Document Detail

Tonsillolith. Case report and review of the literature.
MedLine Citation:
PMID:  15871614     Owner:  NLM     Status:  MEDLINE    
Large oropharyngeal concretions--giant tonsillolith--are not very common. Over the last few years only some 50 cases have been reported in the literature. Many tonsilloliths, especially small concretions, are asymptomatic; large concretions, on the contrary, may produce several symptoms. The case is described of a 56-year-old female complaining of dysphagia, odynophagia, sore throat, right otalgia and swelling in right tonsillar fossa. Routine panoramic radiography revealed a radio-opaque area in right tonsil region. Computed tomography of oropharynx was performed and axial slices revealed a calcified cylindrical lesion in posterior pharyngeal region, between palatoglossus and palatopharyngeus muscles. The tonsillolith was easily excised under local anaesthesia. The post-operative course was good with no recurrence. Microscopic examination of the specimen revealed necrotic debris, "ghost" cells, calcifications and inflammatory cells, confirming the diagnosis of tonsillolith. Authors stress that large tonsillar concretions are uncommon, and may be difficult to diagnose since the tonsillolith can also be mistaken for other anatomic and pathologic structures in the oropharyngeal area.
M Mesolella; M Cimmino; M Di Martino; G Criscuoli; L Albanese; V Galli
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Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article    
Journal Detail:
Title:  Acta otorhinolaryngologica Italica : organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale     Volume:  24     ISSN:  0392-100X     ISO Abbreviation:  Acta Otorhinolaryngol Ital     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2005-05-05     Completed Date:  2005-05-26     Revised Date:  2009-07-23    
Medline Journal Info:
Nlm Unique ID:  8213019     Medline TA:  Acta Otorhinolaryngol Ital     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  302-7     Citation Subset:  IM    
ENT Department, Federico II University of Naples, Naples, Italy.
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MeSH Terms
Age Factors
Calculi* / diagnosis,  epidemiology,  radiography,  surgery
Diagnosis, Differential
Middle Aged
Palatine Tonsil* / radiography,  surgery
Pharyngeal Diseases / diagnosis,  radiography,  surgery
Radiography, Panoramic
Sex Factors
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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