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TONSILLECTOMY DURING EPIDEMIC POLIOMYELITIS

JAMA. 1949;140(5):479. doi:10.1001/jama.1949.02900400033012.
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The Journal,1 March 21, 1942, warned that poliomyelitis, particularly the bulbar form, greatly increased in children after tonsillectomy or adenoidectomy in epidemic areas. Reports of Stillerman, Fischer, Maxwell, Marks, Top, Aycock and Sabin were cited. Since that time avoidance of such operations during epidemics has been almost universally adopted. Recently, otolaryngologists seem inclined to the belief that a causal relationship does not exist between the two and that bulbar poliomyelitis following tonsillectomy is probably purely coincidental. Cunning,2 as a result of a survey conducted at the request of the American Laryngological, Rhinological and Otological Society, based on questionnaire survey data covering 1947, felt that the operation should not be indefinitely postponed simply because summer months are the months that poliomyelitis is prevalent. Cunning's report and other factual material relating to this question were recently reviewed by Faber.3 Data on 4,331 cases of poliomyelitis occurring in twenty-five states

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