Really important to know that tonsil tissue occurs all around the throat. In adults the main areas are the palatine (faucial) tonsils at the back of the mouth, and the lingual tonsils which are further back, just above the larynx (voice box). This makes the latter invisible unless you have a flexible endoscope, preferably a digital HD one, like mine that took the picture below. This shows a small white tonsil stone in the lingual tonsil, bottom left of the picture.
This patient complained of chronic left nose blockage causing mouth breathing and snoring. Examination showed a septal deviation (left side of picture) and an enlarged left inferior turbinate (right side of picture). Steroid sprays had not helped previously. The patient opted for laser turbinoplasty under local anaesthetic as a lunchtime procedure. Septal surgery in the form of septoplasty may also be required. The orange ring shows the narrow extent of the true nasal airway.
This is a strange one. It looks like a tonsil stone, but it is poking through the back of the soft palate into the post nasal space. So not really that close to the tonsil. Which means some tonsil stones don't arise in the tonsils at all. That's why it's always necessary to have a good look with a high definition scope as in this case.
Snoring and sleep apnoea are caused by blockage of the airway. Here is a picture of the back of the throat where the tonsils are so big they are virtually meeting in the middle of the throat. The whole thing is made worse by a thick and long uvula (the hanging down thing in the back of the mouth). All in all this patient has loud snoring and sleep apnoea and definitely needs intervention in the form of surgery to open up the back of the throat. This will mean laser tonsillect