Key points
- Random directed biopsies are not recommended
- Directed biopsies of clinically/radiologically suspicious areas on
imaging findings are useful
- Ipsilateral Tonsillectomy should be performed as a minimum procedure;
deep tonsil biopsies are not recommended
- Consideration should be given to bilateral tonsillectomy
- If imaging, EUA and tonsillectomies are all negative, further
investigation in the form of tongue base mucosectomy (TBM) is
recommended via any suitable surgical technique. Consideration should
be given to bilateral TBM.