Kudos for study. Results seem contrary to Darwinian concepts? Are adenoidectomies an evolutionary Principle? Could these pharyngeal deformities reflect modern physiologic pressures that potentiate weakened children? Certainly, tonsils & adenoids are major immune system glands.
Perhaps an improved reflection on this study might be that children transit a phase of adapting to their environment, & that adenoid/tonsil hypertrophy is a transient & adaptive phase.
Perhaps a better study would have been to track children into early adulthood & to have studied their cognition & IQ, as a function of tissue hypertrophy and sleep studies, at that time. Who knows?
My own opinion is that the best voice for adaptation is Mother Nature. As doctors we see snapshots of development that suggest cause & effect relationships.
Speaking for myself, I would rather have kept my tonsils & adenoids, but doctors of the 50’s & 60’s were of mindset that X-radiation of enlarged thymus glands & resection of tonsils/adenoids were intelligent contributions to health & well-being of the species.
Vaccine enthusiasts & perpetually-flourishing Eugenicists are of the same mindset. Mysterious scientific phenomenon that have not yet gained firm conclusionary data sets lend themselves to the most vocal theoreticians & protagonists.
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