A text-book on diseases of the ear, nose and throat . e-tissue reticulum closelypacked with round cells and containing numerous large lymph-folliclesand the ducts of the mucous glands. The acini of the latter lie in thesubmucous layer of the connective tissue below the layer of adenoidtissue. Below the snbmucous region there is the dense, firm connectivetissue of the basilar fibrocartilage of the pharyngeal vault. Miliary tubercles, tubercular, softened, cheesy masses with bacilli, andgiant cells have been found in the pharyngeal tonsil, and there is nodoubt that its tubercular infection is fa
A text-book on diseases of the ear, nose and throat . e-tissue reticulum closelypacked with round cells and containing numerous large lymph-folliclesand the ducts of the mucous glands. The acini of the latter lie in thesubmucous layer of the connective tissue below the layer of adenoidtissue. Below the snbmucous region there is the dense, firm connectivetissue of the basilar fibrocartilage of the pharyngeal vault. Miliary tubercles, tubercular, softened, cheesy masses with bacilli, andgiant cells have been found in the pharyngeal tonsil, and there is nodoubt that its tubercular infection is far more frequent than is supposed,though still rather rare. Considering the importance assigned at presentto the entrance of tubercular infection into the organism through thelym^Dhatic structures of the fauces and pharynx, and its penetration ofthe lymph-glands of the neck and thorax through these channels, thepossibility of adenoid vegetations being tubercular, and a possible sourceof pulmonary phthisis or tubercular meningitis at some future time,. Adenoid vegetations hiding the upperpart of the choante. 432 DISEASES OF THE NOSE AND NASOPHARYNX. is one more important reason for their radical removal and an argu-ment against leaving any portion of them behind, as is apt to occurwith certain popular and imperfect modes of operation. It is assertedthat more cases of pulmonary tuberculosis are due to entrance of thebacilli through the pharyngeal or faucial tonsils than to their invasionof the body by inhalation into the lungs, and that the tubercle bacilluspenetrating the lymph-glands in childhood lies dormant until the usualtime for the appearance of phthisis. Dieulafoy produced tuberculosisseven times in guinea-pigs inoculated with portions of thirty-five extir-pated pharyngeal tonsils. Pathological conditions accompanying enlargement of the pharyn-geal tonsil are seen in the upper jaw, the thorax, and the nose. Theupper jaw is apt to present what is known as the high-arched ap
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