10 Facts About Your Tonsils

iStock/Neustockimages
iStock/Neustockimages

Most of us only become aware of our tonsils if they become swollen or infected. But these masses of lymphatic tissue in the mouth and throat are important immunological gatekeepers at the start of the airways and digestive tract, grabbing pathogens and warding off diseases before they reach the rest of your body. Here are some essential answers about these often-overlooked tissues—like what to do when your tonsils are swollen, and whether you should get your tonsils removed.

1. People actually have four kinds of tonsils.

The term tonsils usually refers to your palatine tonsils, the ones that can be seen at the back of your throat. But tonsillar tissue also includes the lingual tonsil (located in the base of the tongue), tubal tonsils, and the adenoid tonsil (often just called adenoids). "Collectively, these are referred to as Waldeyer's ring," says Raja Seethala, the director of head and neck pathology at the University of Pittsburgh Medical Center and a member of the College of American Pathologists Cancer Committee.

2. Tonsils are one of the body's first responders to pathogens.

The tonsils are a key barrier to inhaled or ingested pathogens that can cause infection or other harm, Seethala tells Mental Floss. "These pathogens bind to specialized immune cells in the lining—epithelium—to elicit an immune response in the lymphoid T and B cells of the tonsil," he says. Essentially, they help jumpstart your immune response.

3. Adenoid tonsils can obstruct breathing and cause facial deformities.

If the adenoid tonsils are swollen, they can block breathing and clog up your sinus drainage, which can cause sinus and ear infections. If adenoids are too big, it forces a person to breathe through their mouth. In children, frequent mouth breathing has the potential to cause facial deformities by stressing developing facial bones. "If the tonsils are too large and cause airway obstruction, snoring, or obstructive sleep apnea, then removal is important," says Donald Levine, an ear, nose, and throat specialist in Nyack, New York. Fortunately, the adenoids tend to get smaller naturally in adulthood.

4. As many of us know, sometimes tonsils are removed.

Even though your tonsils are part of your immune system, Levine tells Mental Floss, "when they become obstructive or chronically infected, then they need to be removed." The rest of your immune system steps in to handle further attacks by pathogens. Another reason to remove tonsils besides size, Levine says, is "chronic tonsillitis due to the failure of the immune system to remove residual bacteria from the tonsils, despite multiple antibiotic therapies."

5. Tonsillectomies have been performed for thousands of years ...

Tonsil removal is believed to have been a phenomenon for three millennia. The procedure is found in ancient Ayurvedic texts, says Seethala, "making it one of the older documented surgical procedures." But though the scientific understanding of the surgery has changed dramatically since then, "the benefits versus harm of tonsillectomy have been continually debated over the centuries," he says.

6. ... and they were probably quite painful.

The first known reported case of tonsillectomy surgery, according to a 2006 paper in Otorhinolaryngology, is by Cornélio Celsus, a Roman "encylopaediest" and dabbler in medicine, who authored a medical encyclopedia titled Of Medicine in the 1st century BCE. Thanks to his work, we can surmise that a tonsillectomy probably was an agonizing procedure for the patient: "Celsus applied a mixture of vinegar and milk in the surgical specimen to hemostasis [stanch bleeding] and also described his difficulty doing that due to lack of proper anesthesia."

7. Tonsil removal was performed for unlikely reasons.

The same paper reveals that among some of the more outlandish reasons for removing tonsils were conditions like "night enuresis (bed-wetting), convulsions, laryngeal stridor, hoarseness, chronic bronchitis, and asthma."

8. An early treatment for swollen tonsils included frog fat.

As early practitioners struggled to perfect techniques for removing tonsils effectively, another early physician, Aetius de Amida, recommended "ointment, oils, and corrosive formulas with frog fat to treat infections."

9. Modern tonsillectomy is much more sophisticated.

A common technique today for removing the tonsils, according to Levine, is a far cry from the painful early attempts. Under brief general anesthesia, Levine uses a process called coblation. "[It's] a kind of cold cautery, so there is almost no bleeding, less post operative pain, and quicker healing. You can return to normal activities 10 days later," Levine says.

10. Sexually-transmitted HPV can cause tonsil cancer.

The incidence of tonsillar cancers is increasing, according to Seethala. "Unlike other head and neck cancers, which are commonly associated with smoking and alcohol, tonsillar cancers are driven by high-risk human papillomavirus (HPV)," he says. "HPV-related tonsillar cancer can be considered sexually transmitted."

