Case Study #2


                                                          Lymphangioma Uvula


             22 year old, white female. Medical history: Healthy- WNL. ASA II due to tobacco smoking for 5 years. Patient presents with Lymphangioma Uvula with red and swollen palatine tonsils (bilateral) and tonsil stone on right side.  Patient stated no pain and no changes in shape from childhood.

Lymphangioma it is a benign, focal malformation of the lymphatic system. It is abnormal structure that consists of collection of blood vessels and lymph vessels that are overgrown and clumped together. Lymphangiomas usually occur in one localized area. The swelling will often be present at birth.  It may grow slowly or quickly.  In general, lymphangiomas do not cause any medical problems. However, around the larynx might cause a breathing problem. If the lymphangioma is not causing specific problems, either medically or appearance, then often no treatment is needed.

Tonsil stones are made up of crevices, tunnels, and pits called tonsil crypts. Different type of debris, such as dead cells, mucus, saliva and food get trapped in these pockets and build up. Bacteria and fungi feed on this build up and cause a distinct odor. Eventually, the debris gets harder into a tonsil stone. It can be only one tonsil stone or many formations. Cause of tonsil stone include:


  • Poor dental hygiene
  • Chronic tonsillitis (inflamed tonsils)
  • Large tonsils

There are steps that you can take to prevent them:

  • Good oral hygiene, including cleaning off the back of tongue
  • Quit smoking
  • Gargling with salt water
  • Drinking plenty of water to stay hydrated.