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tonsils are a pair structure in the region between mouth and pharynx, usually both of them are inflamed and swollen together but occasionally not. There is a tube or a tunnel like structure which is connecting pharynx to the middle ear to equalize pressure by changing in the amount of air within it, when there is some problem in the pharynx like tonsillitis this pain radiate to middle ear and sometimes involved it.

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Q: What does it mean if one tonsil is swollen and the other is not and the side that is swollen hurts al the way up into the ear?
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