15 Convenient Products That Are Perfect for Summer

First Colonial/Lunatec/Safe Touch
First Colonial/Lunatec/Safe Touch

The Fourth of July is the epitome of summer—and after several months spent indoors, you need some outdoor fun more than anything. Check out these 15 summer must-haves while they’re on sale and save an extra 15 percent when you spend $50 or more with the code JULYFOURTH15.

1. CARSULE Pop-Up Cabin for Your Car; $300 (20 percent off)

Carsule tent from Mogics.
Mogics

This tent connects to your hatchback car like a tailgate mobile living room. The installation takes just a few minutes and the entire thing stands 6.5 feet tall so you can enjoy the outdoors from the comfort of your car.

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Mosquito-killing lamp.
Kinkoo

If you just so happen to be one of those unlucky souls who attracts a suspicious amount of mosquitos the second you step outside, you need this repellent lamp to help keep your arms and legs bite-free. It uses a non-toxic combination of LED lights, air turbulence, and other methods to keep the pests at bay.

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3. Super Shield Mosquito Repellent Electronic Watch Band; $17 (57 percent off)

Mosquito repeller watch.
Safe Touch

While a lamp is a great non-toxic solution for keeping bugs at bay, active individuals need a bug repellent that can keep up with their lifestyle. This wrist wearable keeps you safe from mosquitoes anywhere by using ultrasonic sounds to drive them away.

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Aduro flashlight set.
Audro

If you want your summer to be lit, this set will do the trick. All puns aside, this trio of LED brightness is perfect for camping fun and backyard parties, or it can be stored in the car for emergencies.

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5. Outdoor Collapsible Cooler and Camp Table Set; $64 (27 percent off)

First Colonial cooler.
First Colonial

Cookouts are easy with this cooler and table set that chills your drink until you're ready to pop it into one of the four convenient cupholders. Bring this set camping or out by the pool for convenience anywhere.

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Trident underwater scooter.
Geneinno

If you’ve ever dreamed of better mobility while exploring the water, you’re not alone. The Trident underwater scooter, which raised over $82,000 on Indiegogo, can propel you through the water at up to nearly 6 feet per second, which isn't that far off from how fast Michael Phelps swam in his prime. The battery on it will last 45 minutes, allowing you to traverse with ease.

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GoSun solar grill.
GoSun

Bake, roast, steam, or broil anywhere you bring this portable oven. Measuring in at just over a foot long and weighing only two pounds, the oven will work in most daytime weather conditions and can hold around 13 ounces of food.

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3P Experts bug zapper.
3P Experts

Mosquitoes tend to be a big problem at night, partly because it's hard to swat in the dark. This lantern will light the area and zap mosquitos from nipping at you in the process.

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Urban Rover E-Skateboard
Urban Rover

This e-skateboard is perfect for getting around during the summer. You'll catch a breeze while you’re cruising on the battery-powered platform and won’t break a sweat when you pop the compact board in your bag.

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Headlamp from One80Light
One80Light

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Bladeless fan
Whirlwind

This portable fan comes in a powerful handheld size so you can keep cool while on the move. Unlike other portable fans, this one has a sleek, bladeless design and features three different speeds.

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12. Bladeless Personal Fan; $22 (63 percent off)

Bladeless fan
3P Tech

This bladeless fan won't just keep you cool while you work on your laptop—it also has a built-in rechargable battery that you can use to charge your phone.

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13. MOGICS Coconut: Portable Waterproof Light; $37 (24 percent off)

Mogics portable lamp.
Mogics

This portable light is designed to adapt to your lighting preference. It self-inflates in a few seconds and can bounce, get wet, and set the mood.

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Lunatec spray water bottle.
Lunatec

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Hydration backpack.
It's All Goods

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This article contains affiliate links to products selected by our editors. Mental Floss may receive a commission for purchases made through these links. If you haven't received your voucher or have a question about your order, contact the Mental Floss shop here.

30 Pungent Facts About Farts

This man is clearly not trying to hide the fact he just passed gas.
This man is clearly not trying to hide the fact he just passed gas.
BrilliantEye/iStock via Getty Images

Whether you openly admit it or desperately try to hide it, it’s an undeniable fact that every living and breathing human being farts. And while passing what you thought was going to be silent gas only to be wrong in certain situations can definitely be embarrassing, there’s something undeniably humorous about flatulence—no matter your age.

If you do love a good fart joke, you’re in good company. The very first recorded joke, which was written by the Sumerians and dates all the way back to 1900 BCE, was about—you guessed it—breaking wind. And some of the world's great thinkers, from William Shakespeare to J.D. Salinger, have slipped a fart joke (or 10) into their work.

In this episode of The List Show, we're sniffing out 30 fascinating facts about farts—from why humans expel gas to how often the average adult squeezes the cheese. You can watch the full episode below.

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