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Comment & Response |

Brodsky and Friedman Scales and Clinical Tonsil Size Grading in Children

Michael Friedman, MD1,2; Michelle S. Hwang, BS1
[+] Author Affiliations
1Department of Otolaryngology and Bronchoesophagology, Rush University Medical Center, Chicago, Illinois
2Advanced Center for Specialty Care, Advocate Illinois Masonic Medical Center, Chicago
JAMA Otolaryngol Head Neck Surg. 2015;141(10):947-948. doi:10.1001/jamaoto.2015.2056.
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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.


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October 1, 2015
Neil K. Chadha, MBChB, MPHe, BSc, FRCS
1Division of Pediatric Otolaryngology–Head and Neck Surgery, BC Children’s Hospital, Vancouver, British Columbia, Canada2University of British Columbia, Vancouver, British Columbia, Canada
JAMA Otolaryngol Head Neck Surg. 2015;141(10):948. doi:10.1001/jamaoto.2015.2059.
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