Tonsil stones, also known as tonsilloliths, are mineralizations of debris within the crevices of the tonsils. When not mineralized, the presence of debris is known as chronic caseous tonsillitis (CCT). Symptoms may include bad breath. Generally there is no pain, though there may be the feeling of something present.
Risk factors may include recurrent throat infections.Tonsil stones contain a biofilm composed of a number of different bacteria. While they most commonly occur in the palatine tonsils, they may also occur in the lingual tonsils. Tonsilloliths have been recorded weighing from 0.3 g to 42 g.They are often discovered during medical imaging for other reasons.
If tonsil stones do not bother the patient, tonsil stone removal is not needed. Otherwise gargling salt water and manual removal may be tried. Chlorhexidine may also be tried. Surgical treatment may include partial or complete tonsil removal. Up to 10% of people have tonsil stones. Gender does not influence the chance of having tonsil stones, but older people are more commonly affected.
In this video, Dr. Manish Prakash from Mayom Hospital has explained tonsil stones, their causes, and treatment options of tonsilloliths.
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