Rhinolithiasis: A very late complication after dacryocystorhinostomy with rubber-gum and polyethylene stenting

Levy, Jaime; Monos, Tova; Puterman, Moshe

doi:10.1016/j.ajo.2004.06.060

Cited by 13 publications

(21 citation statements)

References 2 publications

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“…A rhinolith may be diagnosed in its early asymptomatic phase or after presentation. According to several authors, Levy et al, 13 Dib et al, 2 Senkal et al, 7 and Shaw, 3 early asymptomatic rhinoliths may be noticed incidentally during the course of a routine otolaryngologic examination or a radiologic examination for other reasons, such as a dental treatment. At onset, a rhinolith often presents various uncharacteristic symptoms depending on the location and size of the mass, which makes initial diagnosis difficult.…”

Section: Discussionmentioning

confidence: 99%

“…Diagnostic modalities include patient history, symptomatology, anterior rhinoscopy, and rigid endoscopic nasal examination 2,7,13,19 . The diagnosis of rhinolithiasis should be considered for patients who have a history of inserting foreign materials into nostrils, or who have developed unilateral nasal congestion, intermittent at first and then progressing to continuous congestion.…”

Section: Discussionmentioning

confidence: 99%

“…Other symptoms such as epistaxis, headache, facial pain, halitosis, and epiphora were reported among less than one in five patients. 2,[12][13][14][15] In this review, unilateral rhinoliths in the right side of the nasal cavity were reported in the majority of patients. The right-sided presentation is consistent with the literature, 6,8,16 but the cause of this remains unknown.…”

Section: Patient Demographics and Presentationmentioning

confidence: 94%

“…12,19 Surgical approaches are evaluated using CT scan results, considering the size, extension, and location of the stone, and sometimes the presence of complications. 8,13,20 Endoscopic sinonasal surgery to remove the stone through the anterior nares is widely applied. All patients included in this review had their rhinoliths removed endonasally.…”

Section: Diagnosismentioning

confidence: 99%

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Endoscopic Management of Rhinolithiasis: A Systematic Review

Nguyen

Omiunu

Patel

et al. 2023

Otolaryngol.--head neck surg.

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Patient Demographics and Presentationmentioning

confidence: 94%

Section: Diagnosismentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic Management of Rhinolithiasis: A Systematic Review

Nguyen

Omiunu

Patel

et al. 2023

Otolaryngol.--head neck surg.

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“…источником может быть эктопический зуб. Экзогенные инородные тела могут быть органическими или неорганическими: обычно это семена, бусы, пуговицы, грязь, галька, песок, горох, паразиты, дерево, стекло, а также остатки марлевого тампона [1,7,8]. Ринолиты чаще всего представляют собой смесь воды (2,9-5,9%), фосфата магния (19,46%), карбоната кальция (20,69%), фосфата кальция (44,7%) и органических композитов (13,2%) [9].…”

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Foreign body of the nasal cavity: case repot

Eremeeva

Бадалян

2019

Medicinskij sovet

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This article presents a clinical case of a foreign body of the nasal cavity. To describe a foreign body in the nose, the term «rhinolite» is used, which originated from the Greek «rhino» (which means «nose») and «lithos» (which means stone). In this observation the optical endoscopy and cone-beam computed tomography demonstrated as the most informative methods for confirm the diagnosis and for determine medical tactics.

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Post-external dacryocystorhinostomy lagophthalmos

et al. 2014

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To describe lagophthalmos and eyelid closure abnormality after external dacryocystorhinostomy (DCR). A retrospective review of medical records and postoperative photographs of 79 patients who underwent external DCR for nasolacrimal duct obstruction and developed eyelid closure abnormality and lagophthalmos with or without exposure keratopathy was conducted. Collected data included age, sex, indication for surgery, laterality, length and type of incision, length of follow-up duration, presence of punctate epithelial keratopathy, and time for resolution of eyelid closure abnormalities. Twenty-seven patients with 28 external dacryocystorhinostomy had postoperative eyelid closure abnormalities. Male to female ratio was 1:6. The mean age was 40.1 years (range 9-80 years). All surgeries were performed through diagonal skin incision. Lagophthalmos involving the medial third of the palpebral fissure was noticed in 28.6 % of cases. All patients had hypometric blink mainly of the upper eyelid. One patient had punctate epithelial keratopathy. Resolution of lagophthalmos was noticed over a period of 1-5 weeks with an average of 3 weeks. None of the patients continued to have residual hypometric blink or punctate keratopathy at the last follow-up time. The mean follow-up period was 4.2 months (range 3-6 months). Eyelid closure abnormality and lagophthalmos after external DCR are underestimated problems. Spontaneous resolution is seen in all cases weeks to months after surgery.

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Rhinolithiasis: A very late complication after dacryocystorhinostomy with rubber-gum and polyethylene stenting

Cited by 13 publications

References 2 publications

Endoscopic Management of Rhinolithiasis: A Systematic Review

Endoscopic Management of Rhinolithiasis: A Systematic Review

Foreign body of the nasal cavity: case repot

Post-external dacryocystorhinostomy lagophthalmos

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