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Ernest B. Emerson Jr., M.D.
JAMA. 1954;155(13):1154-1155. doi:10.1001/jama.1954.73690310004007c.
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Since the first tonsil surgery was performed, it has been traditional to leave the fossa wide open after incision is completed. As might be expected of any large wound that is left open and allowed to granulate and heal from the edges, hemorrhage has, through the years, continued to be a serious problem that sometimes causes death. In an effort to improve the situation from the point of view of hemorrhage, the closed fossa tonsillectomy was introduced in May of 1952.1 Continued success with this procedure in over 1,000 consecutive hemorrhage-free cases2 and the improved postoperative course of the patients prompted us to look for a means of completing the closure of the wound, i. e., closure of the mucous membrane over the narrow raw surface left after the use of the closed fossa technique.

Observation of patients after tonsillectomy over a period of years shows that in


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