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Updated: June 9, 2025
This case shows the close relationship between parts of the physical constitution and the voice, and illustrates the importance to the singer of a generally healthy physical condition. Another case illustrates a further and somewhat peculiar phase of the subject. From the posterior nasal passage of a singer I removed nine large adenoid tumors.
This is a variety of connective tissue found in the tonsils, spleen, lymphatic glands, and allied structures. It consists of a very fine network of cells of various sizes. The tissue combining them is known as adenoid or gland-like tissue. Fibro-Cartilage Fibers. Cartilage. Cartilage, or gristle, is a tough but highly elastic substance.
Certainly the connection of rheumatism with catarrhal infections of the mucous membranes and adenoid enlargements of all sorts is a close one. Whatever its nature, the rheumatic infection in childhood is more lasting and chronic than in adult life.
It is usually taught that a great variety of causes is concerned in producing enuresis. It is said to be due to a partial asphyxia during sleep from adenoid vegetation. It is said to be caused by phimosis, and to be cured by circumcision. It is said that the urine is often too acid and so irritating that the bladder refuses to retain it for the usual length of time.
I can't quite remember it, but it was about a chap who snored and disturbed the neighbours, and it ended, 'It was his adenoids that adenoid them." He made a weary gesture. "You expect me to work that in, do you, into a speech to be delivered to an audience of boys, every one of whom is probably riddled with adenoids? Damn it, they'd rush the platform. Leave me, Bertie. Push off.
Removal of tonsils and adenoid vegetations might conceivably cure an enuresis which is nocturnal, it cannot account for an incontinence which spreads to the day.
Among the diseases which can be remedied by slight means are enlarged tonsils and adenoid growths back of the nose, both of which can be removed by a slight and almost painless operation, but which, if allowed to develop, often cause serious throat and lung troubles, deafness, and weakened minds.
A little cocaine was applied, and with a single sweep of the curette he was minus an adenoid on the third tonsil, a tonsil of Luscha. Within ten days his voice was completely restored. Sometimes the physician is obliged to seek far for the cause of catastrophe to the voice. A fine and thoroughly well-trained tenor singer came to me with a singular tremor in his voice.
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