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Comment & Response
October 2015

Brodsky and Friedman Scales and Clinical Tonsil Size Grading in Children—Reply

Author Affiliations
  • 1Division of Pediatric Otolaryngology–Head and Neck Surgery, BC Children’s Hospital, Vancouver, British Columbia, Canada
  • 2University of British Columbia, Vancouver, British Columbia, Canada
JAMA Otolaryngol Head Neck Surg. 2015;141(10):948. doi:10.1001/jamaoto.2015.2059

In Reply Thank you for providing us the opportunity to respond to the letter from Drs Friedman and Hwang, in reference to our recent publication.1 We appreciate their interest in this work. We recognize their concern that this study was performed in a pediatric population and therefore conclusions should have been limited to this population. Specifically, based on our work, the Brodsky scale2 would seem to be the most reliable tonsil grading scale for future clinical and research work involving children. The question of whether an alternative scale, such as the Friedman scale,3 would be more reliable in adults was not directly addressed in our study.

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