Understanding the Functional Significance of the

Once Thought Vestigial Tonsils

by Giovanni J.R.C.

__________________________________________________________________________________________________

 

Similar to the appendix, the human tonsil had been the target of most surgeons for removal. This is mainly due to the erroneous belief that this structure no longer has a significant function in the anatomy. Such an idea was perpetrated by wrong assumptions that this seemingly unimportant organ is a mere remnant of its once fully functioning form. However, this notion can now be dispelled especially through the advent of various researches that give importance to this structure.

When talking about the tonsils, one immediately thinks of the pair of ovoid masses of lymphoid tissue found on each side of the throat. This, however, is merely one third of the different structures known as the tonsil. Aside from the palatine tonsil (which is briefly described above), the other two tonsils are as follows: The pharyngeal tonsils or the adenoids that are quite similar to the palatine tonsils in its composition but instead can be found between the back of the nose and the throat. In addition, the third part of this structure is the lingual tonsils, which are situated near the back of the tongue (Encyclopedia.com). Although all three organs make up the tonsil structure, the often-removed portion of this formation, however, is the palatine tonsil.

Like the appendix, the palatine tonsil is prone to various infections that can be caused by numerous pathogens. Bacterium such as Streptococcus, Staphylococcus, Haemophilus influenzae, Streptococcus pyogenes and other organisms can trigger the illness that is more commonly known as tonsillitis (Tonsilitis 1). Although it is not a very serious contamination, tonsillitis, however, can be a debilitating ailment due to its painful nature. Furthermore, such an infection usually causes an inflammation in the throat, especially of the mucous membranes, thus causing blockage in the esophagus therefore creating some difficulty in swallowing. Because of these extremely bothersome aches, many often choose to receive tonsillectomies rather than having to go through such a nuisance. This, however, is now perceived to be a critical mistake due to the new discoveries that continue to surface regarding the importance of the tonsils. Therefore, because of these revelations, physicians are now more reluctant in removing these organs and thus merely treat their patients by giving them antibiotics and medicinal gargles (Miller 1242). However, there are times when tonsillectomy is unavoidable and thus is performed. Such an operation is often required when chronic sore throat is experienced which often leads to more critical infections. Tonsillectomy is also requisite when the patient is known to carry diphtheria where the tonsils often seed the infection. Aside from these few exceptions, the tonsils are still nonetheless essential to the bodies proper functioning and therefore cannot be vestigial at all.

According to reference book “Encyclopedia and Dictionary of Medicine, Nursing and Allied Health,” the tonsils are lymphoid tissues that are often partially embedded in the mucous membranes. Furthermore, these structures are a part of the lymphatic system that aids in the deterrence of infection in the human anatomy (1242). The tonsils’ primary function in this system is its vigilant prevention of pathogen invasions in the upper respiratory tract. This is made possible by the abundance of lymph nodes in its framework thus filtering out the circulating lymph of bacteria and any other foreign material that gain access to the body especially those that pass through the nose and the mouth. Through such a definition, one cannot therefore in anyway claim that the tonsils are remnants of a once functioning organ for it in itself has an integral task in the human anatomy. Furthermore, the assumption that the removal of this structure does not greatly affect the body at all can also be falsified due to the apparent importance of the organ known as the tonsils. This can be additionally illustrated by Bergman and Howe as they cite examples of different research results on their book “Vestigial Organs are Fully Functional.” According to them, most studies show that although there are no significant differences in the number of colds, sore throats and other respiratory infection occurrences between children who had their tonsils removed and those who have not, there are, however, marked increase in the acquisition of strep throat and the eventual development of Hodgkin’s disease (approximately three times as likely) for those who had undergone tonsillectomies (Bergman and Howe, 77). Looking at this, it is therefore obvious that not only do the tonsils aid in the prevention of infection in the upper respiratory tract, it also helps in the early development of the human immune system.

Most recently, there have been studies that are being done that link various lymphoid tissues, especially the tonsils, to the covert development of the Human Immunodeficiency Virus (more commonly known as the HIV) in the body (Haase, 1). According to Dr. Haase of the University of Minnesota Microbiology Department, the HIV is similar to the virus called visna-maedi which infects its host extremely slowly thus earning the name “the wasting disease.” Furthermore, she adds that due to its latent capabilities, visna and the HIV are both quite difficult to detect when one is scanning for them (Haase, 2). Through this, the virus can create a covert pool of genes that is virtually imperceptible thus making it seem that the disease has completely gone in remission. Initially, it was not known how such an accumulation of large amounts of the virus can progress without being detected, however, through the use of more routine immune surveillance, it was determined that these latent viruses infect mobile lymphocytes and monocytes. By way of this, these pathogens were able to multiply in number without being noticed.

Although it may seem that this revelation gives reason for the removal of the tonsils and other lymphatic organs for that matter, there is, however, a positive discovery that coincided with this breakthrough. Through further research, scientists were able to determine that through these infected lymphoid tissues, an estimated amount of HIV-RNA can be determined. By this, the amount of the virus produced in the lymphocytes per day can be established using the total number of productively infected mononuclear cells and their intracellular concentration of viral-RNA (50,000 cells per gram of lymphoid tissue or 40 million cells in a 70 kg patient)(Haase, 5). By using this knowledge, it is therefore obvious that the one or two drug therapy sessions commonly employed recently cannot be sufficient to prevent the continued production of the virus stores in the lymphoid tissue.

Another benefit that the discovery of viral pools in the tonsils (and other lymph tissues) is that one can now monitor the amount of viral cells destroyed due to treatment and the amount of treatment necessary as the need for it changes. This is done, according to Dr. Haase, by firstly calculating the initial therapy-induced decrease in viral production in the blood. Through this, it is then possible to estimate the pre-treatment production in lymphoid tissues by using the calculations of the initial decrease (Haase, 6). By using this knowledge, it is hence possible to individualize a treatment for HIV and therefore making it more suitable for patient to patient.

In conclusion, because of earlier misconceptions regarding the tonsil’s alleged uselessness, and its consistent inflammation, many had opted to get theirs removed by undergoing tonsillectomy. Such a notion, however, is now falsified though the use of various scientific researches that display the apparent importance of this organ. Hence, through the revelation that this structure is important in the filtering out of pathogens, development of the human immune system, and its possible relevance to the further comprehension of HIV and its eventual cure, the tonsils (pharyngeal, palatine, and lingual) therefore cannot be rudimentary for they perform various important and irreplaceable tasks in the human anatomical system.

_______________________________________________________________________________________________________________ 

Bibliography Page:

Bergman, Jerry and George Howe,1990, “Vestigial Organs are Fully Functional,” Terre Haute: Creation Research Society Books.

Covey, John “Vestigial Organs,” Internet: www.creationinthecrossfire.com/documents/VestigialOrgans.html

Haase, Ashley MD. “HIV in Lymphoid Tissue: How Much? How Vulnerable to Therapy?,” Internet: www.lapae.org/science/lymphoidhaale.html

Internet, “Encyclopedia.com,” www.encyclopedia.com/articles/12956.html

Internet, “Tonsilitis,” www.drugbase.co.za/data/med_info/tonsil.htm

Miller, Benjamin MD. 1987, “Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health,” Philadelphia:W.B. Saunders Company

______________________________________________________________________________________________________________

 

 

 

return to vestigial organ discussion page