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Rhinolith

Nasal Calculus


Presentation

  • A rhinolith is a stone present in the nasal cavity. The word is derived from the roots rhino- and -lith, literally meaning "nose stone". It is an uncommon medical phenomenon, not to be confused with dried nasal mucus.[en.wikipedia.org]
  • This report presents a rhinolith around an ectopic teeth in nasal cavity presenting as nasal obstruction. CASE REPORT A 19-year-old male presented with complaints of left-sided nasal obstruction with intermittent nasal bleeding for 1 year duration.[jemds.com]
  • A case presentation of a large rhinolith. Oman Med J. 2010; 25 (3):230–1. [ PMC free article ] [ PubMed ] [ Google Scholar ][ncbi.nlm.nih.gov]
  • As the condition presents little difficulty in diagnosis if one is aware of it, despite its rarity, this further case is presented here.[birpublications.org]
  • Huge rhinolith nasal cavity an interesting case report and a review of literature Introduction: Rhinoliths are also known as nasal calculi are calcareous deposits present inside the nasal cavity 1.[entscholar.wordpress.com]
Dentist
  • It should be removed regularly by a dentist or dental hygienist; if neglected, it can cause bacteria to lodge between the gums and the teeth, causing gum infection, dental caries, loosening of the teeth, and other disorders.[medical-dictionary.thefreedictionary.com]
  • A 26-year old male patient with a history of long standing halitosis consultation by a dentist with an otolaryngologist had an operation for rhinolith seven years ago. e-Published: 15 Feb, 2013 Read more about Recurrent Rhinolithiasis: A Case Report with[mona.uwi.edu]
  • The dentist may use conventional radiographs (Panoramic Radiography, Postero-anterior Radiography, Maxillary Occlusal Radiography) or Computerized Tomography for evaluation of rhinoliths.[scielo.br]
Foul Smelling Discharge
  • Exogenous rhinoliths form around foreign bodies inserted into the nose – usually of nonhuman material. [1] Its common presentation is unilateral nasal obstruction and foul-smelling discharge, which is very often blood stained and a hard mass in nasal[jemds.com]
  • Keywords: nose, foreign body, rhinolith, foul-smelling discharge Introduction Nasal foreign bodies left in the nasal cavity for several years lead to the formation of rhinoliths.[ncbi.nlm.nih.gov]
Physician
  • She was later referred to us for a problem of impacted ear wax by her primary care physician. Upon routine ENT examination, the rhinolith was then noted.[ncbi.nlm.nih.gov]
  • Had been under the treatment, in the meantime, of many physicians for this affection. The young man was scrofulous in appearance. On making a careful examination of his nose, discovered well up in one nares a foreign body.[jamanetwork.com]
Constitutional Symptom
  • There were no constitutional symptoms. There was no history of trauma, foreign body insertion or any systemic illness. Otolaryngeal clinical examination revealed deviated nasal septum towards the left side.[ncbi.nlm.nih.gov]
Sneezing
  • CSF RHINORRHOEA • SPONTANEOUS –SNEEZING –STRAINING • TRAUMATIC –IATROGENIC –ACCIDENTAL 17. CSF RHINORRHOEA (WASHOUT SIGN) FOVIA ETHMOIDALIS SPHENOID SINUS CRIBRIFORM PLATE 18. CSF RHINORRHOEA (INTRATHECAL FLUORESCEIN) 19.[de.slideshare.net]
  • Occasionally, as a result of vomiting, coughing, or sneezing, a cherry stone or some other food substance may lodge in the nose by way of the posterior nares.[pubs.rsna.org]
  • The latter items must be introduced into the nasal cavity, and this can occur anteriorly through the nostrils (generally inserted by children) or reach the posterior opening through the rhinopharynx and choanals during episodes of vomiting, sneezing and[scielo.br]
Rhinitis
  • […] or sinusitis. 6 Our index patient presented with foul-smelling nasal discharge that was misdiagnosed over the year as rhinitis.[ncbi.nlm.nih.gov]
  • Nasal Myiasis Maggots in Nose Atrophic rhinitis FB in nose Excessive nasal discharge Poor mental health 14.[de.slideshare.net]
  • Excessive mucus production as is seen with upper respiratory tract infections like rhinitis and sinusitis and eventually this mucus can dry and become very hard.[phaa.com]
Cough
  • Occasionally, as a result of vomiting, coughing, or sneezing, a cherry stone or some other food substance may lodge in the nose by way of the posterior nares.[pubs.rsna.org]
  • Foreign bodies normally access the site anteriorly, but they may occasionally reach the nasal cavity through the posterior choanae owing to cough or vomiting.[ncbi.nlm.nih.gov]
  • […] normal or abnormal body tissue such as teeth, sequestra, mucus, bone, or blood clot. [1], [2], [3] Most of these are introduced through anterior nares, although some foreign bodies have been reported to have entered through the choana during vomiting or coughing[ijdr.in]
Vomiting
  • Occasionally, as a result of vomiting, coughing, or sneezing, a cherry stone or some other food substance may lodge in the nose by way of the posterior nares.[pubs.rsna.org]
  • Foreign bodies normally access the site anteriorly, but they may occasionally reach the nasal cavity through the posterior choanae owing to cough or vomiting.[ncbi.nlm.nih.gov]
  • […] either normal or abnormal body tissue such as teeth, sequestra, mucus, bone, or blood clot. [1], [2], [3] Most of these are introduced through anterior nares, although some foreign bodies have been reported to have entered through the choana during vomiting[ijdr.in]
  • The latter items must be introduced into the nasal cavity, and this can occur anteriorly through the nostrils (generally inserted by children) or reach the posterior opening through the rhinopharynx and choanals during episodes of vomiting, sneezing and[scielo.br]
Lip Swelling
  • Clinical features • Discharge –Foul smelling –Bloody • Face and lip swelling • Maggots –Intense destruction • All nasal walls • Fistula may form 15. Treatment • Removal • Chloroform • Oil • Water 16.[de.slideshare.net]
Halitosis
  • A 26-year old male patient with a history of long standing halitosis had an operation for rhinolith seven years e-Published: 01 Mar, 2013 Read more about Recurrent Rhinolithiasis: A Case Report with Review of the Literature[mona.uwi.edu]
Ulcer
  • Epistaxis and pain may occur due to the ulceration of surrounding mucosa. Management [ edit ] They are removed under general anaesthesia. Most can be removed through anterior nares. Large ones need to be broken into pieces before removal.[en.wikipedia.org]
Tinnitus
  • Her chief complaint was reduced hearing and tinnitus. On further questioning of other possible related symptoms, she admitted to a year history of persistent foul-smelling unilateral nasal discharge, which was also noted by her mother.[ncbi.nlm.nih.gov]
Facial Pain
  • Other less common symptoms include headaches, facial pain and epiphora. Case Report A 31 year old female presented with complains of prolonged runny nose with foul smell, and at times bloody nasal discharge for the last five years.[ncbi.nlm.nih.gov]
Neglect
  • It should be removed regularly by a dentist or dental hygienist; if neglected, it can cause bacteria to lodge between the gums and the teeth, causing gum infection, dental caries, loosening of the teeth, and other disorders.[medical-dictionary.thefreedictionary.com]
  • Herringham and D'Arcy Power - Imperforate anus (A) male (B) female (card specimen) / by D'Arcy Power - A dermoid cyst of the right testis / by D'Arcy Power - A neglected point in the pathology of Colles' fracture / by D'Arcy Power - The sequel of a case[flickr.com]
  • Abstract Rhinoliths result from neglected nasal foreign bodies that gradually increase in size.[ncbi.nlm.nih.gov]
Confusion
  • It is an uncommon medical phenomenon, not to be confused with dried nasal mucus. A rhinolith usually forms around the nucleus of a small exogenous foreign body, blood clot or secretion by slow deposition of calcium and magnesium salts.[en.wikipedia.org]

