9
Individual Decisions
Other Reason Not
Discussed in Guideline
Dysphoria, Dysphagia, Suspected Malignancy, Chronic Tonsillitis,
Halitosis, Tonsilloliths
YES
YES
Recommend Tonsillectomy
YES
Shared Decision-making Regarding Decision to Proceed with Surgery
Tonsillectomy
Perioperative Pain
Counseling
Preoperative counseling about
possible OSA persistence after
surgery if OSA is present
Decision to Proceed with Tonsillectomy
KAS7
PSG
Refer to Overnight Polysomnography
DO give intra-operative
steriod
DO give acetaminophen,
ibuprofen, or both
KAS11
KAS13
OSA
diagnosed
on PSG?
NO
Determine personal
rates of hemorrhage
at least annually
KAS15b
KAS8 KAS9
