Lingual Tonsillolith Presented Mimic Impacted Fish Bone at Lingual Tonsil

Main Article Content

Mohd Ridwan A. M.
Sakina G.
Mohd Amin J.


Lingual tonsilloliths commonly appear on CT and plain radiograph and superimpose nearby mandibular soft tissue.We presented a case of foreign body fish bone embedded in the base of tongue turns out to be lingual tonsillolith.A 41- years-old man presented with 2 weeks history of foreign body sensation in the throat with prior fish bone ingestion.Computed Tomography neck revealed small opacities embedded over right base of tongue of size. This rare case presentation illustrates the versatility of a CT neck in revealing unexpected pathologies.

Lingual tonsillolith, fishbone, lingual tonsil.

Article Details

How to Cite
M., M. R. A., G., S., & J., M. A. (2020). Lingual Tonsillolith Presented Mimic Impacted Fish Bone at Lingual Tonsil. Asian Journal of Research in Surgery, 4(3), 15-17. Retrieved from
Case study


Takahashi A, Sugawara C, Kudoh K, Yamamura Y, Ohe G, Tamatani T, Miyamoto Y. Lingual tonsillolith: Prevalence and imaging characteristics evaluated on 2244 pairs of panoramic radiographs and CT images. Dentomaxillofacial Radiology. 2018;47(1):20170251.

Friedman M, Yalamanchali S, Gorelick G: A standardized lingual tonsil grading system. Otolaryngol Head Neck Surg. 2015;152:667.

Balaji BB, Avinash TML, Avinash CKA, Chittaranjan B: Tonsillo- lith: A panoramic radiograph presentation. J Clin Diagn Res. 2013;7:2378.

De Moura MDG, Madureira DF, Noman-Ferreira LS, et al. Tonsillo- lith: A report of three clinical cases. Med Oral Pathol Oral Cir Bucal. 2007;12:E130.

Mandel L: Multiple bilateral tonsilloliths: Case report. J Oral Maxillofac Surg. 2008;66:148.

Stoodley P, deBeer D, Longwell M, et al: Tonsillolith: Not just a stone but a living biofilm. Otolaryngol Head Neck Surg. 2009;141:316.

Kim M-J, Kim J-E, Huh K-H, et al. Multidetectorcomputedtomography imaging characteristics of asymptomatic palatine tonsillo- liths: A retrospective study on 3886 examinations. Oral Surg Med Oral Pathol Oral Radiol 2018;125:693.

Lee KC, Mandel L. Lingual (Not Palatine) Tonsillolith: Case Report. Journal of Oral and Maxillofacial Surgery. 2019;77(8): 1650-1654.