What is Tonsillolith?
Chronic tonsillitis results in collection of calcareous or gritty particles in the center of caseous plugs filling the crypts of the tonsil called Tonsillolith
What is the Aetiology of Tonsillolith?
1. Chronic repeated attacks of tonsillitis, often inadequately treated
2. Adults are much more frequently affected than children.
What are clinical findings of Tonsillolith?
1. The Tonsillolith is oval with somewhat roughened granular surface. There is a marked redness around the tonsillar crypt.
2. A few patients have a concentrically laminated or radially striated structure.
Microscopically: Often 'Actinomyces like' colonies of mixed multiple organisms are found in tonsillar crypt. These colonies grow peripherally with a rayed or clubbed outer zone.
What are the symptoms of Tonsillolith?
1. Patients have recurrent attacks of chronic tonsillitis
2. Foreign body sensation in the throat
3. Often patients have foul breath
What is the treatment of Tonsillolith?
1) If the symptoms are severe, Tonsillectomy can be done.
2) Removal of the Tonsillolith: The Tonsillolith can be removed from its crypt. If it is firmly in the crypt, an incision is taken on the wall of the crypt.
3) If the patients are asymptomatic no medical or surgical treatment may be required