Nearly 70 percent of contemporary ENT consultants perform adenoidectomy as a routine when removing the tonsils. It has been stated in the literature that adenoid and tonsillar hypertrophy tend to co-exist and so a study was set up to investigate this hypothesis, with the possible that it may be of diagnostic importance. A series of 45 children admitted for the operations of tonsillectomy and adenoidectomy was investigated. No correlation was found between adenoid weight and tonsil weight. In view of this, it was concluded that tonsil and adenoid hypertrophy do not necessarily co-exist and that tonsil size cannot be used to predict adenoid size.

The incidence of laryngeal tuberculosis in 341 patients with pulmonary tuberculosis was assessed in Dar es Salaam, Tanzania. Laryngeal involvement was present in 26.7 per cent of previously untreated cases. The clinical presentation corresponds to classical descriptions of the disease found in previous accounts. It is suggested that laryngeal tuberculosis is a common complication of pulmonary tuberculosis in developing countries. It should be the first differential diagnostic consideration in patients suffering from hoarseness, and pulmonary tuberculosis should be ruled out before a diagnostic direct laryngoscopy and biopsy are attempted.