Rhinolith causing unilateral chronic maxillary rhinosinusitis

Varadharajan, Kiran; Stephens, Joanna; Madani, Gitta; Parikh, Abhijeet

doi:10.1136/bcr-2014-204649

Cited by 5 publications

(9 citation statements)

References 2 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the literature, large series on rhinoliths have been reported from developing countries, suggesting a relationship with socioeconomic level, although there have been case reports from other regions (6,8,(12)(13)(14)(15)(16). The purpose of the present study was to identify the risk groups and characteristics of rhinoliths by an examination of the distribution of age and gender and the localization, side, and prominent symptoms of rhinoliths in a large case series.…”

Section: Introductionmentioning

confidence: 99%

“…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%

See 1 more Smart Citation

Patient Characteristics and Frequent Localizations of Rhinoliths

Akkoca¹,

Tüzüner²,

Demirci³

et al. 2017

Turk Arch Otorhinolaryngol

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient Characteristics and Frequent Localizations of Rhinoliths

Akkoca¹,

Tüzüner²,

Demirci³

et al. 2017

Turk Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Even if suspicion is high for radiographical antroliths, the differential diagnosis remains wide and includes osteomyelitis, impacted teeth, calcified mucus retention cysts, displaced follicular cysts, chronic inflammatory processes such as syphilis and tuberculosis, benign tumors (such as nasal glioma, septal dermoid tumor, osteoma, chondroma, calcifying angiofibroma, and odontoma) and malignant tumors (such as squamous cell carcinoma, chondrosarcoma and osteosarcoma) [ [2] , [3] , [4] , [5] , 9 ]. In the case of unilateral masses, malignant tumor must be ruled out with nasal endoscopy and CT imaging [ 1 ]. In our patient, CT of the sinuses revealed an erosion in the left maxillary sinus.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…An antrolith is considerably rare, usually described in medical literature by ENT or dental specialists [ [1] , [2] , [3] , [4] , [5] , [6] ], with an estimated occurrence of 1 in 10,000 ENT patients [ 2 ]. It is a calcified mass found in the anterior nasal cavity, the maxillary sinus, and less often the frontal sinus [ 1 , 3 , 7 ]. Formation of the mass results from the deposition of calcium and magnesium salts around an organic or inorganic nucleus at the site of local inflammation caused by a foreign body [ [2] , [3] , [4] , [5] ], which can either be endogenous (intrinsic) or exogenous (extrinsic) in origin [ 2 , 5 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Chronic sinusitis-associated antrolith

Manning

Preis

et al. 2018

IDCases

View full text Add to dashboard Cite

An antrolith is a calcified mass found in the nasal cavity or sinus, usually maxillary, described in literature as a rare phenomenon. Its presenting symptoms are variable and include symptoms associated with chronic sinusitis. We describe a 66 year old man with chronic sinusitis who presented with facial pain and epistaxis and upon further evaluation was found to have an antrolith of the left maxillary sinus.

show abstract

Endoscopic Management of Rhinolithiasis: A Systematic Review

Nguyen

Omiunu

Patel

et al. 2023

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

Objective This study reviews the presentation, management, and outcomes of patients with rhinolithiasis. Data Sources An electronic database search of PubMed, SCOPUS, CINAHL, and the Cochrane Library was performed in accordance with the PRISMA 2020 updated guidelines for reporting systematic reviews. Review Methods Case reports and case series published from 2004 to 2020 were included. Data collected included patient demographics, clinical symptoms at presentation, diagnosis, treatment, complications, and follow‐up. Relevant descriptive statistics were computed using Microsoft Excel 2013 (Microsoft Corp). Results Fifty‐five case reports and five case series were included (n = 122). The majority were female (60.7%). The mean age was 29.4 years (range, 4‐80 years). The most common symptoms were rhinorrhea (81.1%), nasal obstruction (79.5%), nasal malodor (38.5%), and headache (27.9%). Computed tomography imaging was obtained in 109 (91.5%) cases. Concurrent rhinosinusitis (35.2%) and deviated nasal septum (28.7%) were commonly identified. Rhinoliths were commonly found in the right nostril (52.5%) and in between the inferior turbinate and nasal septum (26.9%). All rhinoliths were fully excised using endoscopic sinonasal surgery, accompanied by a septoplasty (9.2%). The nidus was identified in 27 (22.2%) patients. There were no recurrences or complications over an average follow‐up of 8.5 months (range, 0.25‐36 months). Conclusion Rhinolithiasis is an uncommon entity of the nasal cavity and should be suspected in patients with long‐standing unilateral nasal obstruction, rhinorrhea, and nasal malodor. Rigid nasal endoscopy and endoscopic sinonasal surgery are the most important methods for diagnosis and treatment, respectively.

show abstract

Rhinolith causing unilateral chronic maxillary rhinosinusitis

Cited by 5 publications

References 2 publications

Patient Characteristics and Frequent Localizations of Rhinoliths

Patient Characteristics and Frequent Localizations of Rhinoliths

Chronic sinusitis-associated antrolith

Endoscopic Management of Rhinolithiasis: A Systematic Review

Contact Info

Product

Resources

About