Lump on the palate after tooth extraction

Tonsil function

The tonsil is a lymphoid tissue located in clusters in the pharynx. The tonsils are one of the organs of the immune system that protect the internal environment of the body from harmful influences. There are six tonsils in the human pharynx: two paired and two unpaired; together they form the so-called Pirogov-Waldeyer protective ring. The palatine tonsils (popularly called tonsils) are located closest to the entrance of the pharynx, and these tonsils suffer more often than others. The lymphoid tissue of the tonsils supports general and local immunity. Lymphocytes mature in it and antibodies are produced.

The palatine tonsils play a vital role. They are the largest and differ in their structural features. Upon careful examination, it is clear that the surface has depressions or lacunae, smoothly turning into crypts or deep folds lined with mucous membrane. Only the lateral surfaces are covered with a capsule of connective tissue, and all the rest are in contact with everything that enters the pharynx.

At CELT you can consult an otorhinolaryngologist.

• Initial consultation – 3,000
• Repeated consultation – 2,000

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Classification

Experts distinguish two types of tonsil cysts:

1. Retention - formed after blockage of the ducts of the glands of lymphoid tissue, have a classic round shape, a thin capsule, filled with serous or purulent secretion. After emptying (evacuation of contents or spontaneous breakthrough), they are filled again.
2. Dermoid or congenital - formed during intrauterine development, inclusions of embryonic tissue are always found in them. These true tumors, caused by genetic causes or harm suffered by the mother during pregnancy, are very rare. The capsule is usually dense and the contents are viscous.

Causes of retention cysts

The reasons for the formation of cysts are varied, but more often than others, factors such as:

• chronic inflammation of the tonsils and pharynx with periodic exacerbations - tonsillitis, pharyngitis;
• autoimmune diseases accompanied by the production of a large number of lymphocytes;
• smoking, especially tobacco with a high tar content;
• injuries, including the habit of swallowing small bones;
• hormonal imbalance;
• occupational hazards, inhalation of aggressive aerosols;
• decreased immunity, especially local.

The formation of a cyst is caused by impaired drainage of the mucous lacunae of the tonsils against the background of the inflammatory process.

Manifestations of tonsil cysts

Symptoms of having a palatal cyst depend on its size and location. Cysts up to 1 cm in size usually do not manifest themselves, are invisible and painless. People, as a rule, do not even suspect their existence. Cysts can be discovered accidentally during routine examinations by an otolaryngologist.

You can suspect the presence of a cyst in the tonsil if you have bad breath with healthy teeth and normally functioning digestive organs. The smell comes from food particles that become trapped in the area of ​​the cyst and begin to decompose there. As the size of the cyst increases, a person may experience the following symptoms:

• feeling of constant presence of a foreign body in the throat;
• sore throat or discomfort;
• difficulty and mild pain when swallowing solid food;
• hoarseness of voice.

Young children may begin to choke on food. If the cyst grows towards the pharynx, then a feeling of lack of air may occur, which is especially pronounced in children whose larynx is small. The existence of the cyst itself maintains chronic inflammation. The cyst excludes areas of the tonsil from immune protection.

Symptoms

Detection of cysts - if they are on the surface - rarely poses serious difficulties for the doctor. Dermoid cysts are not very large in size and are usually painless even on palpation. Depending on the contents, the neoplasm can be either dense or soft.

If a dermoid cyst is found in one of the internal organs, it may not make itself felt for a long period of time. Symptoms appear mainly when the tumor reaches a certain size. For example, if there is an ovarian cyst, a woman will complain of:

• pulling pain in the lower abdomen;
• more frequent urge to go to the toilet;
• the appearance of pain during sexual intercourse.

If inflammation of a cyst localized in the anal area develops, there will be pain during bowel movements and difficulty in taking a sitting position.

Symptoms that can characterize a dermoid cyst are very diverse. However, often due to the benign nature of the neoplasm, the pathology is an accidental finding.

Diagnosis of a cyst

As a rule, detecting a cyst does not cause any particular difficulties, since the pharynx can be clearly seen even with the help of a backlit frontal mirror. The main thing is to contact an otolaryngologist for examination. ENT doctors use various instruments during examination - spatulas, elevators, and, if necessary, endoscopes.

The cyst is determined in different parts of the tonsils, on the surface or in the depths. It has the appearance of an opaque round formation, similar to a ball, whitish in color, elastic and mobile. There may be no signs of inflammation of surrounding tissues.

You cannot touch or put pressure on the cyst yourself - it can burst, and its contents are unknown. At best, the purulent contents will enter the stomach, and at worst, it will spread to other organs.

The doctor examines cysts larger than 1 cm very carefully, without damaging the surrounding tissues, trying not to touch the capsule.

Diagnosis of a cyst includes puncture (puncture and removal of contents). If necessary, the resulting material is examined in the laboratory to understand the nature of the disease. If a malignant process is suspected or blood is leaking from a cyst, treatment begins immediately, without waiting for the end of the examination.

Depending on age, general condition and concomitant diseases, the doctor may prescribe other clinical tests. The blood coagulation system, the functioning of the heart and lungs are required to be examined.

