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Removal Of Entrapped Impissated Substance cum "Tonsillolith" From The Tonsillar Cleft

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Published on Jan 18, 2011

Tonsillar clefts predispose to several conditions like peritonsillar abscess (infection with pus formation beyond tonsillar capsule), retained food residues, and tonsillolith (tonsillar stone) formations. Halitosis and unusual tonsillar appearance are the usual presenting symptoms though it can be asymptomatic and found by chance on examination. Oropharyngeal endoscopic assessment, probing with blunt instrument, and digital palpation need to be done. Figure shows cheesy-white materials in the supratonsillar cleft due to cumulating food residue/epithelial sloughs entrapment. Beware of the underlying dysplasia/malignancy and if in doubt examination under anaesthesia with/without excision biopsy (tonsillectomy) will have to be performed. This video shows removal of the entrapped substance from supratonsillar cleft by using a blunt instrument (ring curette) after the throat sprayed with topical lignocaine. Careful examination doesn't shows suspicious dysplastic mucosal changes over the cleft surface.

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