Treatment

  • Treatment • Removal • Chloroform • Oil • Water 16. CSF RHINORRHOEA • SPONTANEOUS –SNEEZING –STRAINING • TRAUMATIC –IATROGENIC –ACCIDENTAL 17. CSF RHINORRHOEA (WASHOUT SIGN) FOVIA ETHMOIDALIS SPHENOID SINUS CRIBRIFORM PLATE 18.[de.slideshare.net]
  • Treatment: Treatment of a rhinolith focuses on removal of the stone. Sometimes the stone must be broken down into smaller component parts before it can be extracted.[medigoo.com]
  • Diagnosis is sometime also made incidentally through routine examination or revealed by imaging examinations conducted for other reasons, such as dental treatment.[ncbi.nlm.nih.gov]
  • , guidelines, discoveries in your fields of interest; be notified You are informed about innovative treatments, techniques and innovations in medicine This video is limited to doctors and other health professionals.[medtube.net]
  • CONCLUSION: Computed tomographic scans are required for differential diagnosis of pathologies in the nasal cavity to provide proper treatment.[scielo.br]

Etiology

  • The etiology is not always detected, and it may be exogenous (such as grains, small stone fragments, plastic parts, seeds, insects, glass, wood and others), or endogenous, resulting from dry secretion, blood clots, mucosal necrosis and tooth fragments[ncbi.nlm.nih.gov]

Epidemiology

  • Also, this case in a young female subject is in agreement with the epidemiological features from the literature.[scielo.br]
Sex distribution
Age distribution

Prevention

  • Lateral rhinotomy approach was resorted to inorder to prevent mucosal damage which could occur if removal is attempted pervia naturalis. 1. 2. Turan A, Gozu A Cleft lip/nose deformity and rhinolith Plas Reconstr Surgery 2004; 113; 079-80 3.[entscholar.wordpress.com]
  • Nasal congestion usually due to excessive mucus prevents the mucus from draining and it may then dry within the nasal cavity. Dry nasal passages are also more common among tobacco smokers.[phaa.com]

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