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Suggest Treatment For Bump On The Left Anterior Pillar Of The Tonsilar Fossa
Question: I have been experiencing something concerning for a few years now. I got tonsillitis or some kind of infection thereabouts and it cleared up with a very strong antibiotic. However, what was left behind was this reddish/clear bump that gets inflamed every now and then. The pump puffs up and hurts, once it pops it typically heals quickly and doesn't hurt. The problem is, sometimes it goes weeks without bothering me and sometimes its everyday for about a week.
Should I be concerned? I am 27 years old, in good general health. The pain from this pump hurts my ear sometimes, and I am beginning to wonder if it is something serious.
Should I be concerned? I am 27 years old, in good general health. The pain from this pump hurts my ear sometimes, and I am beginning to wonder if it is something serious.
Brief Answer:
Looks benign.
Detailed Answer:
Hi,
Thank you for your query.
1. The bump is on the left anterior pillar of the tonsilar fossa.
2. This can be an isolated lymphoid (tonsil like) tissue aggregation which are normally spread throughout the throat. This may also be connected to a tonsil crypt or the peri-tonsillar space.
3. It appears benign. It has also been troubling you for a few years and subsiding off & on, hence it is unlikely to be something serious.
4. An excision biopsy or a coblation assisted removal should settle this.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards. .
Looks benign.
Detailed Answer:
Hi,
Thank you for your query.
1. The bump is on the left anterior pillar of the tonsilar fossa.
2. This can be an isolated lymphoid (tonsil like) tissue aggregation which are normally spread throughout the throat. This may also be connected to a tonsil crypt or the peri-tonsillar space.
3. It appears benign. It has also been troubling you for a few years and subsiding off & on, hence it is unlikely to be something serious.
4. An excision biopsy or a coblation assisted removal should settle this.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards. .
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
A doctor who looked at it said it could be a mucocele in my palatalrasso archway.
At any rate, is this some this that can be removed surgically? In getting very tired of it.and if so, what can I expect from the surgery?
At any rate, is this some this that can be removed surgically? In getting very tired of it.and if so, what can I expect from the surgery?
Brief Answer:
Yes, this can be removed surgically.
Detailed Answer:
Hi,
Thank you for writing back.
1. Yes, the palatoglossus muscle and the overlying mucosa forma the anterior pillar of the tonsillar fossa, where this lump is located.
2. A branchial cyst or a fistula (usually the second type) should be ruled out by imaging and examination by an ENT Specialist. There can be other rare conditions, hence proceed with due caution.
3. An excision biopsy followed by coblation or cautery of the site should suffice. Unless there is a deeper extension, the procedure should be fairly simple and without any complications.
4. Upload the imaging studies before attempting any procedure and the final histopath examination report after the procedure is done.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Yes, this can be removed surgically.
Detailed Answer:
Hi,
Thank you for writing back.
1. Yes, the palatoglossus muscle and the overlying mucosa forma the anterior pillar of the tonsillar fossa, where this lump is located.
2. A branchial cyst or a fistula (usually the second type) should be ruled out by imaging and examination by an ENT Specialist. There can be other rare conditions, hence proceed with due caution.
3. An excision biopsy followed by coblation or cautery of the site should suffice. Unless there is a deeper extension, the procedure should be fairly simple and without any complications.
4. Upload the imaging studies before attempting any procedure and the final histopath examination report after the procedure is done.
I hope that I have answered your query. If you have any more questions I will be available to answer them.
Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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