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An unusual tonsillolithiasis in a patient with chronic obstructive sialoadenitis

¹ Department of Oral and MaxilloFacial Surgery, University "Magna Graecia" of Catanzaro, Italy; ² Department of Head and Neck Pathology, 2nd University of Naples, Italy

*Correspondence to: Amerigo Giudice, Via Pozzillo, 84036 Sala Consilina (Salerno) Italia; E-mail: amerigogiudice{at}hotmail.com

Received 7 October 2004; revised 17 January 2005; accepted 16 February 2005

Concretions in the tonsil or peritonsillar area are an infrequent entity in clinical practice. Some patients have no symptoms or they can present with fetor oris or odynophagia. The lesions are often detected incidentally during radiographic examination. This pathology can be related to lithiasis in other regions of body. The authors describe a tonsillolith accidentally detected in a patient with a lithiasis of left submandibular gland. We review published cases of tonsilloliths and analyse the causes of stone formation in peritonsillar and tonsil regions.

Keywords: tonsillolith; peritonsillolith; sialolithiasis