What are Tonsil Stones?

What are Tonsil Stones?


Tonsil stones, also known as tonsilloliths, are mineralization of debris within the crevices of the tonsils.[1][3] When not mineralized, the presence of debris is known as chronic caseous tonsillitis (CCT).[1] Symptoms may include bad breath.[1] Generally there is no pain, though there may be the feeling of something present.[1]

Risk factors may include recurrent throat infections.[2] Tonsil stones contain a biofilm composed of a number of different bacteria.[1] While they most commonly occur in the palatine tonsils, they may also occur in the lingual tonsils.[3] Tonsil stones have been recorded weighing from 0.3 g to 42 g.[3] They may be found during medical imaging for other reasons.[4]
If tonsil stones do not bother a person, no treatment is needed.[1] Otherwise gargling salt water and manual removal may be tried.[1] Chlorhexidine may also be tried.[1] Surgical treatment may include partial or complete tonsil removal.[1][5] Up to 10% of people have tonsil stones.[1] Males and females are affected equally.[1] Older people are more commonly affected.[2
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