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Vol - 28, Issue - 09
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[This article belongs to Volume - 28, Issue - 09]
International Medical Journal
Journal ID
:
IMJ-14-09-2021-930
Total View
:
349
Title
:
Rhinolith as a cause of Unilateral obstructive nasal symptoms – A Case series
Abstract
: Rhinoliths are calcified masses that are formed on a neglected intra-nasal foreign bodies and are known to grow over a number of years. These are rare entities reported in clinical practice as unusual cause of unilateral nasal obstruction and foul smelling nasal discharge. The diagnosis is established on the basis of a proper medical history and endoscopic findings, imaging modality especially computed tomography (CT) provides additional information. Most cases of rhinolith are accidentally detected while treating conditions like sinusitis. The reported cases in this series were seen in the ENT outpatient clinic at a tertiary teaching hospital. The patients presented mainly with symptoms like nasal block, purulent, malodorous or foetid nasal discharge and facial pain. Rigid diagnostic nasal endoscopy and computerised tomography scan were done to assess the size, site and shape of the rhinoliths. The rhinoliths were removed under general or local anaesthesia in our operating room. Observation- We report 4 cases of rhinolith in this series which were removed endoscopically and a neglected foreign body which was the nidus was found in 2 of these cases being plastic earring back and a piece of eraser, while as in 2 case which did not show any evidence of nidus one had a positive history of frequent epistaxis where blood clot could have been the endogenous agent acting as a nidus, and in the other case no such history was present. The presence of a rhinolith is an uncommon condition that results from the complete or partial encrustation of an intra-nasal foreign body and should always be considered as a differential diagnosis in a patient presenting with foul-smelling unilateral nasal discharge with or without nasal obstruction.
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