Vol. 11, Issue 5, Part G (2025)

Abstract
Tonsilloliths, also known as tonsillar concretions or tonsil stones, are calcified deposits that develop within the crypts of the palatine tonsils or adenoids due to the accumulation of desquamated epithelial cells, bacterial colonies, and calcium. Though relatively common, especially in adults, the occurrence of large or "giant" tonsilloliths is rare. These stones may occur even without a prior history of tonsillar inflammation and are typically identified in individuals between the ages of 10 and 77 years, with a peak incidence around 50 years. While some cases are asymptomatic and incidentally discovered through radiographic imaging, symptomatic individuals often present with halitosis, sore throat, difficulty swallowing, ear pain, and a sensation of a foreign body in the throat.