(25) In fact, recent investigations have shown that most cystic cervical node metastases are from [HPV.sup.+] palatine or lingual tonsil primaries.
(3) Human papillomavirus-positive tumors have a marked predilection for the palatine and lingual tonsils, where they account for about two-thirds of carcinomas arising at these sites in the United States.
Several manoeuvres have been attempted to manage the difficult airway due to lingual tonsil hypertrophy, with varying degrees of success.
If direct laryngoscopy had failed, our next step was an awake fibreoptic intubation, which may have been difficult if bleeding from the lingual tonsil had occurred.
Based on the findings of this extensive workup, the only explanation for the patient's dysphagia was lingual tonsil hypertrophy.
Flexible transnasal laryngoscopy showed that his vallecula and tongue base were still clear of obstructing lingual tonsil tissue, and his epiglottis had resumed its natural upright position.
The tongue is located at the anterior margin of the hypopharynx and the
lingual tonsils reside at the base of the tongue.
In type III, obstruction emanates from the tongue,
lingual tonsils, or supraglottis.