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A single arm meta\u2010analysis was then made to obtain the overall identification rate of tonsillectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fourteen studies were included, comprising 673 patients who underwent 416 palatine tonsillectomies, 338 preformed during examination under anesthesia (EUA) and 78 managed with transoral robotic surgery (TORS). A total of 140 occult tonsillar malignancies were identified; of these, 124 (89%) were ipsilateral, 2 (1%) contralateral, and 14 (10%) synchronous bilateral. Meta\u2010analysis of 11 studies showed an overall detection rate of tonsillectomy of 0.34 (99% confidence interval 0.23\u20100.46).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Palatine tonsillectomy is a valuable diagnostic tool in the management of patients with head and neck SCCUP. 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