Tonsillar actinomycosis mimicking a tonsillolith: colonization of the palantine tonsil presenting as a foul‐smelling, removable, unilateral, giant tonsillar concretion

Cohen, Philip R.; Tschen, Jaime A.

doi:10.1111/j.1365-4632.2009.04432.x

Cited by 15 publications

(18 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There have been several conflicting definitions of tonsilloliths in the literature. Many studies emphasize that tonsilloliths are calcified concretions [1][2][3][4][5][6][7][8]13,19 ; however, calcification is not necessary for a concretion to be considered a tonsillolith. This is evidenced by only 12% of patients with tonsilloliths exhibiting calcification ( Table 3).…”

Section: Tonsillolith Definitionmentioning

confidence: 99%

“…Studies about tonsilloliths have mostly consisted of case reports 2,3,8,19 and imaging studies. 1,[4][5][6][7]13 Imaging studies have documented an equal sex distribution of tonsilloliths.…”

Section: Demographic and Clinical Characteristics Of Patients With Tomentioning

confidence: 99%

“…Tonsilloliths may develop from a collection of desquamated epithelium, serum, food debris, and fungal and bacterial colonies. 1,3,8-11 Tonsilloliths appear to have characteristics in common with biofilms, 1 and tonsillolith calcification may occur over time from the deposition of inorganic salts, progressing from soft gels to hard “stones.” 10,12,13 The composition of the bacterial flora in tonsilloliths is diverse and has included normal mouth flora, such as Actinomyces , and volatile sulfur-producing anaerobes, such as Eubacterium, Fusobacterium, Megasphaera, Porphyromonas, Prevotella, Selenomonas , and Tannerella . 3,14 Several investigators have identified specific correlations between Actinomyces and tonsilloliths.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Palatine Tonsilloliths and Actinomyces: A Multi‐institutional Study of Adult Patients Undergoing Tonsillectomy

Arvisais-Anhalt

Quinn

Bishop

et al. 2020

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective To better characterize associations between Actinomyces and tonsillolith versus nontonsillolith tonsillectomy specimens. Study Design Bi-institutional retrospective case-case study. Setting University and county hospital. Subjects and Methods Adult patients with a clinical history of tonsilloliths who underwent tonsillectomy from January 2006 to December 2018 were included. Patients undergoing tonsillectomy for tonsillar hypertrophy and chronic tonsillitis were identified as comparative cases. Similarly, patients with ipsilateral oropharyngeal cancer (OPC) who underwent contralateral tonsillectomy of a normal-appearing tonsil for prophylaxis against a second primary cancer were also included as comparative cases. Results The study population comprised 134 patients who underwent tonsillectomy: 62 tonsillolith and 72 nontonsillolith (tonsillar hypertrophy, n = 30; chronic tonsillitis, n = 30; normal-appearing contralateral tonsil in patients with ipsilateral OPC, n = 12). Actinomyces was reported in 11% of the patients with tonsilloliths on initial pathology reports but in 95% after re-evaluation (n = 54 of 57). Actinomyces prevalence was significantly higher in patients with tonsilloliths as compared with patients with recurrent tonsillitis (73%, n = 22 of 30, P < .001) and normal-appearing contralateral tonsils in patients with ipsilateral OPC (58%, n = 7 of 12, P < .001). Actinomyces prevalence was not significantly different between patients with tonsilloliths and tonsillar hypertrophy (83%, n = 25 of 30, P = .11). Conclusion The prevalence of Actinomyces in tonsillolith tonsil specimens is high; however, Actinomyces routinely colonizes nontonsillolith tonsil specimens. Therefore, Actinomyces is unlikely to be the primary driver of tonsillolith pathogenesis, and Actinomyces-targeted treatment of tonsilloliths may not be effective. Treatment strategies addressing tonsilloliths should be further investigated.

show abstract

Section: Tonsillolith Definitionmentioning

confidence: 99%

Section: Demographic and Clinical Characteristics Of Patients With Tomentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Palatine Tonsilloliths and Actinomyces: A Multi‐institutional Study of Adult Patients Undergoing Tonsillectomy

Arvisais-Anhalt

Quinn

Bishop

et al. 2020

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…Anaerobic bacteria present in tonsilloliths constitute an abundant source of VSCs , and as a result, up to 77% of individuals with tonsilloliths may present with periodical halitosis . Other laryngological causes of halitosis include peritonsillar abscesses, fungal infections, paranasal sinusitis, atrophic rhinitis, and neoplasms . Disorders predisposing to mouth breathing, such as dysphagia, odynophagia, and limited nasal patency (e.g.…”

mentioning

confidence: 99%

Genuine halitosis in patients with dental and laryngological etiologies of mouth odor: severity and role of oral hygiene behaviors

Herman¹,

Lisowska

Herman³

et al. 2018

European J Oral Sciences

View full text Add to dashboard Cite

The aims of the study were to determine the severity of halitosis and the association between oral hygiene practices and the severity of malodor in patients with dental and laryngological etiologies of genuine halitosis. Thirty-five laryngological and 40 dental patients with halitosis completed a structured interview and underwent laryngological and dental examinations. Halitosis was assessed using organoleptic and halimeter tests. Greater halitosis severity in laryngological patients was associated with worse clinical status of the palatine tonsils, less frequent toothbrushing, less frequent use of tongue cleaners, fewer daily meals, and increased use of mouthrinses. Among dental patients, more severe halitosis was associated with worse clinical status of the periodontium, more tongue coating, less saliva secretion, and less frequent use of dental floss, interdental toothbrushes, and tongue cleaners. Oral hygiene was found to be a key moderator of the relationship between status of the periodontium or tonsils and severity of halitosis. The severity of halitosis in laryngological patients and dental patients is essentially similar; however, oral hygiene routines are associated with different effects in each group. Consequently, individual recommendations for patients with halitosis should be adjusted for the underlying disease and emphasize the role of effective specific hygiene behaviors.

show abstract

“…Os tonsilólitos podem ser múltiplos, uni ou bilaterais. Nesse estudo foi detectada a presença de tonsilólitos bilaterais em apenas 1% (1/100) nas radiografias panorâmicas digitais e 7% (7/100) na amostra de TCFC (CALDAS et al, 2007 ;COHEN;TSCHEN, 2010 ;MANDEL, 2008).…”

Section: Comparações Entre Os Achados Da Tcfc Com Os Das Panorâmicas unclassified

Estudo de calcificações em tecidos moles em exames de tomografia computadorizada de feixe cônico e radiografia panorâmica digital

Centurion¹

View full text Add to dashboard Cite

Tonsillar actinomycosis mimicking a tonsillolith: colonization of the palantine tonsil presenting as a foul‐smelling, removable, unilateral, giant tonsillar concretion

Cited by 15 publications

References 10 publications

Palatine Tonsilloliths and Actinomyces: A Multi‐institutional Study of Adult Patients Undergoing Tonsillectomy

Palatine Tonsilloliths and Actinomyces: A Multi‐institutional Study of Adult Patients Undergoing Tonsillectomy

Genuine halitosis in patients with dental and laryngological etiologies of mouth odor: severity and role of oral hygiene behaviors

Estudo de calcificações em tecidos moles em exames de tomografia computadorizada de feixe cônico e radiografia panorâmica digital

Contact Info

Product

Resources

About