Chronic rhinorrhea revealing an actinomycotic rhinolithiasis with ectopic tooth

Zalagh, M.; Akhaddar, Ali; Benariba, Fouad

doi:10.1016/j.ijom.2011.07.901

Cited by 14 publications

(31 citation statements)

References 10 publications

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“…It is usually seen as a mineralized foreign body that may cause nasal obstruction, a foul-smelling nasal discharge, nasal/oral malodor, and headaches, as described in the literature (1)(2)(3). The uncommon cause of unilateral nasal fullness may interfere with or be accompanied by other nasal pathologies (nasal polyposis, sinusitis, or malignancies) and may lead to complications (4)(5)(6)(7)(8)(9). Rhinolith formation starts with a nidus, which could be endogenous in origin, such as bone fragments, ectopic teeth and epithelial debris or exogenous in origin, such as fruit seeds, paper fragments, batteries, stones, buttons, or plastic material (1,7,10).…”

Section: Introductionmentioning

confidence: 99%

Patient Characteristics and Frequent Localizations of Rhinoliths

Akkoca¹,

Tüzüner²,

Demirci³

et al. 2017

Turk Arch Otorhinolaryngol

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Objective: A rhinolith is a rare entity affecting all people in all age groups. It is defined as a mineralized foreign body. The purpose of the present study was to reveal the distribution in age and gender and the localization, side, and prominent symptoms of rhinoliths to identify the risk groups and characteristics of the rhinoliths in a large case series. Methods:A retrospective review was performed from the medical charts of 28 patients who were diagnosed with rhinolith and underwent surgery between May 2011 and January 2015 in Ankara Research and Training Hospital. All data, including age, gender, duration of symptoms, localization of the lesion and accompanying pathologies, were documented. Results:In total, 28 patients (18 females and 10 males) with a mean age of 26.2±16.6 (5-62) years who were diagnosed with rhinolithiasis were reviewed. Nasal obstruction (71.4%) and nasal discharge (64.3%) were the most common complaints. The rhinolith was located in the right nasal cavity in 24 patients and in the left in four; this difference was statistically significant (p<0.001). There were 11 accompanying pathologies including nasal septal deviation (n=6), nasal polyposis (n=2), concha bullosa (n=2), and adenoid vegetation (n=1). In 21 (75%) patients, the most common site was the nasal base of the cavity between the inferior turbinate and the nasal septum. Conclusion:If unilateral right-sided nasal obstruction with foul-smelling purulent discharge is detected in a young adult and a nasal examination reveals a mass in the floor of the cavity, a rhinolith should be strongly considered in the differential diagnosis.

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Section: Introductionmentioning

confidence: 99%

Patient Characteristics and Frequent Localizations of Rhinoliths

Akkoca¹,

Tüzüner²,

Demirci³

et al. 2017

Turk Arch Otorhinolaryngol

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“…In contrast, in the present case, the symptoms were mainly obstructive. Image findings usually consist of a mass with focal bone destruction and central calcifications, which can also occur in fungal infections such as aspergillomas or neoplasms [ 6 - 7 , 9 , 12 - 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…It usually consists of surgical debridement followed by long course antibiotics. Although penicillin G is usually the drug of choice, the antibiotics used have been multiple and can be tailored to disease extension, severity, and location [ 2 , 5 - 7 , 9 - 10 , 12 ]. In our case, due to the age and multiple comorbidities of the patient, a simple course of amoxicillin was preferred and the patient improved and remains free of recurrence after eight months of follow-up.…”

Section: Discussionmentioning

confidence: 99%

Actinomycosis of the Nasal Septum: A Rare Entity

Lombo¹,

Matos²,

Fernandes³

2021

Cureus

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Actinomycosis is a rare bacterial infection that can affect almost any site in the body. Its occurrence at the nasal septum is extremely rare. We present the case of an 84-year-old diabetic woman, with a past medical history of breast cancer that came to medical attention because of progressive nasal obstruction and severe sleep apnea. Nasal endoscopy revealed a submucosal mass at the anterior nasal septum obstructing both nasal cavities and extending to the anterior hard palate. With a cancer metastasis in mind, she was submitted to surgical resection of the lesion through a Rouge-Denker approach, with the final histologic diagnosis of actinomycosis. She was then treated with a three-month cycle of amoxicillin and remains without recurrence. This case describes a rare disease that should be considered in the differential diagnosis of sinonasal lesions, especially in diabetic patients and after dental procedures.

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“…Other anatomical explanations have also been proposed: deviation of the nasal septum, bone spur raising the possibility of stagnation in the nose and thus extending the precipitation of nasal debris and foreign bodies. Another possibility is lack of mucociliary clearance resulting in stagnation of the exogenous debris that will act as a holding platform for the buildup of such stone [4].…”

Section: Discussionmentioning

confidence: 99%

Rhinolithiasis: A forgotten cause of nasal obstruction

Balouki¹,

Mohammed²,

Benchafai³

et al. 2020

Otorhinolaryngol Head Neck Surg

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Rhinolithiasis are foreign bodies that develop in the nasal cavities according to a poorly understood physicochemical mechanism. At first, they are asymptomatic, but once they are large, they give nasal obstruction with all the possible complications that can make it more difficult surgical management. we are going to present the case of a patient presenting with a rhinolithiasis discovered following a chronic nasal obstruction and whose endoscopy allowed the diagnosis and the extraction.

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Chronic rhinorrhea revealing an actinomycotic rhinolithiasis with ectopic tooth

Cited by 14 publications

References 10 publications

Patient Characteristics and Frequent Localizations of Rhinoliths

Patient Characteristics and Frequent Localizations of Rhinoliths

Actinomycosis of the Nasal Septum: A Rare Entity

Rhinolithiasis: A forgotten cause of nasal obstruction

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