Palatine Tonsilloliths: A Retrospective Study on 500 Digital Panoramic Radiographs

Aoun, Georges; Nasseh, Ibrahim; Diab, Hicham A; Bacho, Riad

doi:10.5005/jp-journals-10024-2418

Cited by 13 publications

(20 citation statements)

References 16 publications

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“…Likewise, in our study, more than half of the lesions were detected in patients between 45 and 64 years of age. This result was comparable with previous studies [6,20]. Oda et al [7] reported that as patients aged, the detection rate increased.…”

Section: Discussionsupporting

confidence: 92%

“…No significant difference between genders was reported in the previous studies [6,7,16,20,23,28,29]. The rate of tonsilloliths in males was found to be 41-51.2% in CT studies [3,7,8,12], 41-50.5% in CBCT studies [15][16][17], and 50.9-60.4% in PR studies [3,20,30].…”

Section: Discussionmentioning

confidence: 81%

“…In the literature, the prevalence of tonsilloliths was evaluated using PR, CT, and CBCT. The prevalence of tonsilloliths in PR was found to be 5.7-13% in previous studies [4,6,20,21]. Retrospective 3-dimensional radiographic studies showed that the prevalence of tonsilloliths was found to be 16-46% by CT [3,7,8,12,[22][23][24] and 5-34% by CBCT [15,17,[25][26][27].…”

Section: Discussionmentioning

confidence: 91%

“…These calcifications are easily observed with 3-dimensional images and distinguished from other soft tissue calcifications [8,12]. The accurate radiographic diagnosis of palatine tonsilloliths can be made by medical CT between the palatopharyngeus and palatoglossus muscles [6,13]. However, CBCT uses a significantly smaller radiation dose, slices images more thinly, and is less expensive compared to CT [13,14].…”

Section: Discussionmentioning

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%

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

et al. 2019

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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.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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Lingual (Not Palatine) Tonsillolith: Case Report

Lee

Mandel

2019

Journal of Oral and Maxillofacial Surgery

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Radiological evaluation of maxillofacial soft tissue calcifications with cone beam computed tomography and panoramic radiography

Yeşilova

Bayrakdar

2021

Int. J. Clin. Pract.

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The maxillofacial region is composed of various anatomical structures that are observed as different densities on radiographs. In addition to teeth, bones and soft tissues, variations and pathological conditions also contribute to this density range. Radiographic interpretation may challenge practitioners to determine an exact diagnosis. It is difficult to diagnose calcifications caused by pathological conditions, especially areas that neighbour teeth and bone. 1,2 Idiopathic and dystrophic calcifications are seen in maxillofacial soft tissues. Dystrophic calcifications are the most common type. 3,4 Calcifications visualised on dental images are tonsilloliths, sialoliths, phleboliths, artery calcifications, adenoliths and lymph node calcifications. Tonsilloliths are composed of calcium and magnesium salts; the exact pathogenesis is not defined. 5 They are sometimes in concordance with clinical symptoms but may be asymptomatic. 6 Sialoliths are idiopathic calcifications in salivary glands. The submandibular gland is a favoured location because of its mucous secretions, narrowed orifice and opposite flow to gravity. 7 Phleboliths in the head and neck region can be observed in all age groups. Vascular malformation areas and thrombosis provide bases for their formation, with deposition of calcium phosphate and carbonate. In extreme examples, they may cause aesthetic problems, disrupt blood flow and lead to harmful inflammation, although they are generally

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Palatine Tonsilloliths: A Retrospective Study on 500 Digital Panoramic Radiographs

Cited by 13 publications

References 16 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

Lingual (Not Palatine) Tonsillolith: Case Report

Radiological evaluation of maxillofacial soft tissue calcifications with cone beam computed tomography and panoramic radiography

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