A Colossal Rhinolith

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BJOHNS Apr 2021
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Published: Jun 3, 2021
DOI: https://doi.org/10.47210/bjohns.2021.v29i1.352
Keywords:
Rhinolith, Foreign Bodies, Nose, Nasal Obstruction

Main Article Content

Neha Shakrawal
All India Institute of Medical Sciences, Jodhpur
Bikram Choudhury
All India Institute of Medical Sciences, Jodhpur, Rajasthan
Kapil Soni
All India Institute of Medical Sciences, Jodhpur
Darwin Kaushal
All India Institute of Medical Sciences, Jodhpur

Abstract

Introduction


Rhinolith is a calcic deposition formed by mineralization of salts in an impacted nasal foreign body. It is a benign condition that can be troublesome owing to its size and extent of impact.


Case Report


A 35-year-old man with a history of right nasal obstruction with occasional foul-smelling discharge and right eye pain since ten years was diagnosed with rhinolith. During its removal, it was three times bigger than what could be visualized in nasal endoscopy.


Conclusion


Proper history, examination, and a high suspicion can clinch the diagnosis in almost all cases. A rigid diagnostic nasendoscopy is an important tool in the diagnosis. The treatment of choice is endoscopic removal under local or general anaesthesia.

Article Details

How to Cite
1.
Shakrawal N, Choudhury B, Soni K, Kaushal D. A Colossal Rhinolith. BJOHNS [Internet]. 2021Jun.3 [cited 2024Dec.22];29(1):94-7. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/352
Issue
Vol. 29 No. 1 (2021): Bengal Journal of Otolaryngology and Head Neck Surgery
Section
Case report
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Author Biographies

Neha Shakrawal, All India Institute of Medical Sciences, Jodhpur

Senior Resident

Department of Otorhinolaryngology

All India Institute of Medical Sciences, Jodhpur

Bikram Choudhury, All India Institute of Medical Sciences, Jodhpur, Rajasthan

Additional Professor

Department of Otorhinolaryngology

Kapil Soni, All India Institute of Medical Sciences, Jodhpur

Associate Professor

Department of Otorhinolaryngology

Darwin Kaushal, All India Institute of Medical Sciences, Jodhpur

Associate Professor

Department of Otorhinolaryngology

References

Ji-Chang H, Chih-Feng T, Ka-Wo L, Kuen-Yao H, Wen-Rei K, Feng WL. Giant rhino-lith: a case report. Kaohsiung J Med Sci. 2005; 21:582-4

Carder HM, Hill JJ. Asymptomatic rhinolith: A brief review of the literature and case re-port. Laryngoscope 1996; 76:524-30

Dib GC, Tangerina RP, Abreu CEC, de Paula Santos R, Gregório LC. Rhinolithiasis as cause of oronasal fistula. Braz J Otothinolaryngol. 2005;71(1):101-3

Polson CJ. On rhinoliths. J Laryngol Otol. 1943;58:79-116

Marfatia PT. Rhinolith. A brief review of the literature and a case report. Postgraduate Medical Journal 1968;44:478-9

Langlais RP, Langland OE, Nortje CJ. Diagnostic imaging of the jaws. Chapter 19 “Soft tissue radiopacities”. Williams and Wilkins, Baltimore 1995; 630-31

Ghanbari H, Farhadi M, Daneshi A. Report of an unusual cause of rhinolithiasis: An ‘opi-oma’. Ear Nose Throat J. 2007; 86(1):48-9

Chaker AC, Schwartz GS, Kole GL. Bilateral Rhinolithiasis. Ear Nose & Throat Journal 1978; 57: 15-26

Stammberger H, Jakse R, Beaufort F. Aspergillosis of the paranasal sinuses: X ray diag-nosis, histopathology, and clinical aspects. Ann Otol Rhinol Laryngol. 1984; 93:251-6.