In Reply I appreciate the interest in our article. The tongue base, including the lingual tonsils, is one of the main surgical targets in obstructive sleep-related apnea (OSA). However, owing to difficulty in exposure and surgical access, the resection of the tongue base, including the lingual tonsils, is still challenging. Although robotic surgery has been recently applied to tongue base resection that includes lingual tonsillectomy, there are still a few reports involving the lingual tonsils in adults. At the start, I would like to state that the clinical implication of the lingual tonsil hypertrophy (LTH) is still very unclear in adults due to lack of evidences.
Kim J. Obesity and Laryngopharyngeal Reflux as Risk Factors of Lingual Tonsil Hypertrophy in Patients With Sleep-Disordered Breathing—Reply. JAMA Otolaryngol Head Neck Surg. 2014;140(3):279-280. doi:10.1001/jamaoto.2013.6468