From the Research
A salivary stone, also known as a sialolith, would be the type of stone found behind but not in the tonsils. These stones typically form in the salivary glands or their ducts, particularly in the submandibular gland which is located beneath the jaw. Salivary stones develop when minerals in saliva crystallize around debris, forming hard deposits that can block saliva flow. Symptoms include pain and swelling in the affected area, especially during eating when saliva production increases. Small stones may pass naturally or can be encouraged to pass by staying well-hydrated, applying warm compresses, and gently massaging the area. Larger stones often require medical intervention such as minimally invasive procedures or surgery. Salivary stones differ from tonsil stones (tonsilloliths), which form directly in the crevices of the tonsils themselves. If you experience persistent pain or swelling in the neck or jaw area, particularly during meals, it's essential to seek medical evaluation as untreated salivary stones can lead to infection, as noted in various studies 1, 2, 3.
Some key points to consider:
- The formation of salivary stones is related to the crystallization of minerals in saliva around debris, leading to blockage of saliva flow 1.
- Tonsilloliths, on the other hand, are calcifications within a tonsillar crypt and are primarily associated with the palatine tonsil, caused by dystrophic calcification as a result of chronic inflammation 2.
- The prevalence of palatine tonsilloliths has been studied, showing significant differences in prevalence and size between men and women, and an increase in prevalence with age 3.
- It's crucial to differentiate between salivary stones and tonsilloliths due to their distinct locations and formation mechanisms, and to seek medical attention if symptoms persist, to prevent potential complications such as infection 1, 3.
In terms of management, the approach depends on the size and location of the stone, as well as the severity of symptoms, with smaller stones potentially passing naturally or with encouragement, and larger stones requiring medical intervention 1, 3.