Incidental ‘ethmoid sinolith’—an unusual cause of frontal recess obstruction

Nayak, Dipak Ranjan; Bhandarkar, Ajay M; Valiathan, Manna; Vvk, Sandeep

doi:10.1136/bcr-2014-204157

Cited by 7 publications

(11 citation statements)

References 9 publications

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“…Fungus salts accumulate more and turned to calcified, hard content. Exogenous and endogenous nidus has been shown to cause this concretion formation [ 15 - 17 ].…”

Section: Discussionmentioning

confidence: 99%

A rare case of a nasal cavity fungus ball due to Aspergillus niger

Köroğlu¹,

Evirgen²,

Abed³

et al. 2022

CMM

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Background and Purpose: Fungus Ball (FB) is a non-invasive fungal infection caused mainly by Aspergillus species. It can occur after root canal treatments are applied to the teeth adjacent to the maxillary sinus. These balls are commonly seen in the paranasal sinuses and rarely observed in the nasal cavity. This report attempted in to highlight such a rare case of fungal infection which requires accurate observation. Moreover, it highlights the importance of careful microbiological and histopathological examinations that were combined with imaging and can lead to a definitive diagnosis. Case report: Herein, we report a rare case of a FB found in the vicinity of the nasal cavity of a 73-year-old male patient. Microbiological examination supported by radiographic and histopathological results indicated that the FB is due to Aspergillus niger. Excised surgery was done to the FB area, and the patient was referred to the postoperation room with the proper recommendations. After the wound healed, the total denture was performed as requested by the patient, and his overall oral health was improved. Conclusion: In this article, we report the first case of a rare FB in the vicinity of the nasal cavity of a 73-year-old male patient. The appropriate investigation is an essential step in the diagnostic process for these infections and requires effective communication and collaboration.

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“…Fungus salts accumulate more and turned to calcified, hard content. Exogenous and endogenous nidus has been shown to cause this concretion formation [ 15 - 17 ].…”

Section: Discussionmentioning

confidence: 99%

A rare case of a nasal cavity fungus ball due to Aspergillus niger

Köroğlu¹,

Evirgen²,

Abed³

et al. 2022

CMM

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“…The fourth case of ES was reported by Nayak et al (2014) in a 45-year-old male patient with recurrent nasal obstruction, episodic sneezing spells, headache and nasal discharge of 20-year duration 3 . The CT exam revealed a 21.75 cm 3 hyperdense irregular mass in the right anterior ethmoidal cell which was blocking the frontal recess and the hiatus semilunaris; mucosal thickenings were present in all paranasal sinuses 5 .…”

Section: A B Cmentioning

confidence: 99%

“…Sinoliths of the paranasal sinuses are still rare entities 2 . The highest incidence of stone formation is in the maxillary sinus, following the frontal sinus and the ethmoidal sinus 3 . The term "sinolith" usually indicates calculi in the sphenoid, ethmoid or frontal sinuses, whereas calculi in the maxillary sinus are also termed antroliths or antrolithiasis and calculi in the nasal fossae are known as rhinoliths or rhinolithiasis 2 .…”

Section: Introductionmentioning

confidence: 99%

“…The term "sinolith" usually indicates calculi in the sphenoid, ethmoid or frontal sinuses, whereas calculi in the maxillary sinus are also termed antroliths or antrolithiasis and calculi in the nasal fossae are known as rhinoliths or rhinolithiasis 2 . Although antroliths and sinoliths are extremely common in world literature, the presence of a sinolith, especially in the ethmoid sinus, is exceedingly uncommon 3 . We report here bilateral minor sinoliths in the ethmoid sinuses.…”

Section: Introductionmentioning

confidence: 99%

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Bilateral sinoliths in the ethmoid sinus – a rare Cone Beam CT finding

Sava

Rusu

2017

Romanian Journal of Rhinology

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Sinoliths are calculi found particularly in paranasal sinuses, the rarest location being the ethmoid air cells. There were previously reported only 4 cases of unilateral large ethmoidal sinoliths (ES), this one being the fifth report. We report here the incidental bilateral evidence in a 34-year-old female patient evaluated in Cone Beam Computed Tomography (CBCT) of minor ES. The left ES, of 1.6 mm2 sagittal size, occupied the suprabullar cell, in front of the ground lamella and behind the anterior ethmoidal canal. The right ES, of 7.6 mm2, was located behind the ground lamella. The radiodensity of each ES was about 1000 HU, their bone quality being thus assessed. This is the first evidence of bilateral and clinically silent ethmoidal sinoliths. Being small-sized and incidentally found, it seems reasonable to consider that ethmoidal sinoliths could have a higher incidence but they are overlooked due to the lack of clinical manifestations.

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“…They are also termed antroliths, rhinoliths, antral calculi, antral stones, or antral rhinoliths 2 . There were reported sinoliths of the maxillary sinus 3 , ethmoidal sinuses 1,[4][5][6] , frontal sinuses 7,8 . The most rarely reported are the sphenoidal sinoliths.…”

Section: Introductionmentioning

confidence: 99%

Sphenoidal and ethmoidal sinoliths

Sava

Săndulescu

Cconstantin

2017

Romanian Journal of Rhinology

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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.

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Incidental ‘ethmoid sinolith’—an unusual cause of frontal recess obstruction

Cited by 7 publications

References 9 publications

A rare case of a nasal cavity fungus ball due to Aspergillus niger

A rare case of a nasal cavity fungus ball due to Aspergillus niger

Bilateral sinoliths in the ethmoid sinus – a rare Cone Beam CT finding

Sphenoidal and ethmoidal sinoliths

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