Tonsil Grading - Grades 1-4 Tonsils come in a variety of sizes. Enlarged tonsils can lead to snoring and sleep apnea problems. Tonsils are sized using a scale of 1+ to 4+ (small → large), depending on their appearance. Taher Valika MD @chicagoairwaydoc #Tonsil #Grading #Grades #diagnosis #otolaryngology #clinical