1. Tracheostomy. 2. Transoral OmniGuide laser excision of lingual tonsil. SURGEON: John Doe, MD. ANESTHESIA: General. FINDINGS: Severe diffuse obstructive lingual tonsil hypertrophy. INDICATIONS FOR PROCEDURE: The patient is a (XX)-year-old male with a history of subjective dyspnea, mild snoring and observed apnea..