Response to the polysomnography commentary by Tunkel

An evidence-based clinical practice guideline on the use of polysomnography (PSG) in children before tonsillectomy has recently been published. The indications for PSG prior to tonsillectomy continue to be debated. We highlight important aspects of this guideline, including the targeted age range of 2 to 18 years, the fact that this guideline is not about indications for tonsillectomy, and the importance of sharing the results of PSG with the anesthesiologist when available. We believe that this evidence-based clinical practice guideline will help otolaryngologists in appropriate use of PSG when managing children with sleep-disordered breathing.