{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:58:57Z","timestamp":1791979137502,"version":"4.4.0"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[1981,5,1]],"date-time":"1981-05-01T00:00:00Z","timestamp":357523200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[1981,5]]},"abstract":"<jats:p>Over the past several years the indications for adenoidectomy have become increasingly controversial. Attempts to justify the operation in recurrent otitis media by correlating cultures of the nasopharynx with cultures of middle ear fluid have been inconclusive. Using quantitative bacteriologic techniques, we have studied the levels of aerobic and anaerobic bacteria per gram of tissue in adenoids removed from 48 patients. In seven patients, adenoidectomy was performed for nasal obstruction alone, in 17 patients for chronic serous otitis media, and in 24 patients for recurrent suppurative and serous otitis media. Using the criterion that greater than 10<jats:sub>5<\/jats:sub> organisms\/gm of tissue constitutes infection, we found that 83% (20) of patients in the third group had infected adenoids, as opposed to only 15% (4) in the first and second group combined. Adenoid size measured radiographically did not correlate with the presence of infection. When recurrent suppurative and serous otitis media are unresponsive to medical therapy including antibiotics and decongestants, adenoidectomy should be considered in addition to myringotomy and ventilation tubes.<\/jats:p>","DOI":"10.1177\/019459988108900301","type":"journal-article","created":{"date-parts":[[2015,11,25]],"date-time":"2015-11-25T06:54:40Z","timestamp":1448434480000},"page":"355-363","source":"Crossref","is-referenced-by-count":26,"title":["Quantitative Bacteriology in Adenoid Tissue"],"prefix":"10.1002","volume":"89","author":[{"suffix":"III","given":"Harold C.","family":"Pillsbury","sequence":"first","affiliation":[{"name":"Department of Surgery Section of Otolaryngology New Haven Conn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John F.","family":"Kveton","sequence":"additional","affiliation":[{"name":"Department of Surgery Section of Otolaryngology New Haven Conn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clarence T.","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Surgery Section of Otolaryngology New Haven Conn"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Frazier","sequence":"additional","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery Yale University School of Medicine New Haven Conn"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1981,5]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.164.3887.1532"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489475084S1909"},{"key":"e_1_2_1_4_1","first-page":"49","article-title":"A controlled study of the effects of tonsillectomy and adenoidectomy in children","volume":"17","author":"McKee WJE","year":"1963","journal-title":"Br J Prev Soc Med"},{"key":"e_1_2_1_5_1","first-page":"133","article-title":"The part played by adenoidectomy in the combined operation of tonsillectomy and adenoidectomy: Second part of a controlled study in children","volume":"17","author":"McKee WJE","year":"1963","journal-title":"Br J Prev Soc Med"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1970.04310060083015"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100067694"},{"key":"e_1_2_1_8_1","first-page":"272","article-title":"Effects of adenoidectomy: A controlled two year follow up","volume":"87","author":"Rynnel\u2010Dagoo B","year":"1978","journal-title":"Arch Otolaryngol"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/00034894760850S253"},{"key":"e_1_2_1_10_1","first-page":"2","article-title":"Relation of tonsillar and nasopharyngeal infections to general systemic disorders","volume":"28","author":"Crowe ST","year":"1917","journal-title":"Bull John Hopkins Hosp"},{"key":"e_1_2_1_11_1","first-page":"1325","article-title":"Eustachian tube function as related to adenoidectomy for otitis media. 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