雙側扁桃腺體結石－病例報告及文獻回顧

Bilateral Giant Tonsilloliths-Report of a Case and Review of Literature

陳登偉(Teng-Wei Chen) ； 方深毅(Sheen-Yee Fang) ； 周楠華(Nan-Haw Chow) ； 王東堯(Tung-Yiu Wong) ； 陳畊仲(Ken-Chun Chen) ； 黄振勳(Jehn-Shyun Huang)

《臺灣口腔顎面外科學會雜誌》 22卷1期 (2011/03) Pp. 51-60

https://doi.org/10.7104/TJOMS.201103.0051

摘要

扁桃腺體結石並非罕見疾病，只是形成較大體積的雙側扁桃腺體結石較少發生。扁桃腺體結石容易被忽略或難以診斷，因初期的症狀並不明顯，且臨床上口腔黏膜常無病理症狀。偶爾在例行的口腔放射線檢查中，例如：環口攝影或測顱攝影，可發現此病灶，只是臨床醫師無法依據平面放射線顯像，就對扁桃腺體結石，以及其他顎骨或口腔周圍具有鈣化性的疾病做鑑別診斷；同時因爲模稜兩可的影像，讓臨床醫師無法做確認診斷，造成病人治療的延誤。本文報告一個雙側扁桃腺體結石的病例，如何經過電腦斷層掃描來確立診斷，並接受結石切除手術的治療，手術後患者恢復良好。

關鍵字

扁桃腺體結石 ； 扁桃腺體

並列摘要

Concretions in human tonsils are not uncommon, but well-formed or large tonsilloliths are extremely rare. The lesion was frequently ignored, due to its insipient symptom and normal-looking overlying mucosa. Occasionally, these lesions had been detected incidentally during a routine dental radiographic examination, e.g. from images such as those acquired from panoramic or lateral skull views. Since radiography often does not clearly distinguish between tonsilloliths and other radiopaque lesions of the jaws, such equivocal results would often provide quite some difficulty for clinicians to arrive at an appropriate working diagnosis. Herein, we report on a case of giant bilateral tonsilloliths, using computed tomography to establish an accurate diagnosis. The Patient recovered uneventfully after surgical removal of the tonsillolith.

並列關鍵字

Tonsillolith ； Tonsil