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[Tonsillolithiasis]

R Vera Llao¹, J Nogués Orpí, S Crusat Braña

¹Servicio de Otorrinolaringologia, Ciutat Sanitària i Universitària de Bellvitge, Hospital Princeps, D'Espanya, Universitat de Barcelona.

Anales Otorrinolaringologicos Ibero-Americanos

|January 1, 1995

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A patient experienced persistent throat pain (odynophagy) unresponsive to treatment. Radiology revealed tonsil stones (calcareous concretions) as the cause of her symptoms.

Area of Science:

Otolaryngology
Radiology
Gastroenterology

Background:

Odynophagy, or painful swallowing, can significantly impact a patient's quality of life.
Persistent odynophagy often necessitates advanced diagnostic evaluation to identify underlying causes.
Medical treatment failure for odynophagy suggests a need to explore structural or foreign body etiologies.

Observation:

A 43-year-old female presented with a 1.5-month history of odynophagy.
Physical examination revealed asymmetric swelling on the right tonsillar surface.
Radiological imaging was performed due to the lack of response to medical therapy.

Findings:

Radiology confirmed the presence of calcareous concretions within the tonsillar area.
These tonsil stones were identified as the causative agent for the patient's odynophagy.

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The findings highlight a rare cause of persistent throat pain.

Implications:

Tonsil stones (calcareous concretions) should be considered in the differential diagnosis of refractory odynophagy.
Radiological assessment is crucial for identifying intra-tonsillar foreign bodies.
Accurate diagnosis of tonsil stones can guide appropriate management and alleviate symptoms.