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Online J Otolaryngol. 2013; 3(4): 99-112

Analysis of mineral composition & bacterial flora in 4 tonsillolith stones.

Sudhir M Naik1, Ravishankara S2, Mohan Appaji3, Goutham MK4, N Pinky Devi5, Sarika S Naik6.

Background/ objectives; Large tonsillolith is a rare entity although small calcifications in the tonsillar tissue are a common clinical finding in adults. These
patients usually present with bad breath odor, pain during swallowing or foreign body sensation in the throat.
Design: K V G Medical College, Department of ENT, Head & Neck Surgery.
Intervention: Tonsillectomy was done in all the cases & tonsillar specimen sent for histopathological analysis & tonsillolith for mineral & bacterial flora analysis.
Result: Normal tonsillar lymphoid tissue was seen on histopathology in all the 4 cases. Calcium carbonate & phosphate was seen in all with magnesium phosphate in one. Fusobacterium an oral anaerobic commensal were isolated from 2 stones.
Conclusion: Tonsilloliths are sometimes incidental findings in X-ray neck & nasopharynx. Treatment includes surgical removal for superficial stones & tonsillectomy for larger & deeper stones.

Key words: tonsillolith. tonsillectomy. unilateral tonsil enlargement.

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