Can a tonsillolith (stone behind the tonsil) be felt behind the tonsil?

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From the Research

No, you cannot feel a Stensen duct stone behind the tonsil. Stensen's duct (also called the parotid duct) opens into the mouth near the upper second molar, not behind the tonsil 1. Salivary stones that form in this duct would be felt in the cheek area or where the duct opens in the upper part of the mouth. If you're feeling something behind your tonsil, it could be a different issue such as a tonsil stone (tonsillolith), lymphoid tissue, or another type of growth. Tonsil stones are more common and form in the crevices of the tonsils themselves, appearing as white or yellowish deposits that can sometimes be felt.

The location and treatment of Stensen's duct stones have been studied in various research papers, including a study published in 2021 that discussed open approaches to Stensen duct scar 1. Another study published in 2016 discussed the transoral Stensen's duct approach, which is a minimally invasive technique used to treat parotid gland duct lithiasis 2. However, these studies do not support the idea that a Stensen duct stone can be felt behind the tonsil.

Some key points to consider include:

  • Stensen's duct opens into the mouth near the upper second molar, not behind the tonsil
  • Salivary stones that form in this duct would be felt in the cheek area or where the duct opens in the upper part of the mouth
  • If you're feeling something behind your tonsil, it could be a different issue such as a tonsil stone (tonsillolith), lymphoid tissue, or another type of growth
  • Tonsil stones are more common and form in the crevices of the tonsils themselves, appearing as white or yellowish deposits that can sometimes be felt

If you're experiencing discomfort or can feel something unusual behind your tonsil, it's best to consult with a healthcare provider for proper examination and diagnosis, as self-diagnosis of structures in the throat can be difficult and potentially misleading 3.

References

Research

Open Approaches to Stensen Duct Scar.

Otolaryngologic clinics of North America, 2021

Research

Transoral Stensen's Duct Approach: A 22-case retrospective study.

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery, 2016

Research

Stenoses of the salivary ducts-sialendoscopy based diagnosis and treatment.

The British journal of oral & maxillofacial surgery, 2013

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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