Answers are grounded in this paper and cite their sources.
Tonsillectomy is considered the standard of care in patients with obstructive sleep apnea (OSA) and large tonsils; however, there are selected cases where this procedure should not be considered. We present two patients with tonsil grade 4 and severe OSA where tonsillectomy was not the solution for their problem and could be a superfluous procedure. In our experience, a preoperatory drug-induced sleep endoscopy (DISE) and proper patient phenotyping will prevent this type of surgical failure.
No takes yet. Share an insight, caveat, or question.
Bargagna et al. (2024) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: