However, the tonsillar area
is especially prone to bleeding because of its rich vascular supply.
A well defined lobular swelling was also noticed on the tonsillar area
Lymph from the tonsillar area
drains primarily to the jugulodigastric nodes.
In the broadest terms, HPV-related lesions appear on the tonsillar area
, the base of the tongue and the oropharynx, while the non-HPV-positive tumors tend to involve the anterior tongue, the floor of the mouth, the mucosa that covers the inside of the cheeks and the alveolar ridges.
Nine patients had a primary tumor at the base of the tongue, five had a primary tumor in the tonsillar area
, and three had a tumor that affected both sites.
(4) The diagnosis of Eagle's syndrome is made by radiographic imaging and by physical examination when an elongated and calcified stylohyoid ligament can be palpated in the tonsillar area
. In the case illustrated here, the heavily calcified and thickened stylohyoid ligament was clearly identified on digital scout radiography (figure 2) prior to CT, as well as on axial images (figure 1).
Physical examination revealed that the patient had a noncrepitant, nonfluctuant, erythematous submandibular and facial edema, along with a spontaneous fistula through the upper pole of the tonsillar area
on the right.