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Rhinolith, commonly addressed as nasal stone is quite unusual and rare entity. It is actually a calcified mass that form within the nasal cavity, typically as a result of mineral deposits accumulating around a core of foreign material (which can be exogenous or endogenous in origin). Although often small and asymptomatic, rhinolith can occasionally grow to significant size, causing severe clinical symptoms. Case description: We report a case of this clinical entity, a tribal woman from interior Himalayan regions, where the lack of medical facilities and expertise led to missed diagnosis, years of suffering and a rhinolith of humongous proportions. Significance: Although a rare clinical entity, recurrent specific symptoms, as discussed in article should raise a suspicion of Rhinolithiasis too. If diagnosed at initial stages, it can save years of torment and complications to patient. [ABSTRACT FROM AUTHOR]

Key Clinical Message: Through this case report, we review a rare radiographic finding within the nasal cavity and its histopathological findings in order to emphasize the importance of familiarizing oneself with all radiographic findings, regardless of their rarity. [ABSTRACT FROM AUTHOR]

Rhinoliths are a rare condition caused due to the deposition of various salts in and around endogenous or exogenous foreign bodies. They typically present with unilateral foul-smelling nasal discharge, nasal block, epistaxis, anosmia, etc. In this article, we report the case of a 12-year-old girl who had complaints of bilateral foul-smelling nasal discharge and nasal block, which were treated multiple times as chronic rhinosinusitis in various local hospitals. A drastic turn of events after nasal endoscopy and radiological workup was noted, and the child was diagnosed with rhinolith, and its further management is discussed in this article. This case report aims at highlighting the fact that in many instances, parents are unaware of the child inserting any foreign body or neglect such events, and such a negative history is misleading, and a thorough workup must be done for early diagnosis and treatment. Nasal endoscopy and computed tomography scans aid in the diagnosis of such cases. Management is endoscopic removal with the placement of a stent or nasal pack to prevent adhesions and formation of synechiae. [ABSTRACT FROM AUTHOR]

Objective: This study reviews the presentation, management, and outcomes of patients with rhinolithiasis. Data Sources: An electronic database search of PubMed, SCOPUS, CINAHL, and the Cochrane Library was performed in accordance with the PRISMA 2020 updated guidelines for reporting systematic reviews. Review Methods: Case reports and case series published from 2004 to 2020 were included. Data collected included patient demographics, clinical symptoms at presentation, diagnosis, treatment, complications, and follow‐up. Relevant descriptive statistics were computed using Microsoft Excel 2013 (Microsoft Corp). Results: Fifty‐five case reports and five case series were included (n = 122). The majority were female (60.7%). The mean age was 29.4 years (range, 4‐80 years). The most common symptoms were rhinorrhea (81.1%), nasal obstruction (79.5%), nasal malodor (38.5%), and headache (27.9%). Computed tomography imaging was obtained in 109 (91.5%) cases. Concurrent rhinosinusitis (35.2%) and deviated nasal septum (28.7%) were commonly identified. Rhinoliths were commonly found in the right nostril (52.5%) and in between the inferior turbinate and nasal septum (26.9%). All rhinoliths were fully excised using endoscopic sinonasal surgery, accompanied by a septoplasty (9.2%). The nidus was identified in 27 (22.2%) patients. There were no recurrences or complications over an average follow‐up of 8.5 months (range, 0.25‐36 months). Conclusion: Rhinolithiasis is an uncommon entity of the nasal cavity and should be suspected in patients with long‐standing unilateral nasal obstruction, rhinorrhea, and nasal malodor. Rigid nasal endoscopy and endoscopic sinonasal surgery are the most important methods for diagnosis and treatment, respectively. [ABSTRACT FROM AUTHOR]

Introduction: Unilateral nasal obstruction is a common complaint with a broad differential diagnosis that includes anatomic asymmetry, unilateral infective or inflammatory conditions, and benign and malignant sinonasal masses. A rhinolith is an uncommon foreign body in the nose, which serves as a nidus for calcium salt deposition. The foreign body can be endogenous or exogenous in origin and may remain asymptomatic for many years before incidental discovery. When left untreated, stones may cause unilateral nasal obstruction, rhinorrhea, nasal discharge, epistaxis or, in rare cases, progressive destruction leading to septal/palatal perforation or oro-antral fistula. Surgical removal is an effective intervention with limited complications reported. Case Report: This article describes a 34-year-old male who presented to the emergency department (ED) with unilateral obstructing nasal mass and epistaxis, which was found to be an iatrogenic rhinolith. Successful surgical removal was performed. Conclusion: Epistaxis and nasal obstruction are common presentations to the ED. Rhinolith is an uncommon clinical etiology that if left undiagnosed may lead to progressive destructive disease; it should be included in the differential for any unilateral nasal symptoms of unclear origin. Appropriate work-up for any suspected rhinolith includes computed tomography, as biopsy is risky given the broad differential of unilateral nasal mass. When identified, surgical removal has a high success rate with limited complications reported. [ABSTRACT FROM AUTHOR]

Fungus balls are a chronic and non-invasive fungal infection. Despite being relatively common in the paranasal sinuses, they are rare in the nasal cavity. The etiology of fungus balls in the nasal cavity is unknown. Fungus balls generally develop slowly and asymptomatically. When symptomatic, they can cause symptoms similar to those of chronic sinusitis or intranasal masses, such as nasal obstruction, nasal and post-nasal discharge, head and face pain, and smell perception disorders. The preferred treatment of fungus balls in the nasal cavity is functional en-doscopic sinus surgery and debridement. This case report describes a 50-year-old woman operated with a preliminary diagnosis of rhinolith but finally diagnosed with fungus ball as a result of histopathological examination. [ABSTRACT FROM AUTHOR]

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Copyright of Gazi Medical Journal is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Rhinolith is an uncommon condition that usually happens due to mineralisation of calcium and magnesium salts over a retained foreign body inside the nasal cavity for long period of time. Here we report one such case of a 33-year-old lady who presented to us with long standing intermittent epistaxis and on examination rhinolith was discovered. [ABSTRACT FROM AUTHOR]

OBJECTIVE: Rhinolithiasis is a rare condition which results from deposition of salt around a endogenous or exogenous nidus. In the literature, most of the reports are single case studies. In this study, we aimed to present the characteristics, symptoms, diagnosis, and treatment methods of 31 rhinolithiasis cases and to focus on the current literature. METHODS: We retrospectively reviewed 31 rhinolithiasis cases which have been diagnosed and treated in a tertiary care center between January 2014 and December 2018. Patient characteristics, presenting symptoms, concomitant sinonasal disorders, and type of surgery were noted. Descriptive statistics were carried out. RESULTS: Mean age was 25.4±15.7. The cases were comprised 14 female patients (45.2%) and 17 male patients (54.8%). The most common presenting symptom was nasal obstruction (71%). Malodorous unilateral rhinorrhea was present in 17 patients (54.8%). Epistaxis snoring and sleep apnea were other rare symptoms. In 21 of the cases (67.7%), rhinolith was located between inferior turbinate and septum which was the most common location seen in our series. The number of patients who were under the age of 18 was 13, in 2 of them, rhinolith was found to be formed around a plastic bead, and in 2 of them, fruit seeds were the nidus. The most common concomitant sinonasal pathology was septal deviation which was detected in 20 of the patients (64.5%), adenoid vegetation and nasal polyposis were other disorders. In 20 of the patients (64.5%), simple removal of the rhinolith using a forceps with the help of a rigid nasal endoscope was performed. Eight of the 17 patients had severe deviation and septoplasty was performed at the same time, which was the most common concomitant surgical intervention (25.8%). In 3 patients (9.6%), functional endoscopic sinus surgery was performed at the same time. CONCLUSION: Our series is one of the largest series in the literature. The most common presenting symptom was nasal obstruction followed by malodorous rhinorrhea. Accompanying sinonasal disorders should be addressed to improve the outcome. Rigid or flexible endoscopic examination should be used to detect a rhinolith. Computed tomography scan can diagnose a hidden rhinolith in a patient with nasal obstruction. [ABSTRACT FROM AUTHOR]

Copyright of Ortadogu Medical Journal / Ortadogu Tip Dergisi is the property of Bastas and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Anales de Otorrinolaringología Mexicana is the property of Sociedad Mexicana de Otorrinolaringologia y Cirugia de Cabeza y Cuello and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkish Archives of Otolaryngology / Türk Otolarengoloji Arsivi is the property of Turkish Otorhinolaryngology & Head & Neck Surgery Foundation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Rhinolith is a calcareous secretion that occurs in the nasal cavity and is usually discovered during routine radiographic examination as it is rare, unilateral, and asymptomatic. It can sometimes lead to nasal obstruction, fetid odor, and purulent secretion. This case report is about the accidental finding of rhinolith during conventional diagnostic procedure. A 10-year-old female had an ovoid radiopacity in the right side of the nasal cavity. Although the patient had no symptoms of prevalence of this mass, it was found during routine radiographic examination. After the complete investigation of the radiopaque mass with the help of cone-beam computed tomography, the rhinolith was endoscopically removed. [ABSTRACT FROM AUTHOR]

Sinoliths are rarely found calculi of paranasal sinuses. The most rarely they were found in the sphenoidal sinuses. At a routine Cone Beam CT exam of a 52-year-old male patient clinically silent small sinoliths were found bilaterally in the sphenoidal sinuses and a larger posterior ethmoidal sinolith was found on the right side. To our knowledge, such multiple sinuses involvement has not been previously reported. [ABSTRACT FROM AUTHOR]

Background: Benign lesions of the nasal cavity represent a diverse group of pathologies. Furthermore, each of these disorders may present differently in any given patient as pain and discomfort, epistaxis, headaches, vision changes, or nasal obstruction. Although these nasal masses are benign, many of them have a significant capacity for local tissue destruction and symptomatology secondary to this destruction. Advances in office-based endoscopic nasendoscopy have equipped the otolaryngologist with a safe, inexpensive, and rapid means of directly visualizing lesions within the nasal cavity and the initiation of appropriate treatment. Methods: The purpose of this study is to review the diagnosis, management, and controversies of many of the most common benign lesions of the nasal cavity encountered by the primary care physician or otolaryngologist. Results: This includes discussion of inverted papilloma (IP), juvenile angiofibroma, squamous papilloma, pyogenic granuloma, hereditary hemorrhagic telangiectasia, schwannoma, benign fibro-osseous lesions, and other benign lesions of the nasal cavity, with particular emphasis on IP and juvenile angiofibroma. Conclusion: A diverse array of benign lesions occur within the nasal cavity and paranasal cavities. Despite their inability to metastasize, many of these lesions have significant capability for local tissue destruction and recurrence. [ABSTRACT FROM AUTHOR]

Nasal foreign bodies are a common source of referral to accident and emergency departments, especially in young patients. In adults, intranasal foreign bodies are rare and they result mostly from accidents, trauma, or coexisting mental disorders. Rhinoliths are mineralized, calcareous concretions that form in the nasal cavity by deposition of calcareous salts around an endogenous (e.g., teeth, bone fragments, blood clot, mucus, bacteria, or leukocytes) or exogenous (e.g., fruit seeds, beads, buttons, bits of dirt or pebbles, or remains of a gauze tampon) nucleus. This paper reports two cases of intranasal radiopacity. [ABSTRACT FROM AUTHOR]

The unilateral nasal symptom should trigger a treating physician to a certain diagnosis. The differential diagnosis includes foreign body, rhinolith and tumour. The chronicity of symptom helps a lot with the diagnosis. Foreign body for example, tends to present with positive history of insertion, mainly by children or the acute symptom of local infection. In the presence of prolonged symptom, rhinolith should be suspected especially when the patient presents with pathognomonic nasal obstruction with foul smelly discharge. A referral should be made for a nasoendoscopy evaluation whenever a rhinitis-like symptoms remain after a period of medical treatment for allergy. We share a case of a missed diagnosis of a rhinolith after six years of symptoms. [ABSTRACT FROM AUTHOR]

Describes a lesion clinically diagnosed as a rhinolith along the floor of the nose. Performance of an endoscopic examination with removal of the lesion using general anesthesia on an elective basis; Necessity of a partial inferior turbinectomy to complete the resection; Description of rhinoliths as calcareous concretions that precipitate on an intranasal nidus.

