DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20200070

Massive epistaxis secondary to an impacted rhinolith in mentally disabled patient

Nikma Fadlati Binti Umar, Ramiza Ramza Ramli

Abstract


Foreign body nose commonly seen in paediatric age group. In mentally disable patient this may occur and become asymptomatic for many years. We reported mentally disable patient presented with massive epistaxis and history of multiple episodes of foul-smelling discharge from his right nose for the past 20 years. After epistaxis resolved during nasal endoscopy noted impacted rhinolith foreign body in between the septum and the right middle turbinate. Rhinolith successful removed using bent tip of Jobson-Horne probe in otorhinolaryngology, head and neck clinic.


Keywords


Epistaxis, Rhinolith, Mental disable, Jobson-Horne probe

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References


Rohit K, Shivakumar A, Munish K, Kumar CM, Riju JJ. Unusual Foreign Bodies of the Nasal Cavity: A Series of Four Cases. IOSR J Dent Med Sci. 2015;14(5):100-4.

Kalan A, Tariq M. Foreign bodies in the nasal cavities: a comprehensive review of the aetiology, diagnostic pointers, and therapeutic measures. Postgraduate Med J. 2000;76(898):484-7.

Adegbiji WA, Aremu SK, Olatoke F, Nwawolo C. Rhinological foreign bodies in Ekiti. MedLife Open Access. 2018;1:1-5.

Irfan MRR, Roselinda A, Deciduous Canine Presented As A Rhinolith In An Adult. Int J Head Neck Surg. 2007;2:2.

Balatsouras D, Eliopoulos P, Kaberos A, Economou C. Rhinolithiasis: an unusual cause of nasal obstruction. Rhinol. 2002;40(3):162-4.

Alvi A, Joyner-Triplett N. Acute epistaxis: How to spot the source and stop the flow. Postgraduate Med. 1996;99(5):83-96.

Fatakia A, Winters R, Amedee RG. Epistaxis: a common problem. Ochsner J. 2010;10(3):176.

Ng T-T. 20 ways of removing a nasal foreign body in the emergency. Otorhinolaryngol Head Neck Surg. 2016;1:2-6.

Mahfouz A, Khan MS. Incidental finding of foreign bodies during nasal intubation in a mentally challenged patient. Middle East J Anaesthesiol. 2013;22(2):191-4.