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Updated: Jun 7, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Tonsillectomy May Not Be the Answer in All OSA Cases
Belén Bargagna1,2, Carlos O'Connor-Reina1, Laura Rodriguez-Alcala1
1Otorhinolaryngology, Department, Hospital Quirónsalud Marbella, 29603 Málaga, Spain.
Abstract:
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.
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