This section is from the book "The Home Hand-Book of Domestic Hygiene and Rational Medicine. Volume 2.", by J. H. Kellogg, M.D.. Also available from Amazon: The Home Hand-Book of Domestic Hygiene and Rational Medicine, Volume 2.
Sensation of a lump in the throat upon one or both sides; difficulty in swallowing in extreme cases; voice changed, patient often being unable to pronounce certain words; great susceptibility to "cold in the throat;" constant irritation in throat; in many cases, impairment of hearing.
As just remarked, this disease is frequently the result of acute inflammation of the tonsils. The enlargement is sometimes confined to one side, but frequently both tonsils are affected. In some cases the enlargement is so great that the passage through the throat is almost entirely obstructed. We have frequently had eases in which the two tonsils came in contact, so great was the enlargement. Sometimes enlargement is produced gradually. This is especially the case in scrofulous children. The results of enlarged tonsils are more serious than are generally supposed. They not only occasion permanent injury to the voice, giving it a nasal character on account of the partial paralysis of the soft palate, preventing complete closure of the passage to the nasal cavity, but not infrequently occasion serious injury to the middle ear from inflammation of the Eustachian tubes.
In cases of marked enlargement, the treatment described for chronic pharyngitis may be given with success. Where the enlargement is very great there is no remedy but removal. The operation is a trivial one and should be resorted to promptly when its necessity becomes apparent.