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Updated: Jan 26, 2026

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Lingual (Not Palatine) Tonsillolith: Case Report.

Kevin C Lee1, Louis Mandel2

  • 1Oral and Maxillofacial Surgery Resident, New York-Presbyterian Hospital, New York; Salivary Gland Center, Columbia University College of Dental Medicine, New York, NY.

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
|April 14, 2019
PubMed
Summary
This summary is machine-generated.

The lingual tonsil (LT) is lymphoid tissue at the tongue base. This rare case highlights lingual tonsilloliths, which can cause various symptoms and require clinical attention.

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Area of Science:

  • Otorhinolaryngology
  • Head and Neck Anatomy
  • Immunology

Background:

  • The lingual tonsil (LT) is a lymphoid structure located at the base of the tongue.
  • It is anatomically divided into right and left halves by the glossoepiglottic ligament.
  • The LT is lined by nonkeratinized epithelium with a central crypt, supported by mucous gland ducts.

Observation:

  • Lingual tonsillar tissue typically regresses with age.
  • Hypertrophy and pathological changes in the LT can lead to symptoms like sore throat, dysphagia, and obstructive sleep apnea.
  • Tonsilloliths, calcifications within tonsillar tissue, can occur in the LT, though rarely reported.

Findings:

  • This report details an incidental finding of a lingual tonsillolith.
  • Lingual tonsilloliths are infrequently documented in the dental literature.
  • The case underscores the potential for LT pathology.

Implications:

  • Recognition of lingual tonsilloliths is important for accurate diagnosis.
  • Awareness of LT pathology can improve patient management.
  • This case contributes to the limited literature on lingual tonsilloliths.