Department of Oral and Maxillofacial Surgery, University Hospital Osijek, School of Medicine, University of Osijek, Osijek, Croatia.
Gerodontology. 2012 Jun;29(2):e1157-60. doi: 10.1111/j.1741-2358.2011.00456.x. Epub 2011 May 25.
Tonsilloliths are rare calcified structures that usually result from chronic inflammation of the tonsils. Concretions show differences in size, shape and colour. They are usually asymptomatic but can be associated with halitosis, foreign body sensation, dysphagia and odynophagia, otalgia, and neck pain. A patient was referred because panoramic radiography performed by a general dentist revealed radiopaque shadows over the ascending rami of the mandible, located bilaterally: a solitary structure on the higher portion of the right side and two small structures on the left side. Paroxysmal attacks of orofacial pain and symptoms such as dysphagia and swallowing pain on the left side distributed within the tonsillar fossa and pharynx and the angle of the lower jaw were present. The computed tomography images revealed bilateral tonsilloliths. Clinically, there was no sign of inflammation, and the patient's past history revealed an approximately 2-year history of dysphagia, swallowing pain and left-sided neck pain. At the request of the patient, no surgical intervention was carried out. Glossopharyngeal neuralgia is a rare entity, and the aim of this report was to indicate the importance of tonsilloliths as a cause of orofacial pain.
扁桃体结石是一种罕见的钙化结构，通常由扁桃体慢性炎症引起。结石在大小、形状和颜色上有所不同。它们通常无症状，但可引起口臭、异物感、吞咽困难和咽痛、耳痛和颈痛。一名患者因一名普通牙医进行的全景放射摄影术发现下颌骨升支上有不透射线的阴影而被转诊，这些阴影位于双侧：右侧较高部分有一个孤立的结构，左侧有两个小结构。左侧扁桃体窝、咽和下颌角分布有阵发性的面痛和吞咽困难、吞咽痛等症状。计算机断层扫描图像显示双侧扁桃体结石。临床上没有炎症迹象，患者的既往病史显示约有 2 年的吞咽困难、吞咽痛和左侧颈痛。应患者要求，未进行手术干预。舌咽神经痛是一种罕见的疾病，本报告旨在指出扁桃体结石作为面痛病因的重要性。
