A rare cause of rhinolithiasis: Ectopic tooth

Şenkal, Hilmi Alper; Süslü, Ahmet Emre; Ünal, Ömer Faruk

doi:10.1016/j.pedex.2006.07.004

Cited by 8 publications

(15 citation statements)

References 8 publications

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“…The exact pathogenesis is unknown, but precipitating factors such as chronic inflammation, the presence of bacteria and obstruction of nasal secretions are thought to lead to the deposition of siderite, ferrihydrite or mineral salts such as calcium carbonate, calcium phosphate and magnesium phosphate around the nidus, resulting in calcareous concretions 1 2 4 6 7 8…”

Section: Discussionmentioning

confidence: 99%

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Longstanding rhinolith leading to anatomical alterations of the ipsilateral inferior nasal meatus and turbinate

Chatziavramidis¹,

Kondylidou-Sidira

Stefanidis

et al. 2010

Case Reports

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SummaryRhinoliths consist of a central nidus with calcification resulting in calcareous concretions within the nasal cavity. They are uncommon in the literature despite a propensity particularly in children to insert foreign bodies into their nose and ears. We present the case of a 62-year-old woman with a longstanding undetected rhinolith with mild uncharacteristic symptoms. Radiographic examination revealed anatomical alteration of the inferior turbinate that was attributed to the long presence of the rhinolith in the nasal cavity. The management of the rhinolith and a review of the literature are presented. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

“…Exogenous bodies include buttons, stones, sand, peas, beads, fruit seeds and remnants of nasal tampons, while endogenous bodies include blood clots, epithelial debris, teeth and bone sequestra 1 8 9. The main entry route is via the anterior nares, with some suggestion of retronasal entry in the event of emesis 6…”

Section: Discussionmentioning

confidence: 99%

Longstanding rhinolith leading to anatomical alterations of the ipsilateral inferior nasal meatus and turbinate

Chatziavramidis¹,

Kondylidou-Sidira

Stefanidis

et al. 2010

Case Reports

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“…Rhinoliths are rarely encountered foreign bodies in the nasal cavity which is formed around an organic or inorganic, exogenous or endogenous nidus over a period of years [ 1 ]. Endogenous materials such as bone fragments, ectopic tooth, desquamated epithelium, and exogenous materials such as fruit seeds, plastic bodies, batteries, and stones can serve as the nidus around which the encrustation occurs [ 2 – 4 ]. The pathogenesis of the formation of rhinolith is not well known, however, several theories have been proposed.…”

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confidence: 99%

Rhinolithiasis, a Rare Entity: Analysis of 31 Cases and Literature Review

Seyhun¹

2020

North Clin Istanbul

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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.

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“…A case of rhinolithiasis with ectopic tooth as a nidus was reported in the literature, the cause for the ectopic tooth in that case was traumatic displacement of the tooth, and not a supernumerary tooth [7].…”

Section: Discussionmentioning

confidence: 96%

Rhinolithiasis Due to Supernumerary Ectopic Tooth: Very Rare Case

Janardhan

Kumar

Reddy

et al. 2012

Indian J Otolaryngol Head Neck Surg

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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.

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A rare cause of rhinolithiasis: Ectopic tooth

Cited by 8 publications

References 8 publications

Longstanding rhinolith leading to anatomical alterations of the ipsilateral inferior nasal meatus and turbinate

Longstanding rhinolith leading to anatomical alterations of the ipsilateral inferior nasal meatus and turbinate

Rhinolithiasis, a Rare Entity: Analysis of 31 Cases and Literature Review

Rhinolithiasis Due to Supernumerary Ectopic Tooth: Very Rare Case

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