Published: 2015-04-05

Giant tonsillolith: a case report and review of literature

Hitesh Verma, Arjun Dass, Surinder K. Singhal, Nitin Gupta


We had a sixty years old male patient, who had one year history of foreign body sensation in throat and the history of odynophagia for the last ten days. The NCCT neck showed 3.08×2.28 cm homogenous calcified mass in left tonsillar fossa. The stone was removed and tonsillectomy was performed. Giant tonsillolith is a rare clinical entity. As per available literature, 54 cases of giant tonsilloliths have been reported and to the best of our knowledge, this is one of the largest tonsillolith in the world till date. 

Keywords: Tonsillolith, Oral cavity

Full Text:



Pruet CHW, Duplan DA. Tonsil concretions and tonsilloliths. Otolaryngol Clin North Am. 1987;20(2):305-9.

Mesolella M, Cimmino M, Di Martino M, Criscuoli G, Albanese L, Galli V. Tonsillolith: case report and review of the literature. Acta Otorhinolaryngol Ital. 2004 Oct;24(5):302-7.

Ru-Hsiao Lo, Kuo-Ping Chang, Sau-Tung Chu. Upper airway obstruction caused by bilateral giant tonsilloliths. J Chinese Med Assoc. 2011;74:329-31.

Ram S, Siar CH, Ismail SM, Prepageran N. Pseudo bilateral tonsilloliths: a case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;98(1):110-4.

Modrzynski M, Wrobel B, Zawisza E. Giant tonsillolith simulating peritonsillar abscess. Pol Merkuriusz Lek. 2001;65(4):432-3.

Giudice M, Cristofaro MG, Fava MG, Giudice A. An unusual tonsillolithiasis in a patient with chronic obstructive sialoadenitis. Dentomaxillofac Radiol. 2005;34(4):247-50.

Darrow DH, Siemens C. Indications for tonsillectomy and adenoidectomy. Laryngoscope. 2002;112:6-10.

Padmanabhan TK, Chandra Dutt GS, Vasudevan DM, Vijayakumar. Giant tonsillolith simulating tumour of the tonsil: a case report. Indian J Cancer. 1984;21(2):90-1.

Christopher Y. Chang Richard Thrasher. Coblation cryptolysis to treat tonsil stones: a retrospective case series. Ear Nose Throat J. 2012;91(6):238-54.

Stoodley P, Debeer D, Longwell M, Nistico L, Hall-Stoodley L, Wenig B, et al. Tonsillolith: not just a stone but a living biofilm. Otolaryngol Head Neck Surg. 2009 Sep;141(3):316-21.