I’m struggling with this for 10 years, it’s very hard and some times that nasty crusty piece instead of coming in my mouth to spit it out stuck in my throat and I cough and cough to get it out, that hurts and horsens my voice, sometimes I loose voice, I have been about 8-9 ent and every one icc bc them said “I never saw thing like this, 🤷‍♀️ “, the last ent said he have had a couple patients after I showed him my pic what I hawking up, he decided to do surgery, but not sure if it will help, I’m editing call from surgery nurse about my surgery day (first they have to contact insurance company about the cost), also I have tonsil stones, But my ent didn’t recommend me the surgery right now when I’m suffering from these scabs, because the recovery from tonsil stone surgery for adult can take up to 10 days and bd very painful, can you imagine pain and I have to hawk up the scabs.I have done ct scan for nasals, I will keep updated if surgery helped