Abstract
Tonsilloliths are rare concretions found in the tonsillar crypt.1 Tonsillolith occurs rarely in children compared to the adults.2 The size of tonsillolith ranges from visible size to pea size.3 Patients with tonsillolith had increased halitosis and also feel foreign body sensation.1,4 Tonsillolith is not just a stone but a living biofilm. Mechanism of tonsillolith formation is due to the bacteria forms a three-dimensional structure dormant bacteria being in the center to serve as a constant nidus of biofilm.5 However, the exact cause and the pathogenesis of tonsillolith are not yet completely defined. Hence, the present case with tonsillolith was studied and tonsillolith was analyzed by physical, chemical and microbiological methods.
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