caa a22 4500 467935866 CHVBK 20180406152957.0 cr unu---uuuuu 170328e20060401xx s 000 0 eng 10.1007/s00455-006-9019-6 doi (NATIONALLICENCE)springer-10.1007/s00455-006-9019-6 An Unusual Cause of Mechanical Dysphagia: An Agglomerate of Calculi in a Tonsillar Residue [Elektronische Daten] [Giovanna Cantarella, Davide Pagani, Pietro Biondetti] We report the case of a 68-year-old man affected by severe oropharyngeal dysphagia for solid food, who had undergone tonsillectomy when he was 22 years old. Videolaryngoscopy revealed a smooth-surfaced, elongated overgrowth on the left lateral pharyngeal wall that protruded toward the left pyriform fossa and impeded the transit of solid boli. A computed tomography scan showed that the solid content of the lesion was markedly inhomogeneous and denser than the surrounding soft tissues. The mass was removed by means of direct pharyngoscopy under general anesthesia. It was found that it arose from the inferior pole of the left tonsillar fossa and had a central cavity filled with caseum and multiple calculi. Histopathologic examination showed that its soft tissue component consisted of lymphoid tonsillar tissue. The operation totally resolved the swallowing disturbance. This case report highlights that tonsilloliths in a tonsillar residue should be considered in the differential diagnosis of mechanical oropharyngeal dysphagia, even in tonsillectomized patients. Springer Science+Business Media, Inc., 2006 Tonsilloliths nationallicence Tonsillar residues nationallicence Oropharyngeal dysphagia nationallicence Deglutition nationallicence Deglutition disorders nationallicence Cantarella Giovanna Department of Otolaryngology, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy aut Pagani Davide Department of Otolaryngology, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy aut Biondetti Pietro Department of Radiology, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy aut Dysphagia Springer-Verlag 21/2(2006-04-01), 133-136 0179-051X 21:2<133 2006 21 455 https://doi.org/10.1007/s00455-006-9019-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00455-006-9019-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cantarella Giovanna Department of Otolaryngology, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy aut NATIONALLICENCE 700 1- Pagani Davide Department of Otolaryngology, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy aut NATIONALLICENCE 700 1- Biondetti Pietro Department of Radiology, Fondazione IRCCS Ospedale Maggiore Policlinico, Mangiagalli e Regina Elena, Milan, Italy aut NATIONALLICENCE 773 0- Dysphagia Springer-Verlag 21/2(2006-04-01), 133-136 0179-051X 21:2<133 2006 21 455 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer