Rhinolith causing unilateral chronic rhinosinusitis: a case report

Authors

  • Sumit Prinja Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
  • Garima Bansal Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
  • Jailal Davessar Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
  • Simmi Jindal Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India
  • Suchina Parmar Department of Otorhinolaryngology, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20200163

Keywords:

Rhinolith, Rhinosinusitis, Nasal obstruction

Abstract

Rhinolith or nasal stone is formed by mineralization within nasal cavity. They are calcareous concretions that are formed by the deposition of salts on an intranasal foreign body. It is an uncommon disease that may present asymptomatically or cause symptoms like nasal obstruction, consecutive sinusitis with or without purulent rhinitis, post nasal discharge, epistaxis, anosmia, nasal malodour and headache. They are usually diagnosed incidentally on radiographic examinations or depending on the symptoms. In this paper we report a 28-year-old woman admitted in the ENT department of GGS Medical College and Hospital, Faridkot with a calcified mass in the right nasal cavity causing long standing unilateral nasal obstruction for 3 years, rhinorrhoea (usually malodourous foetid), post nasal discharge and headache for 1 year. The calcified mass was thought to contain the air cell and removed by endonasal approach. The aim of this study is to report a case of rhinolith with chronic maxillary sinusitis along with a review of literature.

References

Hsiao JC, Tai CF, Lee KW, Ho KY, Kou WR, Wang LF. Giant rhinolith: a case report. Kaohsiung J Med Sci. 2005;21:582-4.

Singh RK, Varshney S, Bist SS, Gupta N, Bhatia R, Kishor S. A case of rhinolithiasis. Online J Health Allied Scs. 2008;7(2):7-9.

Dib GC, Tangerina RP, Abreu EC, Santos RD, Gregório LC. Rhinolithiasis as cause of oronasal fistula. Braz J Otothinolaryngol. 2005;71:101-3.

Igoumenakis D, Athanasiou S, Mezitis M. A bizarre cause of extensive oronasal fistula. J Craniofac Surg. 2013;24:483-4.

Al Mastour AS, Ghnnam WM, Zubaidi AH. Rhinolith: delayed presentation after head trauma—a case report. Case Rep Otolaryngol. 2012.

Vedasalam S, Sipaul F, Hill A,Porter G. Nasendoscopy for unusual nasal symptoms. BMJ Case Rep. 2010.

Yildirim N, Arslanoglu A, Sahan M, Yildirim A. Rhinolithiasis: clinical, radiological, and mineralogical features. Am J Rhinol. 2008;22:78-81.

Brehmer D, Riemann R. The rhinolith-a possible differential diagnosis of a unilateral nasal obstruction. Case Rep Med. 2010.

Chatziavramidis A, Kondylidou-Sidira A, Stefanidis A, Soldatou S. Longstanding rhinolith leading to anatomical alterations of the ipsilateral inferior nasal meatus and turbinate. BMJ Case Rep. 2010.

Ezsias A, Sugar AW. Rhinolith: an unusual case and an update. Ann Otol Rhinol Laryngol. 1997;106:135-8.

Sumbullu MA, Tozoglu U, Yoruk O, Yilmaz A, Ucuncu H. Rhinolithiasis: the importance of flat panel detector-based cone beam computed tomography in diagnosis and treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;107:65-7.

Aksungur EH, Binokay FB, Biçakçi K. A rhinolith which is mimicking a nasal benign tumor. Eur J Radiol. 1999;31:53-5.

Sudhakar S, Kumar B, Prabhat M. Rhinolith: A case report and review of literature. J Indian Acad Oral Med Radiol. 2010;22:165-7.

Hadi U, Ghossaini S, Zaytoun G. Rhinolithiasis: A forgotten entity. Otolaryngol Head Neck Surg. 2002;126:48-51.

Downloads

Published

2020-01-24

Issue

Section

Case Reports