Examines the diagnosis for the case of a 43-year-old woman presented with a four-year history of recurrent sinusitis manifested by headache, facial pain and foul-smelling nasal drainage in Boston, Massachusetts. Absence of environmental allergies; Occurrence of trace purulent rhinorrhea in the right nasal cavity; Performance of a computed tomographic scan of the paranasal sinuses.

Objective To present the clinical experience of a series of 13 consecutive cases of an intranasal tooth treated by endoscopic extraction during a 15-year period. Study Design Retrospective review. Methods The records of 13 patients who underwent endoscopic extraction of an intranasal tooth at Taipei Medical University Hospital and Chang Gung Memorial Hospital between 1986 and 2000 were reviewed. Results All the patients had an uneventful recovery and the presenting symptoms were completely relieved after surgery. The follow-up period was 6 months to 14 years 5 months (average, 9 yr 2 mo). Examination of these extracted teeth showed that 11 were supernumerary teeth and two were ectopic permanent canine teeth. Conclusions Endoscopic extraction of the intranasal tooth has the advantages of good illumination, clear visualization, and precise dissection, and in our experience the result of endoscopic extraction of an intranasal tooth is satisfactory. We recommend the routine use of a rigid endoscope in the treatment of an intranasal tooth. [ABSTRACT FROM AUTHOR]

Rhinoliths result from neglected nasal foreign bodies that gradually increase in size. They are usually discovered incidentally during routine ENT examination or due to the associated symptoms such as nasal obstruction or persistent foul-smelling unilateral nasal discharge. A case of a 14-year-old girl was reported with a year history of the symptom. The foul-smelling nasal discharge noted by her mother was not the main concern to them. She was referred by her primary care physician as she complained of impacted ear wax. However, rhinolith was incidentally found upon routine clinical examination in the ENT clinic and was removed uneventfully. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Plastic Surgery is the property of Turkish Society of Plastic Reconstructive & Aesthetic Surgery and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This is a case report of an 11-year old child who was suffering from rhinorrhoea for five years. As there was no history of foreign body insertion into the nose, the diagnosis of a nasal problem was not suspected. Furthermore, the initial presentation of unilateral rhinorrhoea (nasal discharge) masked the suspicion of other pathologies. The child was treated for allergic rhinitis until she presented herself to our attention whereby a rhinoscopy was performed, showing a rhinolith. [ABSTRACT FROM AUTHOR]

Rhinoliths are rare entities encountered in clinical practice. They are calcified masses found within the nasal cavity. Which lesions can be encountered incidentally upon a routine dental radiograph. This article reports a case of such an incidental finding of rhinolith on a dental radiograph. [ABSTRACT FROM AUTHOR]

The present case report is of a young female with complaint of foul smelling nasal discharge normal anterior rhinoscopic findings and an irregular mass on digital palpation of nasopharynx, confirmed by NCCT and extracted through oral route. [ABSTRACT FROM AUTHOR]

An unusual case of chronic unilateral nasal obstruction and rhinorrhoea is reported in which an elderly female patient with previous cleft palate repair developed rhinoliths around a tooth within the nasal cavity. The diagnosis of rhinolith should be suspected if a calcified nasal mass is evident radiologically in a patient with unilateral nasal symptoms. Complete resolution of nasal symptoms is easily achieved with surgical removal of rhinoliths. This case highlights the importance of examining the nasal cavities in any adult patient with a unilateral nasal symptom. Computerized tomography of sinuses is a useful adjunct to determine the diagnosis. If the diagnosis is in doubt, referral for an otolaryngologist’s assessment should be made. [ABSTRACT FROM AUTHOR]

An ectopic supernumerary tooth causing the formation of rhinolith was never reported before in the medical literature. A 30 years old male patient presented to our hospital with one sided nasal obstruction, recurrent epistaxis, and nasal discharge. Anterior rhinoscopy, nasal endoscopy and X-ray paranasal sinuses revealed a rhinolith in the left nasal cavity. Preoperative evaluation and post operative examination of the specimen proved that the nidus of rhinolith was a supernumerary ectopic tooth. [ABSTRACT FROM AUTHOR]

A case of rhinolith in a 60 years old male prsenting with palatal performation is, presented alongwith a brief discussion on the pathogenesis and treatment. [ABSTRACT FROM AUTHOR]