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Review Article Open Access
Background/ objectives; Large tonsillolith is a rare entity although small calcifications in the tonsillar tissue are a common clinical finding in adults. These patients usually present with bad breath odor, pain during swallowing or foreign body sensation in the throat.
Design: K V G Medical College, Department of ENT, Head & Neck Surgery.
Intervention: Tonsillectomy was done in all the cases & tonsillar specimen sent for histopathological analysis & tonsillolith for mineral & bacterial flora analysis.
Result: Normal tonsillar lymphoid tissue was seen on histopathology in all the 4 cases. Calcium carbonate & phosphate was seen in all with magnesium phosphate in one. Fusobacterium an oral anaerobic commensal were isolated from 2 stones.
Conclusion: Tonsilloliths are sometimes incidental findings in X-ray neck & nasopharynx. Treatment includes surgical removal for superficial stones & tonsillectomy for larger & deeper stones.
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Author(s): Sudhir M Naik Ravishankara S Mohan Appaji Goutham MK N Pinky Devi Sarika S Nai
1: tonsillolith. 2: tonsillectomy. : unilateral tonsil enlargement