On the treatment of tuberculous glands in the neck : Section of Diseases of Children, at the Annual Meeting of the British Medical Association in Carlisle, July, 1896 / by Harold J. Stiles.

  • Stiles, Harold J. (Harold Jalland), 1863-1946.
Date:
[1896]
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of tuberculous glands in the neck : Section of Diseases of Children, at the Annual Meeting of the British Medical Association in Carlisle, July, 1896 / by Harold J. Stiles. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Reprinted from the British Musical Journal, September 12th, i8g6. ON THE TREATMENT OF TUBERCULOUS GLANDS IN THE NECK. SECTION OF DISEASES OF CHILDREN. At the Annual Meeting of the British Medical Association in Carlisle, July, 1896. By Harold J. Stiles, M.B., F.R.C.S.Edin., Senior Demonstrator of Surgery, University of Edinburgh; Assistant Surgeon, Royal Edinburgh Hospital for Sick Children, Tuberculous disease of the cervical glands gives rise to such very different morbid conditions, and presents itself clinicallv m su?h, diverse forms, that no one line of treatment can be expected to suffice. Each case must be considered and treated on its own merits. Although in tuberculous adenitis it is the particular morbid condition which exists which mainly deter- mines the treatment, there are nevertheless a number of secondary factors to be taken into account, and the v lue of each correctly estimated, before judgment be pronounced as to the particular line of treatment or operation to be adopted For instance, the extent of the disease, its duration andpro- gress, the previous treatment and its results, have all to be ffi?ndnlRi°Sunt' .^o^er important point is whether the glandulai affection is a part of a general tuberculosis or purely a local condition. If the latter, the primary source of That bo n^St be S;°Ug!1i /or andt removed whenever possible. That the disease should be so often localised to the glands of 2 iunwik- n n0t ^’Prising, when we remember the frequency w th lesions exist in children in connection with the mouth, the naso-pharynx, the tympanum, the con- junctivse, and the skm of the head generally. It is more than npptable uj the Prevalence of tuberculous glands in the neck m children is intimately associated with the special development of adenoid tissue at this period of life, and with the processes are met with in the decaff the mtt Sh PhaiTngeal tonsils’ and with himoj^nt^ource^Miifectiom^Whliin^tlie^astSew^yeai'slhe tubercle “hive u'a'll“Fta“e,ll'were peculiarly exempt from even*tlfan°theleethC^ ‘ m0M ^ceTinlSSS steL^gjjs^ a“ ~ * “