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International Journal of Epidemiology 2008 37(1):9-19; doi:10.1093/ije/dym258
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2008; all rights reserved.

The Incidence of Tonsillectomy in School children*

J Alison Glover, O.B.E., M.D., FR.C.P., D.P.H.

The first 150 words of the full text of this article appear below.

The rise in the incidence of tonsillectomy is one of the major phenomena of modern surgery, for it has been estimated that 200,000 of these operations are performed annually in this country and that tonsillectomies form one-third of the number of operations performed under general anæsthesia in the United States. There are, moreover, features in the age, geographical and social distribution of the incidence, so unusual as to justify the decision of the Section of Epidemiology to devote an evening to its discussion.


   HISTORY
 
It seems unnecessary to review the history of operative treatment of the tonsil, and I will confine myself to pointing out that while it was natural that, in pre-anaesthetic and pre-Listerian days, the incidence of operation should be very small, it is astonishing to find how recent is the great vogue of the operation. For many years after the introduction of anaesthesia and aseptic surgery the incidence . . . [Full Text of this Article]


   EARLY ESTIMATES OF THE NEED FOR OPERATION
 

   HOSPITAL RECORDS
 

   RECORDS FROM THE SCHOOL MEDICAL SERVICE
 

   FUNCTION AND PHYSIOLOGICAL ENLARGEMENT OF THE TONSIL
 

   GEOGRAPHICAL DISTRIBUTION
 
Abroad
England and Wales
An Examination of the Rates in 1936
More than Three Times the Average Rate
Areas with More than Twice the Average Rate

   REDUCTION OF INCIDENCE SUBSEQUENT TO 1931
 

   THE SOCIAL INCIDENCE OF TONSILLECTOMY
 

   INCIDENCE OF MORTALITY FROM TONSILLECTOMY IN CHILDREN UNDER 15 YEARS
 

   SUMMARY
 

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