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Tonsillectomy and poliomyelitis

II. Frequency of bulbar paralysis, 1944–1949
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      Summary
      • 1.
        A study was made of the frequency of bulbar paralysis in 194 cases of poliomyelitis occurring within one year of tonsillectomy. Those in the study were selected from a total of 6,524 cases of poliomyelitis reported in New York City from 1944 through 1949.
      • 2.
        Two methods of analysis were employed, one based on the corrected expectancy of bulbar paralysis from its distribution among all cases reported during the six-year period under consideration, the other based on the results in a randomly selected group of cases without a history of tonsillectomy and comparable to those tonsillectomized with respect to age, sex, borough of residence, and date of onset.
      • 3.
        By both methods employed in the study, the percentage of bulbar paralysis was significantly higher than expected among post-tonsillectomized cases within one month of operation. The results were inclusive from one to six months after operation. No increase in the percentage of bulbar paralysis could be demonstrated in a small group of cases from six to twelve months after operation. The critical period when bulbar paralysis was most common was the first three weeks following operation.
      • 4.
        An increase in case fatality was noted among cases occurring within two months after operation.
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