Case Of Rhinolithiasis Research Articles

Rhinolitiasis about 16 Cases and Review of the Literature

Rhino lithiasis is defined as a solid concretion secondary to the gradual deposition of calcium salt around an exogenous or endogenous central formation in the nasal cavity it is a relatively common condition in developing countries. We report a retrospective study spread over period of 9 years, from January 2012 to December 2020, relating to 16 cases of rhino lithiasis treated in our department. The protocol Included for each patient: an anamnesis, an ENT examination meticulous and systematic scam. Patients consulted for purulent and fetid rhinorrhea associated with nasal obstruction rhino lithiasis affected as many adults as children, the formal sex was affected in 68% of cases un favorable socioeconomic conditions were noted, in 75% of cases diagnostic times ranged from six months to ten years, the examination she the rhinolith as a grayish, hard concretion, unilateral in 15 cases ( 5 cases on the right an on the left ) and bilateral in one case in 2 cases, a foreign body was visualized on endonasal examination, the treatment consisted of an instrumental extraction by natural means (100% of cases) under general Anas the sea in 75% of cases the size of the rhinoliths varied between 5 to 30 mm in diameter. An underlying foreign body was found intraoperatively in 6 cases. Complication was rare (epistaxis: 3 cases), No recurrence was detected. It is always necessary to evoke a rhinolithiasis in front of a chronic unilateral fetid rhinnorhea with or without nasal obstruction on the same side. The nasosinus scanner confirms the diagnosis and helps to prepare the therapeutic strategy alongside the endonasal endocopic examination with the rigid optic which remains a means used both in diagnosis and in therapy.

Rhinolithiasis: lesion specificities of the first case described in Togo

<p class="abstract">Rhinolithiasis is a solid concretion by progressive deposition of calcareous salts around an endogenous or exogenous central body, resorbable or not, of variable shape and sizes. Its diagnosis is based on endoscopic nasal examination completed by a computed tomography (CT) of the naso-sinus cavities. We are reporting the first described case of rhinolithiasis in Togo, particularly remarkable for its association with septal perforation, nasal mycosis, and granulomatous reaction.</p>

The importance of rigid nasal endoscopy in the diagnosis and treatment of rhinolithiasis

Objectives Rhinolithiasis is the presence of mineralized and calcareous formations located in the nasal cavity. They have rare occurrence and can be easily confused with infection or obstruction of upper airways. If they are undetected for a long time, they may grow large enough to cause of nasal obstruction, mimicking sinusitis. Seven cases of rhinolithiasis were presented, and their diagnosis was made by rigid endoscopic nasal examination. Also computerized tomography scan was used to describe the size and site of the rhinoliths accurately. Our purpose was to determine the role of rigid nasal endoscopy in the diagnosis and the treatment of rhinolithiasis. Methods In this study, seven cases of rhinolithiasis, who were diagnosed and treated by rigid nasal endoscopy were presented. Results Between January 2000 and November 2004, seven cases (four males and three females; age ranged from 8 to 45 years) with rhinolithiasis were diagnosed. The most frequent symptoms were nasal obstruction with purulent rhinorhea, nasal and oral malodor. As complementary examinations, computerized tomography and simple X-ray of paranasal sinuses were used to locate and measure the dimension of calcareous mass, and to reveal possible invasion of the adjacent structures. The removal of rhinolithiasis was done with rigid nasal endoscopy under topical anesthesia in six cases and general anesthesia in one case. Conclusion Rhinolithiasis is a rare condition but must always be suspected in patients with long standing nasal obstruction, nasal and oral malodor, purulent rhinorrhea and chronic headache.

Rinolitíase: apresentação de oito casos e revisão de literatura

Rinólitos são formações calcárias encontrados no interior das fossas nasais, eventualidade rara e facilmente confundida com quadro infeccioso ou obstrutivo de vias áreas superiores. OBJETIVO: Apresentar oito casos de rinolitíase, a demora no diagnóstico, o mecanismo fisiopatogênico, os sintomas apresentados e o posterior tratamento adotado, além de fazer uma breve revisão bibliográfica sobre o tema. FORMA DE ESTUDO: Relato de séries. MATERIAL E MÉTODO: Os autores descrevem oito casos de rinolitíase atendidos no Hospital Universitário Antônio Pedro, UFF e na Clínica Pires de Mello, Niterói, RJ, no período de janeiro de 1980 a julho de 2002. RESULTADOS: No período acima citado ocorreram oito casos de rinolitíase. Destes, quatro eram homens e quatro mulheres; a idade variou entre sete e 76 anos. O sintoma mais freqüentemente relatado foi obstrução nasal acompanhada de rinorréia mucopurulenta e fetidez. Um caso assintomático foi descrito. Em metade dos casos o rinólito não foi visualizado através da rinoscopia anterior, sendo necessários outros recursos diagnósticos para visualização da massa. Exames complementares, como tomografia computadorizada e radiografia simples de seios paranasais, foram utilizados para melhor localizar e dimensionar o tamanho da massa calcária, assim como estudar o possível comprometimento de estruturas vizinhas. A retirada do rinólito foi efetuada sob anestesia tópica em três dos casos. CONCLUSÃO: A rinolitíase, apesar de entidade rara, deve ser sempre suspeitada em casos de obstrução nasal de longa data, fetidez nasal, rinorréia mucopurulenta e cefaléia crônica.

A case of rhinolithiasis in Botswana: a mineralogical, microscopic and chemical study

A case of rhinolithiasis in Southeast Botswana was treated and after removal in hospital, the rhinolith was subjected to macroscopic and microscopic examination, X-ray diffraction analysis, electron microscope analysis and partial botanical analysis. The rhinolith consists of a strongly elliptical core of calcium stearate (C36H70CaO4.H2O), surrounded by approximately 30 elongated concentric growth rings, consisting of sodium-containing whitlockite (Ca18Mg2(Na,H)(PO4)14). The different layers have various degrees of porosity and red staining, probably due to traces of amorphous iron oxide. The origin of the rhinolith started with a piece of plant material, lodged in the nose, which was replaced by calcium stearate, leaving some remnants of resistant epidermal plant tissue. During subsequent years, thin layers of whitlockite were deposited periodically around the core with the reddish brown bands representing deposition during the dry season when atmospheric dust rich in amorphous iron oxide is at its highest in Botswana.

Rhinolithiasis. Report of eight cases.

CALCAREOUS depositions in the nasal cavity are regarded as rare. The rhinologic literature has reported over 400 cases up to date. 1 Apparently, the number of reported cases is declining. During 14 years (1952 to 1966), no articles on the subject were published in predominant ear, nose, and throat journals of the United States. Only two or three reports are mentioned yearly in the Excerpta Medica and the ENT Yearbook . Typically, most of these cases come from lower income groups. The average person in an advanced society is periodically examined in child centers, school clinics, army, and industrial and insurance medical facilities. As a rule, specialists are available. Therefore, it is unusual for rhinoliths to develop and remain undiagnosed. Report of Cases Eight cases of rhinolithiasis were treated in our services during the last two years. Their dominating features were as follows. The age of the patients when diagnosed was