This report presents a rhinolith
around an ectopic teeth in nasal cavity presenting as nasal obstruction.
Key words: Rhinolith
, Rhinorrhea, Nasal foreign body
CT can provide information that helps to distinguish rhinolith
from these entities (3,4).
of Patients Hypertension 22 Fracture nasal bone + maxilla 15 Deviated nasal septum 4 Rhinosporidiosis 2 Idiopathic 2 Rhinolith
1 Sinusitis 1 Malignant melanoma 1 Pleomorphic adenoma 1 Juvenile active ossifying fibroma 1 Fig.
was diagnosed equally with DNE and CT scan, but CT scan could also tell the size and posterior extent of rhinolith
The term rhinolith
was first coined in 1845 to describe a partially or completely encrusted foreign body in the nose (1).
Some studies have documented several complications of retained foreign bodies, including septal perforation, chronic sinusitis, cutaneous fistula, rhinolith
formation, lead poisoning, meningitis, and chronic pain.
6% 3% 4% Dryness and -- 8% 2% crusting Foul smell -- 0 2% Nasolacrimal 0 0 duct injury TABLE II showing histopathological diagnosis and no of the patients Histopathological diagnosis No of patients Chronic non specific turbinate hypertrophy 203 Allergic turbinate hypertrophy 5 Chronic inflammatory polyp 2 Allergic polyp 1 Rhinoscleroma 1 Adenoid cystic carcinoma 1 Angioma 1 Pyogenic granuloma 1 Myofibroblastic sarcoma 1 Lepromatous leprosy 1 Rhinolith
1 Capillary hemangioma 1
Rhinosinusitis, erosion of the nasal septum and medial wall of the maxillary sinus, and perforations of the palate have been reported to occur in association with a rhinolith
, (1,2) but until now, no case of a nasal polyp associated with a rhinolith
has been reported in the English-language literature.
The foreign body may act as a nucleus for concretion, or it may become buried in granulation tissue; in the latter case, the globule may become enveloped in a coating of calcium, magnesium phosphate, and carbonate and become a rhinolith
7) Reported sequelae include chronic sinusitis, cutaneous fistula, rhinolith
formation, and chronic pain.
was extracted in several pieces under local anesthesia (figure 2).
In view of the concretion's size, irregular surface, and impingement on the adjacent inferior turbinate, she was scheduled to undergo removal of the rhinolith
under general anesthesia.
Final pathology confirmed that the mass was a rhinolith
, which arose secondary to impaction of a sunflower seed.
can remain undetected for years and only upon growth do they produce symptoms that lead to their discovery.