Pseudo bilateral tonsilloliths: a case report and review of the literature

Ram, S.; Siar, C.H.; Ismail, S.M.; Prepageran, N.; Lumpur, K. (2004) Pseudo bilateral tonsilloliths: a case report and review of the literature. Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics, 98 (1). pp. 110-114. ISSN 1079-2104

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      Tonsilloliths are very rare concretions found in the tonsillar crypt. They are usually single and unilateral, but occasionally may be multiple or bilateral. Small concretions in the tonsils are common, but well formed giant unilateral or bilateral tonsilloliths are extremely uncommon. Only two cases of bilateral tonsilloliths have so far been reported in the literature. A case of unilateral tonsillolith, mimicking bilateral tonsilloliths taken with the orthopantogram (OPT) in a 57-year-old Malaysian Indian female with squamous cell carcinoma of the oral cavity is described. Although the OPT is a reliable and standard panoramic X-ray unit used in dentistry, superimposition of a lesion involving one side of the jaw creates a pseudo or ghost image on the contralateral side leading to a misdiagnosis of bilateral lesions. This report highlights that tonsilloliths, though rare, should be considered in the differential diagnosis of radiopaque masses involving the mandibular ramus, and that investigations such as CT scan or MRI may be required to differentiate pseudo or ghost images from true bilateral pathologies.

      Item Type: Article
      1. Ram, S.
      2. Siar, C.H.
      3. Ismail, S.M.
      4. Prepageran, N.
      5. Lumpur, K.
      Journal or Publication Title: Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontics
      Additional Information: ISI Document Delivery No.: 838IB Times Cited: 7 Cited Reference Count: 32 Cited References: CLARKE PRR, 1954, LANCET, V1, P1112 COOPER MM, 1983, ORAL SURG ORAL MED O, V55, P239, DOI 10.1016/0030-4220(83)90320-1 Dale J W, 1974, Aust Dent J, V19, P84 ELIDAN J, 1980, EAR NOSE THROAT J, V59, P296 ElSherif I, 1997, COMPUT MED IMAG GRAP, V21, P205 GADGIL RM, 1984, ORAL SURG ORAL MED O, V58, P237, DOI 10.1016/0030-4220(84)90142-7 GAPANYGAPANAVICIUS B, 1976, EAR NOSE THROAT J, V55, P343 GOODMAN HS, 1930, LARYNGOSCOPE, V40, P290, DOI 10.1288/00005537-193004000-00007 Hadi U M, 1985, Ear Nose Throat J, V64, P507 HARDING JA, 1962, PRACTITIONER, V188, P93 Hiranandani L H, 1967, J Laryngol Otol, V81, P819 HOFFMAN H, 1978, ORAL SURG ORAL MED O, V45, P657, DOI 10.1016/0030-4220(78)90054-3 Jones JW, 1996, BRIT DENT J, V180, P128, DOI 10.1038/sj.bdj.4808996 LANGLAND OE, 2002, PRINCIPLES DENT IMAG, P204 MARSHALL WG, 1981, ORAL SURG ORAL MED O, V51, P113, DOI 10.1016/0030-4220(81)90135-3 McDavid W D, 1983, Dentomaxillofac Radiol, V12, P122 NEVILLE BW, 2002, ORAL MAXILLOFACIAL P, P166 Osborn G R, 1974, Aust Dent J, V19, P284 PADMANABHAN T K, 1984, Indian Journal of Cancer, V21, P90 PILCH B, 2001, HEAD NECK SURG PATHO, P157 PRUET CW, 1987, OTOLARYNG CLIN N AM, V20, P305 Ramanjaneyulu P, 1974, J Indian Med Assoc, V62, P418 Revel MP, 1998, ANN OTO RHINOL LARYN, V107, P262 RUBIN H, 1936, LARYNGOSCOPE, V46, P376 SAMANT HC, 1975, ORAL SURG ORAL MED O, V40, P56, DOI 10.1016/0030-4220(75)90346-1 Sezer B, 2003, ORAL SURG ORAL MED O, V95, P471, DOI 10.1067/moe.2003.65 Shrimali R, 1972, J Indian Med Assoc, V58, P174 SWAIN HI, 1920, OTOL RHINOL LARYNGOL, V29, P73 VONARX D, 1988, J LARYNGOL OTOL, V102, P652 WESTMORE B, 1988, ORAL SURG ORAL MED O, V65, P783, DOI 10.1016/0030-4220(88)90031-X WHITE SC, 2000, ORAL RADIOLOGY PRINC, P554 WOODMAN GS, 1920, BRIT J SURG, V8, P375, DOI 10.1002/bjs.1800083117 Ram, S Siar, CH Ismail, SM Prepageran, N Lumpur, K Mosby, inc St louis
      Uncontrolled Keywords: Tonsil
      Subjects: R Medicine > RK Dentistry
      Divisions: Faculty of Dentistry > Dept of Oral Pathology & Oral Medicine & Periodontology
      Depositing User: Ms Nursyafiqah Abd Malek
      Date Deposited: 10 Jan 2013 08:11
      Last Modified: 10 Jan 2013 08:11

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