The Effect of Naso-pharyngeal Operations on Renal Function.

The operations, tonsillectomy, adenoidectomy, and tooth extraction, are among the most practised therapeutic procedures in Bright's disease. Whether patients suffering from Bright's disease are able, without detriment to their kidneys, to undergo such operations, and whether the operations are likely to affect the subsequent course of the renal disease, are questions which form the object of the present analysis of results. It is based on data from the records of the nephritic clinic of the Hospital of the Rockefeller Institute collected over a period of several years. Tonsillectomies and adenoidectomies were all performed by Dr. Stuart Craig under gas-oxygen-ether anesthesia, and extractions of teeth by Dr. Frank Wynn using procaine anesthesia. The patients were under the immediate care of Drs. MacKay, Johnston, McIntosh, Moore, Kirk, and Alving. The cases are classified according to the modification of Volhard and Fahr's classification made by Addis, as described in a previous monograph from this hospital (8).