Tonsil Stones: Impact on Health and Voice Recovery - Otolaryngology

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Tonsil stones


Today I discovered a white object on the right side of my throat in my oral cavity.
After researching online, I found that it might be a tonsil stone.
I carefully squeezed it out with my fingers, and it did have a bit of an odor.
After that, I was able to expel several smaller pieces of the same substance and noticed a small hole in that area.
I would like to know if not removing it will affect my daily life, as this situation is causing me some anxiety.
Additionally, I want to ask about an issue I experienced after a cold where I lost my voice.
Although my voice returned, I found that I can no longer reach certain higher notes.
I had a similar experience in childhood, where I also lost the ability to hit some high notes afterward.
Is there a way to improve this?

Ou, 20~29 year old female. Ask Date: 2015/07/22

Dr. Zheng Jueyi reply Otolaryngology


Tonsil stones may lead to chronic tonsillitis.
If there is no persistent pain or severe foreign body sensation in the throat, surgery for removal may not be necessary.
Regarding voice issues, it is recommended to seek medical evaluation to assess the condition and discuss with a physician whether further treatment is needed.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/07/22

More Info


Tonsil stones, or tonsilloliths, are calcified deposits that form in the crevices of the tonsils. They can be composed of bacteria, dead cells, and food particles, and they often lead to symptoms such as bad breath, sore throat, and a sensation of something being stuck in the throat. In your case, it seems you have successfully removed some of these stones, which is a common method for managing the condition. However, the presence of a small hole where the stones were located may indicate that the tonsils are still susceptible to further stone formation.

Regarding your concern about whether not removing the tonsils will affect your daily life, it largely depends on the severity of your symptoms. If you are not experiencing chronic pain, frequent infections, or significant discomfort, it is possible to live with tonsil stones without surgical intervention. Many people manage their symptoms through good oral hygiene, hydration, and regular gargling with salt water. However, if you find that the stones continue to form or if they lead to recurrent infections, it may be worth discussing surgical options with an ENT specialist.

As for your voice concerns, it is not uncommon for individuals to experience changes in their vocal range after an illness, particularly if it involved laryngitis or other throat-related issues. The inflammation of the vocal cords can lead to temporary changes in voice quality and range. If you are finding it difficult to reach higher notes, it could be due to residual swelling or tension in the vocal cords.
To improve your vocal recovery, consider the following strategies:
1. Hydration: Drink plenty of water to keep your vocal cords hydrated. Avoid caffeine and alcohol, as they can dehydrate you.

2. Vocal Rest: Give your voice time to recover by limiting speaking and avoiding whispering, which can strain the vocal cords.

3. Warm-Up Exercises: Gentle vocal exercises can help ease tension and improve range. Start with humming or lip trills before moving on to scales.

4. Avoid Irritants: Stay away from smoke, strong odors, and allergens that can irritate your throat and vocal cords.

5. Consult a Voice Therapist: If your voice does not improve, consider seeing a speech-language pathologist who specializes in voice therapy. They can provide tailored exercises and techniques to help restore your vocal function.

6. Medical Evaluation: If you continue to experience issues with your voice, it may be beneficial to have a thorough evaluation by an ENT specialist. They can assess your vocal cords and determine if there are any underlying issues that need to be addressed.

In summary, while tonsil stones can be bothersome, they do not always necessitate surgical removal unless they cause significant problems. For voice recovery, focus on hydration, rest, and possibly professional guidance to regain your vocal range. If symptoms persist or worsen, seeking medical advice is always a prudent step.

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