Bilateral and pseudobilateral tonsilloliths: Three dimensional imaging with cone-beam computed tomography

Mısırlıoğlu, Melda; Nalçacı, Rana; Adışen, Mehmet Zahit; Yardimci, Selmi Yilmaz

doi:10.5624/isd.2013.43.3.163

Cited by 11 publications

(19 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tonsilloliths can be as hard as stone when they have been present for a long time. Smallsized tonsilloliths are usually asymptomatic, but large ones may present several symptoms such as irritation, pain, discomfort and foreign body sensation, swallowing and eating difficulties, bad breath, bad taste, ear pain, and ulceration [1,2]. Palatine tonsilloliths may cause orofacial pain and glossopharyngeal neuralgia [3].…”

Section: Introductionmentioning

confidence: 99%

“…The differential diagnosis of tonsilloliths can be made by various lesions in the mandibular ramus region, such as odontoma, osteoma, idiopathic osteosclerosis, sialolithiasis, phlebolith, cysticercosis, calcified lymph nodes, carotid calcification, long hamular process, stylohyoid ligament calcification, or osteoma cutis and foreign body [2,3,6]. Tonsilloliths can be detected by routine panoramic radiographic images [5].…”

Section: Introductionmentioning

confidence: 99%

“…Recently, 3-dimensional imaging by cone-beam computed tomography (CBCT) has been recommended for the imaging of tonsilloliths [2]. CBCT images allow us to examine a 3-dimensional image of the maxillofacial region [1].…”

Section: Introductionmentioning

confidence: 99%

“…Palatine tonsilloliths can be detected with CBCT as small radiopacities in the medial part of the ramus mandible and the lateral wall of the oropharyngeal airway. The density of these calcifications is similar to cortical bone [1,2].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comparison of Panoramic Radiography and Cone-Beam Computed Tomography for the Detection of Tonsilloliths

et al. 2019

View full text Add to dashboard Cite

Significance of the Study• The aim of this study was to compare cone-beam computed tomography (CBCT) and panoramic radiography (PR) for the detection of tonsilloliths. • The detection rate of tonsilloliths was 33.2% on CBCT. • Only 51.4% of the tonsilloliths detected on CBCT were identified by PR. • PR was not adequate to detect tonsilloliths 1 mm or smaller in size. AbstractObjective: A tonsillolith is a concretion of the tonsillar crypt. The aim of this retrospective study was to compare panoramic radiography (PR) and cone-beam computed tomography (CBCT) for the detection of tonsilloliths. Materials and Methods: The CBCT images of 527 patients with maxillofacial volume were evaluated retrospectively. Of these, 175 patients (81 females, 94 males; mean age 51.05 years) had unilateral or bilateral tonsilloliths. In total, 151 of them (67 females, 84 males; mean age, 51.03 years) had PR images performed in the same period and were included in the study. The PR images were examined to ascertain whether known tonsilloliths (from CBCT images) could be detected. The location (unilateral; left or right and bilateral), size, and number of the tonsilloliths were examined on both CBCT and PR images. Descriptive analysis, Spearman's rho correlation coefficient, and χ 2 tests were used for the statistical analysis. Results: The detection rate of tonsillolith was 33.2% on CBCT images. Only 51.4% of the tonsilloliths detected on CBCT were evaluated by PR; the correlation between CBCT and PR was found to be significant (Spearman's r = 0.399, p = 0.000). PR was not adequate to detect tonsilloliths 1 mm or smaller in size. All the calcifications larger than 5 mm were detected on PR images. Conclusion: The results of this study showed that more than half of the tonsilloliths observed in CBCT were also detected in PR. Tonsilloliths larger than 2 mm were more likely to be detected on PR images.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Panoramic Radiography and Cone-Beam Computed Tomography for the Detection of Tonsilloliths

et al. 2019

View full text Add to dashboard Cite

show abstract

“…[13] There were a limited number of studies on CBCT evaluation of soft tissue calcifications such as tonsillar calcifications. [141516]…”

Section: Introductionmentioning

confidence: 99%

Prevalence and patterns of palatine and adenoid tonsilloliths in cone-beam computed tomography images of an Iranian population

