Patients present with a foul-smelling discharge from the throat, often originating from the surface fossa of the tonsils, as a manifestation of chronic tonsillar inflammation. Patients may have a certain degree of tonsillar enlargement, and the surface of the tonsils is prone to the retention of some pus-like secretions in the crypt, which often contain food residues. When these secretions accumulate for a long period of time, they tend to produce a bad taste or odor, and may cause a certain degree of blockage and foreign body sensation in the throat. If these secretions are enlarged and even protrude from the surface of the tonsils, they may be able to be discharged by coughing or clearing the throat, resulting in a case of foul-smelling granular material.