Acute lingual tonsillitis is the acute inflammation of the lymphoid tissue mass at the base of the tongue, often secondary to upper respiratory tract infections or concurrent with acute tonsillitis. Its disease cause and pathogenic factors are the same as those of acute tonsillitis.

bubble_chart Clinical Manifestations

Initially presenting as symptoms of upper respiratory tract infection, such as dry throat, foreign body sensation, burning, and sore throat. The pain gradually intensifies, often more pronounced on one or both sides of the base of the tongue, and in severe cases, it may radiate to the ear causing severe pain. Some patients may experience difficulty eating and swallowing due to the pain. The patient appears acutely ill, occasionally with high fever.

Examination reveals acute congestion of the pharyngeal membrane, with abundant mucoid secretions in the pharynx and oral cavity. The lymphoid tissue at the base of the tongue appears granular, elevated, congested, and swollen, connecting to the lower pole of the tonsils. In severe cases, local ulcers and purulent secretions may be present, and abscesses at the base of the tongue can develop.

bubble_chart Treatment Measures

The management principles are the same as for acute pharyngotonsillitis. Maintain oral hygiene, administer systemic antibiotics in adequate doses, and perform incision and drainage if an abscess is present. Ensure adequate rest, improve nutrition, and enhance the body's resistance. If acute episodes recur frequently, consider lingual tonsillectomy after controlling the inflammation.