{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:26:57Z","timestamp":1787758017088,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Tonsilloliths or tonsil stones are singular or multiple calculi found in tonsillar crypts that are located unilaterally or bilaterally. A review report determined the exact location of the tonsillolith, showing that in 69.7% of cases they are located in the tonsillar tissue, 21.2% in the tonsillar fossa, and 9% in the soft palate. Our research aims to document a case of unilateral tonsillolith that we removed under general anesthesia. His orthopantomography revealed a large radiopacity with respect to the anterior border of the left ramus and the angle area, measuring about 23.1 mm \u00d7 21.5 mm \u00d7 15.2 mm. During the operation, a vertical incision was placed along the left tonsillar region and the area was slightly dilated. A curved artery forceps was employed and the stone was removed in multiple fragments. The concretions were hard, irregular, and pale yellow, weighing approximately 31 mg. Accumulation of calcium salts is common in the bones. A heterotrophic calcification occurs when the same minerals deposit themselves in the soft tissue in an irregular manner. Various authors have classified this type of calcification into three broad categories, namely idiopathic, metastatic, and dystrophic. Our patient conformed to the first type. An early diagnosis and timely treatment can save the patient from an aggravated infection and prevent dyspnoea, choking due to dislodgement, otalgia, and the likes.<\/jats:p>","DOI":"10.4103\/njms.njms_77_23","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T13:01:03Z","timestamp":1780491663000},"page":"382-384","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A large unilateral tonsillolith"],"prefix":"10.4103","volume":"17","author":[{"given":"Ankur","family":"Mittal","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, DJ College of Dental Sciences and Research, Modi Nagar, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Tousif","family":"Alam","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, DJ College of Dental Sciences and Research, Modi Nagar, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siddharth","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, DJ College of Dental Sciences and Research, Modi Nagar, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birsubhra","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, DJ College of Dental Sciences and Research, Modi Nagar, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"R1-20260604","doi-asserted-by":"crossref","first-page":"20150090","DOI":"10.1259\/dmfr.20150090","article-title":"Large tonsillolith associated with the accessory duct of the ipsilateral submandibular gland: Support for saliva stasis hypothesis","volume":"44","author":"Pirkl","year":"2015","journal-title":"Dentomaxillofac Radiol"},{"key":"R2-20260604","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s12070-008-0093-y","article-title":"A giant tonsillolith","volume":"60","author":"Kanotra","year":"2008","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"R3-20260604","doi-asserted-by":"crossref","first-page":"100133","DOI":"10.1016\/j.omsc.2019.100133","article-title":"Giant tonsillolith: A rare oropharyngeal entity","volume":"5","author":"Singh","year":"2019","journal-title":"Oral Maxillofac Surg Cases"},{"key":"R4-20260604","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1017\/S0022215100067748","article-title":"A giant tonsillolith","volume":"81","author":"Hiranandani","year":"1967","journal-title":"J Laryngol 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Pathol"},{"key":"R9-20260604","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1038\/sj.bdj.4808996","article-title":"A tonsillolith","volume":"180","author":"Jones","year":"1996","journal-title":"Br Dent J"},{"key":"R10-20260604","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1053\/joms.2001.23406","article-title":"Tonsillolith: A case report","volume":"59","author":"Neshat","year":"2001","journal-title":"J Oral Maxillofac Surg"},{"key":"R11-20260604","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1067\/moe.2003.65","article-title":"An unusual tonsillolith","volume":"95","author":"Sezer","year":"2003","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol"},{"key":"R12-20260604","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.tripleo.2003.11.015","article-title":"Pseudo bilateral tonsilloliths: A case report and review of the literature","volume":"98","author":"Ram","year":"2004","journal-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol"},{"key":"R13-20260604","first-page":"239","article-title":"Giant tonsillolith: Report of a case","volume":"10","author":"Silvestre-Donat","year":"2005","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"R14-20260604","first-page":"E130","article-title":"Tonsillolith: A report of three clinical cases","volume":"12","author":"de Moura","year":"2007","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"R16-20260604","first-page":"110","article-title":"Kamni nebnykh mindalin i prichiny ikh obrazovaniia [calculi of palatine tonsils and causes of their formation","volume":"27","author":"Mishenkin","year":"1965","journal-title":"Vestn Otorinolaringol"},{"key":"R17-20260604","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/BF01627668","article-title":"Submandibular gland with multiple ducts","volume":"16","author":"Gaur","year":"2994","journal-title":"Surg Radiol Anat"}],"container-title":["National Journal of Maxillofacial 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