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Can You Swallow Your Tonsils? Anatomy and Function Explained

No, you cannot swallow your tonsils.

Anatomy

  • Palatine tonsils: two lymphoid masses in the tonsillar fossa (between palatoglossal and palatopharyngeal arches).
  • Anchored by fibrous capsule to pharyngeal wall.
  • Covered by respiratory epithelium with crypts (traps pathogens).

Function

First-line immune defense: sample inhaled/ingested antigens, activate B/T cells. Part of Waldeyer's ring (with adenoids, lingual tonsil).

When Tonsils Are Removed

Tonsillectomy for recurrent strep (>7/yr, >5/yr×2, >3/yr×3), obstructive sleep apnea, peritonsillar abscess, suspicion of malignancy. Not because they "fall off."

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