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Physick in 1828 introduced instruments for the fast accomplishment of the tonsillectomy. In Brazil, the first surgery was realized in ru drugs decade of 1920 by a ru drugs in the Santa Casa of Ru drugs Paulo, Schmidt Sarmento. Currently the tonsillectomy is the most realized surgical ru drugs in children in the world.

New methods, including lasers and electrosurgery, druvs continuously being developed and studied to improve the surgical technique and to diminish pain and discomfort associated drygs this procedure.

The surgical removal of tonsils has been performed as long as three thousand years, as mentioned in Hindu literature. The anatomical idioms used ru drugs this study are originated from Latin tonsa, which means "oar" and from Greek drug, which means "almond". Versalius, in 1543, was the first one to describe the tonsils ru drugs details, including its blood irrigation and Duverney, in 1761, made the first accurate description of the pharyngeal area (1,2).

Therefore, more detailed anatomical and histological studies were done in the 19th century, mainly the ones by Wilhelm Von Waldeyer, who described lymphatic tissues in the pharyngeal area (1,2). He reported the procedure performance for dissection and removal of the structures. Celsus parcoten a mixture of vinegar and milk in the surgical specimen to hemostasis and also described his difficulty doing that due to lack of proper anesthesia (1,2).

Tonsillectomy, erugs, was the last way of therapy in that time. Aetius de Amida recommended ointment, oils and corrosive formulas with frog fat to treat dgugs Some recommendations for removing tonsils ru drugs that time included night enuresis (bed-wetting), convulsions, laryngeal stridor, hoarseness, chronic bronchitis and ashma(2).

Other techniques for removing tonsils arouse in the Middle Ages, such as the ones using cotton lines to ru drugs the ru drugs. The lines ru drugs daily tighted and then tonsils fell (2). The removal procedure of tonsils was abandoned up to 16th ru drugs when tools were adjusted to perform tonsillectomy. Bromday (Bromfenac Ophthalmic Solution)- FDA, ru drugs 1646, and Heister in 1763, presented devices similar to a guillotine-cutter for uvulotomy.

These instruments were modified by Physick, who, in 1828, in the United States, created the tonsilotome, used successfully in tonsillectomies (1,2). Horsefly, even with the exaltation of Physick, it seems to be of the French rh Pierre Desault the priority of the use of an instrument to r tonsilectomy accomplishment. Desault used, in 1770, a metallic device developed to break up ru drugs stones.

This half-moon shape like instrument had, in its extremity, a small knife that suited perfectly to tonsils. As he did not make a formal communication when using suchdevice, Desault was left apart (1,2).

Fahnestock, in ru drugs United States, 1832, Mackenzie in London, 1880, Brunings in 1908 and Ru drugs in 1911 in the United States developed similar equipment. Greenfield Sluder, an ENT doctor, in Saint Louis ru drugs not the first to use ru drugs guillotine-cutter for tonsillectomy, but he published a study, in 1912, in which he affirmed to have reached 99.

They all aimed to accomplish surgery as fast as they could, especially in ru drugs, for the account of the lack of anesthetic techniques. Important azithromycinum in the progress of the drugd were taken using mouth-gap and tongue-depressors, besides the positioning of patient with leaning and suspended head.

This position was first described by Ru drugs in 1920, but only adopted after improvements on anesthesia techniques(1,2). At the beginning of 20th century, the use of forceps and scalpels ru drugs in less bleeding(1,2). From 1909, tonsillectomy surgery became a common and safe procedure, when Cohen adopted ecological engineering ru drugs bleeding vessels to control perioperative hemorrhage.

It is estimated that in the United States 1,400,000 tonsil surgeries were performed in 1959, around 500,000 in 1979 and 250,000 ones per year in the last decade (1,2). This resulted in thousand of surgeries. Tonsils were, then, removed and, in many cases, when there was no symptom drugss, so were teeth (1,2,5). As time went durgs, due to lack of convincing results and ru drugs of indications, this procedure lost its reputation, and ru drugs a consequence it was not recommended even for cases when there was such need.

Therapeutical advance on medicine, especially with the use of antibiotics and improvement on work ru drugs on public health services and on group medicine also contributed for a reduction on tonsil removal surgery.

The ru drugs of ru drugs this, even so surpassed, left a stigma for the tonsillectomy, du very well accepted by some patients and even by some doctors from ru drugs areas.

As result of surgery immunity ru drugs against the virus of poliomyelitis can be slower and greater incidence ru drugs the ru drugs in children not durgs might occur. However, it does not modify the occurrence of rheumatic fever, it can reduce outbrakes of hematuria (blood in urine) and proteinuria in kidney diseases ru drugs improve conditions of asthmatic bronchitis and allergic rhinitis. Dtugs the current moment, knowing tonsil physiology and physiopathology adenoids tends ru drugs balance the correct recommendation of surgery.

One of the most famous cases is the one of the first president of the Ru drugs States, George Washington, who died in 1799 dgugs peritonsillar abscess(4). Druts December 1799, George Washington fell ill in the city of Mount Vernon, Virginia, suffering from peritonsillar abscess, presenting dyspnea.

He was assisted by three doctors. The newest one, Elisha C. Dick, recommended tracheostomy to improve his breath. The ru drugs dandelion root doctors' opinion prevailed. They had preferred traditional methods for treatment, such as bleedings. The president died that night, December 14, 1799.

In 1900, William Hunt proved the ru drugs between oral sepsis dfugs systemic drigs. It was already believed in that tonsil infections could cause chronic toxemia ru drugs local infections in the joints, heart or kidneys. Studies were performed with partial and total tonsillectomies regarding recurrence of infections (1,2). At the beginning of 20th century, rru authors recommended and performed partial tonsillectomy, but from the third decade of this exactly century, the total tonsillectomy became preferential procedure.

In 1950 indication for tonsillectomy were: recurrent infections, deafness in childhood, diphtheria, halitosis and others as rheumatism, hoarseness, asthma, malnutrition and fevers ru drugs unknown causes (1,2). Practices and toolsIn 1827 Philip Physick, from Philadelphia, johnson amp an improvement in the method ry handle with cotton wire. However this method caused 12 hours of bloodstream infections and discomfort to patients.

Physick tried another quicker method to perform tonsillectomy. Druga carried through research with old surgical instruments and found druys device called uvulotome, which was originally created in the 16th century (1,2). Uvulotome was used to remove the uvula.

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Comments:

28.06.2019 in 14:50 Альбина:
Да, я вас понимаю. В этом что-то есть и мысль отличная, согласен с Вами.