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From Digestive System
Palatine Tonsils
Lymphatic tissues on either side of the oropharynx.
Overview
The palatine tonsils are paired masses of lymphoid tissue located on either side of the oropharynx. As part of the body’s first line of immune defense, they monitor and respond to pathogens entering through the mouth and nose. Though not directly involved in digestion, their anatomical position within the oropharynx places them at the intersection of the digestive and respiratory tracts, where they play a protective immunological role.
Location
The palatine tonsils are found:
On the lateral walls of the oropharynx
Between the palatoglossal (anterior) and palatopharyngeal (posterior) arches—also called tonsillar pillars
Posterior to the oral cavity and adjacent to the base of the tongue
Each tonsil resides in a depression known as the tonsillar fossa and is covered by a thin mucosal layer.
Structure
Palatine tonsils are oval in shape and have the following structural features:
Lymphoid follicles: Aggregates of B cells and germinal centers involved in antibody production
Crypts: Invaginations of the surface epithelium (usually 10–30 per tonsil) that increase surface area and trap antigens
Surface epithelium: Covered by non-keratinized stratified squamous epithelium that allows direct antigen exposure
Capsule: A partial fibrous capsule separates the tonsil from underlying muscle (superior constrictor of the pharynx)
Their rich vascular supply arises primarily from branches of the facial artery, especially the tonsillar branch.
Function
The primary function of the palatine tonsils is immune surveillance. They:
Trap pathogens entering through the mouth and nose
Initiate immune responses by presenting antigens to lymphocytes
Produce antibodies as part of the mucosa-associated lymphoid tissue (MALT)
They are most active in childhood and gradually reduce in size and activity with age (involution).
Physiological Role(s)
The palatine tonsils support several important physiological processes:
Innate and adaptive immunity: Serve as local sites of lymphocyte activation, especially B-cell–mediated antibody production
Barrier defense: Form part of Waldeyer’s ring (which includes the adenoids, tubal, and lingual tonsils), acting as a circular defense ring in the naso-oropharynx
Early immune training: Exposure to pathogens helps “train” the developing immune system in children
Clinical Significance
The palatine tonsils are commonly involved in various clinical conditions:
Tonsillitis: Inflammation due to bacterial or viral infection (e.g., Group A Streptococcus); causes sore throat, fever, dysphagia, and tender lymph nodes
Peritonsillar abscess (quinsy): A collection of pus beside the tonsil; may cause severe pain, trismus, and airway obstruction
Chronic tonsillar hypertrophy: Enlarged tonsils may lead to snoring, obstructive sleep apnea (OSA), or difficulty swallowing
Tonsil stones (tonsilloliths): Accumulation of debris and bacteria in the tonsillar crypts, leading to halitosis
Tonsillectomy: Surgical removal is indicated in cases of recurrent tonsillitis, abscess, or airway obstruction
Tonsillar carcinoma: Malignancies, often squamous cell carcinomas, especially in association with HPV infection
Palatine tonsils play a significant role in pediatric and ENT medicine, and their evaluation is essential in cases of sore throat, breathing disorders, and upper respiratory infections.
Did you know? The human body contains over 100 trillion bacteria in the gut that aid in digestion.