2016

View full text Add to dashboard Cite

Background:Tonsilloliths are calcified concretions that develop in tonsillar crypts. They are usually small and asymptomatic, so they are found accidentally during routine dental radiogrphy procedure. Large tonsilloliths can occur with clinical signs and symptoms. The purpose of this study was to evaluate the prevalence and patterns of palatine and adenoid tonsilloliths in cone-beam computed tomography (CBCT) images.Materials and Methods:In this cross-sectional study, 0.5-mm axial and coronal slices of 134 CBCT images were evaluated to determine the presence of palatine and adenoid calcifications. Their patterns such as being unilateral or bilateral as well as single or multiple and their largest linear sizes were reported.Results:Fifty-four (40.3%) patients with palatine tonsilloliths and 17 (12.7%) with adenoid calcifications were found. Thirty (55.6%) palatine tonsilloliths were unilateral, 19 (35.2%) were detected in the left tonsils. Approximately, 54 cases of 78 palatine calcifications were multiple. Seventeen patients had adenoid calcifications that 41.1% of them were unilateral. Fourteen adenoid calcifications were single. The mean ages of patients with palatine tonsilloliths and adenoid calcifications were 45.59 years and 46.53 years, respectively. The range of linear measurements of palatine tonsil calcifications was 0.9–4.2 mm (2.47-mm mean size) while adenoid calcifications ranged from 0.5 to 2.2 mm (0.95-mm mean size). The level of statistical significant difference was <0.05.Conclusion:Gender did not affect total prevalence, the pattern of tonsilar calcifications and their linear sizes. The prevalence of tonsilloliths increased with aging, but this variable did not have an effect on their linear size.

show abstract

Ultrasonographic Evaluation of Soft Tissue Calcifications in the Head and Neck Region Detected on Panoramic Radiographs

Özkan

Köse

Yeşiltepe

2022

J of Ultrasound Medicine

View full text Add to dashboard Cite

Objective The aim of this study is to present a comparison between panoramic radiographs and USG imaging with a focus on revealing the advantages of USG over radiographs, and to show the distribution of calcifications detected in USG by considering the age and gender. Methods A total of 148 patients with soft tissue calcifications as seen on panoramic radiographs were examined with USG imaging. Sialoliths, carotid artery calcifications, tonsilloliths, phleboliths and lymph node calcifications were examined in terms of anatomical localization, distribution and shape. Results In the USG evaluation of these 148 patients, soft tissue calcifications were observed in 113 (76.4%) patients. The mean age of the patients with calcification was 55.6 ± 13.1 (min: 22–max: 77). Bilateral calcifications were detected in 25 (22.1%) patients, whereas unilateral calcifications were found in 88 (77.9%) patients. While the rates of tonsilloliths, sialoliths, phleboliths, and lymph node calcifications were statistically similar in male and female patients, the rate of carotid artery calcifications was found to be higher in men than in women (P = 0.017). No statistical significance was found between age groups in terms of the formation of soft tissue calcifications (P = 0.117). Conclusions Panoramic radiographs may mislead clinicians in the diagnosis and differential diagnosis of soft tissue calcifications in the head and neck region due to the presence of distortion, superpositions, metal artefacts, and ghost images. USG is an important diagnostic tool in determining the localization of soft tissue calcifications that can be confused on two‐dimensional radiographs, their relationship with neighboring structures, and defining calcification. It can be used safely in the detection of soft tissue calcifications as it provides dynamic imaging without the use of radiation or contrast material compared to other advanced imaging methods.

show abstract

Bilateral and pseudobilateral tonsilloliths: Three dimensional imaging with cone-beam computed tomography

Cited by 11 publications

References 14 publications

Comparison of Panoramic Radiography and Cone-Beam Computed Tomography for the Detection of Tonsilloliths

Comparison of Panoramic Radiography and Cone-Beam Computed Tomography for the Detection of Tonsilloliths

Prevalence and patterns of palatine and adenoid tonsilloliths in cone-beam computed tomography images of an Iranian population

Ultrasonographic Evaluation of Soft Tissue Calcifications in the Head and Neck Region Detected on Panoramic Radiographs

Contact Info

Product

Resources

About