlie diagnosis of the differ-
ent kinds of acute tonsillitis
such as tonsillitis ulcerosa and
phlegmonosa besides the ordin-
ary tonsillitis simplex is short-
ly mentioned.
The writer points out that
recent investigations on numer-
ous patients show that the most
common sulfonamides do not
influence named diseases, hut
penisillin on the other hand
yields considerable help, shor-
tens the course of acute tons-
illitis, reduces the number of
complications and frequently
cures tonsillitis phlegmonosa.
It is warned against the use of
penicillin-lozenges, for they
may cause ulcerative stomatitis
and severe pharyngitis.
In cases of ordinary acute
tonsillitis, antineuralgica and
some gurglingwater (hvdrog-
enperoxyde f. inst.) are usually
sufficient. but penicillin is re-
commended in severe cases on-
ly, or in complications.
Concerning chronic tonsillitis
the writer stresses, that this
diagnosis almost exclusively is
hased on the anamnesis, i. e.
frequent attacks of acute tons-
illitis, and that the only effec-
tive treatment is tonsillectomy.
In connection with the con-
traindications for this opera-
tion, investigations into the
possible relationship behveen a
recent adenotomy or tonsill-
ectomy and poliomyelitis,
which seems to he vex-y doubt
ful, are mentioned.
At last the old and wide-
spread helief in the harmfuln-
ess of removing the tonsills
completely is discussed and
emphasized that extensive re-
searcli has failed to prove that
the tonsills liave any important
function, therefore no harm is
done hy the tonsillectomy, on
the contrary great benefit,
when the operation is perform-
ed on a valid indication.
Helztu heimildarrit.
1. Bennike, T. o. fl.: Om penicillin-
behandling af akut tonsillitis.
Ugeskr. f. læger, 39:1950, 1347.
2. Berdal, P.: Indikationer for ton-
sillectomi. Tidskr. f. d. norske
lægeforening, 21:1948.
3. Furstenberg, A. C.: Antibiotics in
the treatment of diseases of tlie
ear, nose and throat. Annals of
otolar., 1:1949,4.
4. Hofer, G.: Hat die Entfernung
der Tonsillen schadliche Folgen?
Monatschr. f. Ohren und lar.-
rhinol., 6:1947, 336
5. Larsen, Kaj.: Er sulfonamider
indiceret ved tonsillitis akuta o.
s. v. Ugeskr. f. læger, 107:1945,
179.