RT Journal Article SR Electronic T1 A giant tonsillolith JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 412 OP 414 DO 10.15537/smj.2018.4.21832 VO 39 IS 4 A1 Alfayez, Abdulrhman A1 Albesher, Meshal B. A1 Alqabasani, Mohammed A. YR 2018 UL http://smj.org.sa/content/39/4/412.abstract AB Tonsillar stones are the products of calcified accumulates of cellular debris and microorganisms, in the crypts of palatine tonsils. Tonsillar stones are common findings and the known cause of bad breath (halitosis). Development of large tonsillar stones, however, is rare with only a few cases reported in the literature. We present the case of a 45-year-old man with a history of recurrent sore throat and tonsillitis for a long period, and snoring with other unremarkable ears, nose and throat findings. A large-sized tonsillar stone detected in the left tonsil measured 3.1 × 2.3 cm. The patient underwent elective stone removal and tonsillectomy.