Giant tonsillolith: unexpected finding. Case report
Article Sidebar
Main Article Content
Abstract
Introduction: We present the case of a giant tonsil stone as a finding in routine panoramic radiography in dentistry. Clinical case: we present the case of a 26 years-old male patient who underwent a control panoramic radiography where a large radiopaque image of approximately 2 cm in diameter was evidenced at the right peritonsillar level; the patient was asymptomatic at the time of the consultation, when receiving surgical treatment, a giant tonsillolith was evidenced which was removed en bloc without complications. Discussion: differential diagnosis of radiopaque images found in head and neck radiographs compatible with tonsilloliths are presented. Conclusions: Although rare, this entity should be kept in mind as a possible finding in head and neck imaging studies or symptoms at tonsillar space.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.
Este es un artículo de acceso abierto, distribuido bajo los términos de la LicenciaCreativeCommons Atribución-CompartirIgual 4.0 Internacional.( http://creativecommons.org/licenses/by-sa/4.0/), que permite el uso no comercial, distribución y reproducción en cualquier medio, siempre que la obra original sea debidamente citada.
eISSN: 2539-0856
ISSN: 0120-8411
References
Silvestre-Donat FJ, Pla-Mocholi A, Estelles-Ferriol E, Martinez-Mihi V. Giant tonsillolith: report of a case. Med Oral Patol Oral Cir Bucal. 2005;10(3):239-42.
Smith KL, Hughes R, Myrex P. Tonsillitis and Tonsilloliths: Diagnosis and Management. Am Fam Physician. 2023;107(1):35-41.
Cogolludo Pérez FJ, Martín del Guayo G, Olalla Tabar A, Poch Broto J. A propósito de un caso: gran tonsilolito en amígdala palatina [Report of a case: large tonsillolith in palatine tonsil]. Acta Otorrinolaringol Esp. 2002;53(3):207-10. Spanish. doi: 10.1016/s0001-6519(02)78302-7
Revel MP, Bely N, Laccourreye O, Naudo P, Hartl D, Brasnu D. Imaging case study of the month Giant Tonsillolith. Ann Otol Rhinol Laryngol. 1998;107:262-3.
Lee KC, Mandel L. Lingual (Not Palatine) Tonsillolith: Case Report. J Oral Maxillofac Surg. 2019;77(8):1650-54. doi: 10.1016/j.joms.2019.03.006
Pruet CW, Duplan DA. Tonsil concretions and tonsilloliths. Otolaryngol Clin North Am. 1987;20(2):305-9.
Perschbacher S. Interpretation of panoramic radiographs. Aust Dent J. 2012;57 Suppl 1:40-5. doi: 10.1111/j.1834- 7819.2011.01655.x
Garay I, Netto HD, Olate S. Soft tissue calcified in mandibular angle area observed by means of panoramic radiography. Int J Clin Exp Med. 2014;7(1):51-6.
Takahashi A, Sugawara C, Kudoh K, Yamamura Y, Ohe G, Tamatani T, et al. Lingual tonsillolith: prevalence and imaging characteristics evaluated on 2244 pairs of panoramic radiographs and CT images. Dentomaxillofac Radiol. 2018;47(1):20170251. doi: 10.1259/dmfr.20170251
Ergun T, Lakadamyali H. The prevalence and clinical importance of incidental soft-tissue findings in cervical CT scans of trauma population. Dentomaxillofac Radiol. 2013;42(10):20130216. doi: 10.1259/dmfr.20130216
Siber S, Hat J, Brakus I, Biocic J, Brajdic D, Zajc I, et al. Tonsillolithiasis and orofacial pain. Gerodontology. 2012;29(2): e1157-60. doi: 10.1111/j.1741-2358.2011.00456.x
Navas Cuéllar JA, López Bernal F, Ibáñez Delgado F. Tonsilolito gigante como causa de disnea, perforación esofágica y mediastinitis [Giant tonsillolith causing dyspnea, esophageal perforation, and mediastinitis]. Emergencias. 2015;27(4):280