Signs of a cyst

Among the main symptoms of the disease:

• The appearance of an unusual protrusion on the soft tissues of the mouth. It may resemble an abscess. It usually has a bluish color with a burgundy border, but it can also match the tone of healthy gums. The “older” the mucocele, the thinner its walls become. The “bubble” is movable; it is not fused to the surrounding tissues.
• Discomfortable sensations while chewing food. There is a feeling as if there is a foreign object in the mouth that is constantly in the way.
• An unpleasant feeling of constriction of the mucous membrane. In this case, pain does not occur.

The cyst may burst if there is a lot of pressure on it. Spontaneous opening sometimes occurs while eating. The difficulty is that afterwards it forms again - through the passage in the mucous membrane, the cleared cavity is refilled with liquid contents.

Our doctors

Gogolev Vasily Gennadievich

Doctor - otorhinolaryngologist

20 years of experience

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Zharova Galina Gennadievna

Doctor - otorhinolaryngologist, member of the European Society of Rhinologists, doctor of the highest category

40 years of experience

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Debryansky Vladimir Alekseevich

Doctor - otorhinolaryngologist, doctor of the highest category

34 years of experience

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Treatment of palatal cysts

Tonsil removal

• Cost: 75,000 - 105,000 rubles.
• Duration: 30-40 minutes
• Hospitalization: 1-2 days in hospital

More details

Treatment of cysts is determined by many factors, primarily the size of the cyst, its location, growth rate and the age of the patient. At first, they always try to carry out a high-quality course of conservative treatment, especially anti-inflammatory treatment. Treatment is carried out both general and local.

The radical and best way to treat cysts is surgery, which can be performed in different ways. Small cysts located superficially are removed along with the capsule. After this, a slight scar remains on the tonsil, which soon resolves.

The operation is performed under local anesthesia, the patient does not feel anything. In most cases, the intervention is performed on an outpatient basis, and the person goes home the same day.

A cyst of significant size, especially one located deeply, is removed along with part of the tonsil. If there are several cysts or the location is such that it is impossible to get to them, the tonsil is removed completely and a tonsillectomy is performed.

Cyst removal methods

Removal of a dermoid cyst in most cases is not considered a complex procedure in surgical practice. Today, clinics use the laparoscopic method when it comes, for example, to ovarian cysts.

Laparoscopic surgery has become popular due to the fact that the intervention allows for a faster recovery and has a lower risk of complications.

However, if the pathological neoplasm is very large or localized in a hard-to-reach place, it is possible to remove the cyst through classical open surgery.

Women often worry that if the ovary is damaged, they will have to remove it entirely, but this is not always the case. If the surgeon can save the organ while ridding the patient of dermoid cysts, he will do so.

Prevention of palatal cysts

It is important to understand that a cyst is usually formed as a result of a long-term inflammatory process. Carrying a bag of pus in the throat is extremely harmful; it is a source of chronic infection. Microbes have access to the bloodstream; if the body is weakened, this can lead to diseases of the heart, joints and kidneys.

ENT doctors at CELT have extensive practical experience in treating tonsil cysts. Specialists are ready to help people of all ages, including children, as well as those who have unsuccessfully tried treatment in other clinics. The main thing is to cooperate with your doctor to complete treatment until complete recovery. You can safely contact our clinic with this problem.

Carrying out the operation

It is often performed under general anesthesia, but if it is small and located subcutaneously, local anesthesia may also be used.

As a rule, a skin incision is made and, if necessary, the cavity is opened, access is provided and complete excision is performed. If possible, laparoscopy is performed; if this is not possible, then open intervention is performed.

Surgical removal of the formation can be performed on part of an organ or the entire organ. We are, of course, talking about paired organs. Removal of the ovary is recommended for significant size pathological formations and for postmenopausal women. Removing one kidney with a cyst is only advisable if it is not possible to save the organ. The liver and pancreas can only be resected to the extent that the remaining part of the organ can cope with its function.

That is why, when pathology is localized in the liver, pancreas or other unpaired organs, it is recommended to eliminate them at the earliest stages, including in children, since an increase in the size of the formations can lead to damage to most of the organ and the impossibility of performing radical surgery.

Our services in otorhinolaryngology

The administration of CELT JSC regularly updates the price list posted on the clinic’s website. However, in order to avoid possible misunderstandings, we ask you to clarify the cost of services by phone: +7

All services

Make an appointment through the application or by calling +7 +7 We work every day:

• Monday—Friday: 8.00—20.00
• Saturday: 8.00–18.00
• Sunday is a day off

The nearest metro and MCC stations to the clinic:

• Highway of Enthusiasts or Perovo
• Partisan
• Enthusiast Highway

Driving directions

How to get treatment:

1. Make an appointment. By phone (89031830141), make an appointment from the website, by E-mail.
2. Consultation. In person or remotely (E-mail, WhatsApp, Viber).
3. Examination. Ultrasound of the kidneys and bladder. For proximal hypospadias or in combination with cryptorchidism - endocrinological examination.
4. Hospitalization and collection of tests. Collection of necessary tests and preparation for surgery.
5. Surgical treatment. Microsurgical reconstructive plastic surgery.
6. Extract. Recommendations in the postoperative period.