Which is the best candidate for a tonsillectomy?
a. A 52-year-old patient with a hearing defi-cit related to otitis media from tonsillitis
b. A 23-year-old patient with a peritonsillar abscess
c. A 34-year-old patient with enlarged ton-sils and adenoids
d. A 15-year-old patient with one bout of tonsillitis in the previous 12 months
B
The patient with the peritonsillar abscess is the most likely candidate. The hearing deficit in a middle-aged person would need more investigation before surgery. Enlarged tonsils and adeno-ids without a respiratory obstruction does not qualify as a need for surgery; only one episode of tonsillitis in a year does not qualify.
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