Tonsilloliths, also known as tonsil (or tonsillar) stones or calculi, are clusters of calcifications that form in enlarged tonsillar crypts, within the tonsils or around them. Although they are uncommon and benign, they may be symptomatic causing pain, halitosis, foul taste, irritable cough, dysphagia, otalgia or a foreign body-like sensation. When asymptomatic they are often found incidentally on OPG or CT. They mainly occur in adults due to saliva composition and underlying tonsillar chronic inflammation.
Potentially more serious etiologies of tonsillar calcification, e.g. foreign bodies and neoplasm need to be excluded, although these entities will usually be easy to distinguish from simple tonsilloliths.
- 1. Flaitz CM, Hicks MJ. Oral and maxillofacial pathology case of the month. Tonsillolith. Tex Dent J. 2009;126 (12): 1222, 1224-5. - Pubmed citation
- 2. Tanigawa T, Yamashita JI, Shibata R et-al. A Tonsillolith: Possible Cause of Halitosis. 2012;doi:10.1097/MAJ.0b013e318254c16d - Pubmed citation
- 3. Chan J, Rashid M, Karagama Y. An unusual case of a tonsillolith. Case Report Med. 2012;2012 : 587503. doi:10.1155/2012/587503 - Free text at pubmed - Pubmed citation
- 4. Babu B B, Tejasvi M L A, Avinash CK, B C. Tonsillolith: a panoramic radiograph presentation. (2013) Journal of clinical and diagnostic research : JCDR. 7 (10): 2378-9. doi:10.7860/JCDR/2013/5613.3530 - Pubmed