A Giant tonsillolith – A case report

Sohil Vadiya,Parth Makwana,Nisarg Mehta,Sridhar Khetani

doi:10.18231/j.ijashnb.2020.018

Sohil Vadiya, Parth Makwana + Show 2 more

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https://doi.org/10.18231/j.ijashnb.2020.018

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Tonsilloliths, also known as tonsil stones or tonsillar calculi are clusters of calcified material that form in crypts of palatine tonsil. They are usually of small size. Large or giant tonsilloliths are rare. We report a case of giant tonsillolith in left palatine tonsil and literature is reviewed.

Highlights

Tonsillolith, known as tonsilolithiasis and tonsillar concretions or called liths are stones that arise from calcium being deposited on desquamatized cells and bacterial growth in tonsillar or adenoid crypts
1 Smaller concretions are relatively common but large or a giant tonsilloliths are rare and very few cases of giant tonsilloliths reported, we report a case of giant tonsillolith in left palatine tonsil
The tonsillolith measuring 2cm x 1.17cm was removed under general anesthesia(Figure 2), the tonsillar bulge was palpated intraoperatively and a small incision was placed near to anterior pillar, the lith was dissected from surrounding tonsillar tissue and removed (Figure 3), hemostasis was achieved and mucosa was sutured with vicryl, Patient was followed up post operatively for three months and recurrent sore throat, painful swallowing and left ear pain subsided completely

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Introduction

Tonsillolith, known as tonsilolithiasis and tonsillar concretions or called liths are stones that arise from calcium being deposited on desquamatized cells and bacterial growth in tonsillar or adenoid crypts. The age of patients with tonsillar liths ranges between 10 to 77 years with mean age of 50 years with female to male ratio 1:1. 1 Smaller concretions are relatively common but large or a giant tonsilloliths are rare and very few cases of giant tonsilloliths reported, we report a case of giant tonsillolith in left palatine tonsil The age of patients with tonsillar liths ranges between 10 to 77 years with mean age of 50 years with female to male ratio 1:1. 1 Smaller concretions are relatively common but large or a giant tonsilloliths are rare and very few cases of giant tonsilloliths reported, we report a case of giant tonsillolith in left palatine tonsil

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