Uneven Tonsils: What to Know About Abnormal Growths - Otolaryngology

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The tonsils appear unusual and asymmetrical; the left side looks like it has something growing on it?


I usually don't feel anything unusual, but I accidentally noticed something strange with my left tonsil.

Niming, 10~19 year old female. Ask Date: 2019/08/30

Dr. Zheng Jueyi reply Otolaryngology


Hello: Based on initial observations, it may be a tonsillar cyst or granuloma.
If it continues to grow or causes pain, it is advisable to seek medical evaluation.
Wishing you safety and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/08/30

More Info


When it comes to the discovery of uneven tonsils, it is essential to understand the potential implications and underlying causes of abnormal growths in the tonsils. The tonsils are lymphoid tissues located at the back of the throat and play a crucial role in the immune system, particularly in young individuals. However, abnormalities in their size or shape can sometimes indicate underlying health issues.

Firstly, it is important to note that tonsils can vary in size from person to person, and it is not uncommon for one tonsil to appear larger than the other. This asymmetry can be benign and may not cause any symptoms. However, if you notice significant changes in the size, shape, or texture of your tonsils, it is advisable to seek medical attention.

One of the common causes of enlarged tonsils is chronic tonsillitis, which is an inflammation of the tonsils often due to recurrent infections. Symptoms may include sore throat, difficulty swallowing, and swollen lymph nodes. In some cases, the tonsils can become so enlarged that they obstruct the airway, leading to sleep apnea or breathing difficulties during sleep.

Another potential cause of asymmetrical tonsils could be a peritonsillar abscess, which is a collection of pus that forms near the tonsil, often as a complication of tonsillitis. This condition can cause severe throat pain, difficulty swallowing, and a noticeable swelling on one side of the throat. It typically requires medical intervention, including drainage of the abscess and antibiotics.

In rare cases, abnormal growths in the tonsils can be indicative of more serious conditions, such as tumors. While most tonsil tumors are benign, some can be malignant. Symptoms that may suggest a more serious issue include persistent pain, difficulty swallowing, changes in voice, or the presence of a lump in the neck. If you experience any of these symptoms, it is crucial to consult a healthcare professional for further evaluation.

To assess the condition of your tonsils, a healthcare provider may perform a physical examination and may recommend imaging studies such as an ultrasound or a CT scan if there is a concern for an underlying mass. In some cases, a biopsy may be necessary to determine the nature of the growth.

In conclusion, while uneven tonsils can be a benign finding, it is essential to monitor any changes and consult a healthcare provider if you notice significant asymmetry or experience associated symptoms. Early evaluation and intervention can help address any underlying issues and ensure your overall health and well-being. If you have concerns about your tonsils or any related symptoms, do not hesitate to reach out to a medical professional for guidance and support.

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