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To the Editor We read the article by Kumar et al1 titled “The Reliability of Clinical Tonsil Size Grading in Children.” We congratulate the authors on strong scientific work. We agree that it is both necessary and important that tonsillar grading scales are reproducible and consistent. Nonetheless, we strongly feel that the conclusions of the article are overstated and fail to recognize the correct clinical applications of the Friedman grading scale.
Friedman M, Hwang MS. Brodsky and Friedman Scales and Clinical Tonsil Size Grading in Children. JAMA Otolaryngol Head Neck Surg. 2015;141(10):947-948. doi:10.1001/jamaoto.2015.2056