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Related Experiment Video

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Temporomandibular Joint Pain Measurement by Bite Force and Von Frey Filament Assays in Mice

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Published on: September 13, 2024

Tonsillolithiasis and orofacial pain.

Stjepan Siber¹, Josip Hat, Ivan Brakus

¹Department of Oral and Maxillofacial Surgery, University Hospital Osijek, School of Medicine, University of Osijek, Osijek, Croatia.

|May 28, 2011

Summary

Tonsilloliths, calcified tonsil stones, can cause orofacial pain and swallowing difficulties. This case highlights their importance as a potential cause of such symptoms, even without visible inflammation.

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Area of Science:

Dentistry
Otolaryngology
Radiology

Background:

Tonsilloliths are calcified deposits in the tonsils, often asymptomatic but can cause symptoms like halitosis and pain.
Chronic tonsil inflammation is a common precursor to tonsillolith formation.
Differential diagnosis for orofacial pain includes various neurological and structural causes.

Observation:

A patient presented with bilateral radiopaque shadows on panoramic radiography, later confirmed as tonsilloliths via CT scan.
The patient experienced paroxysmal orofacial pain, dysphagia, and neck pain, primarily on the left side.
Clinical examination showed no signs of tonsil inflammation, despite a two-year history of symptoms.

Findings:

Computed tomography confirmed the presence of bilateral tonsilloliths.
The patient's symptoms of orofacial pain and dysphagia were attributed to the tonsilloliths.
Despite the symptoms, the patient opted against surgical intervention.

Implications:

This case underscores the significance of tonsilloliths as an underrecognized cause of orofacial pain.
Radiologists and dentists should consider tonsilloliths in the differential diagnosis of unexplained orofacial pain and dysphagia.
Further research may elucidate the precise mechanism by which tonsilloliths induce pain and neurological symptoms.