Presentation
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]
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]
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]
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]
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]
Entire Body System
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Asymptomatic
When asymptomatic, they are frequently discovered during routine radiographic examination (3-5). [scielo.br]
Larger ones may cause unilateral nasal discharge, nasal pain, nasal obstruction, foul smelling breath, epistaxis, pain, nasal or facial swelling, sinusitis and anosmia or remain asymptomatic. [2], [7], [8] Erosions of the septum, maxillary sinus, and [ijdr.in]
Rhinoliths often remain asymptomatic for a long time. As it gets bigger, it compromises vascular supply causing pressure necrosis, then erosion and perforations of sorrounded structures. [jemds.com]
Asymptomatic rhinolith: A brief review of the literature and case report. Laryngoscope. 1966; 76 (3):524–30. [ Google Scholar ] 5. Royal SA, Gardner RE. Rhinolithiasis: An unusual pediatric nasal mass. [ncbi.nlm.nih.gov]
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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]
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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]
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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]
Respiratoric
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Rhinitis
The case reported below was the only one of these cases complicated by rhinitis caseosa.Rhinoliths may be either endogenous (formed completely within the nose by the deposit of inorganic salts around a nucleus of mucus, tissue or bone) or exogenous (formed [nejm.org]
[…] 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]
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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]
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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]
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Hyposmia
UK Correspondence to Kiran Varadharajan, kiranvarad{at}doctors.org.uk Statistics from Altmetric.com Description A 58-year-old man presented to our otolaryngology clinic with a 4-year history of chronic right-sided nasal obstruction associated with hyposmia [casereports.bmj.com]
Gastrointestinal
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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]
Jaw & Teeth
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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]
Face, Head & Neck
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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]
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Facial Spasm
Some of the remote complications include perforation of the hard palate, bony destruction, erosion of the stone into the maxillary sinus, facial spasms, or septal perforation. [radiopaedia.org]
Neurologic
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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]
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]
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]
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]
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]
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]