Une rhinorrhée chronique

Rhinolithiasis: lesion specificities of the first case described in Togo

“…Although rare, rhinolithiasis is often reported in countries where every so often occur poor socioeconomic conditions, poor health coverage, and certain ethno-cultural habits (endonasal applications of phytotherapeutic substances or in the context of certain rituals); however, it can present in all social groups since the origin of the foreign bodies in question can be endogenous such as tooth, dry clot, and sequester or exogenous such as fruit pits, pearls, buttons or any other foreign body. [1][2][3][4][5] Clinically, rhinolithiasis, often reported in the female patient of the third decade of life, exhibits obstructive rhinitis with non-specific repetition and fetid or bloody at times. 5 Facial pain is observed sometimes and is associated with nasal mucosal lesions and sinus superinfections.…”

“…5 Facial pain is observed sometimes and is associated with nasal mucosal lesions and sinus superinfections. [1][2][3] The advanced age of our patient suggests the possibility of a neglect of the nasal symptoms which often are attributed to allergic rhinitis due to atopy or a long asymptomatic past. Moreover, Kermanshahi et al have reported a case of asymptomatic rhinolith lasting more than 80 years.…”

“…3 This can lead to a misdiagnosis of pathologies such as nasolabial tumors with calcium density: osteoma, odontoma, ossifying fibroma, osteosarcoma, chondrosarcoma, calcified angiofibroma, calcified polyp, bone osteitis and fungal balls. [1][2][3]5,6 Rhinoliths can be possibly associated with several other nasal pathologies such as a vestibular or turbinoseptal anomaly, a massive granulomatous reaction comprising the rhinolith, sometimes a sinusitis, a polyp, a benign tumor, a hypertrophic rhinitis, or a mycosis that can justify extraction by external surgical approach. 3 For our patient, CT and macroscopy indicated a rhinolithiasis rather than a fungal ball; the mycosis was only an associated colonization.…”

“…Treatment is extraction by endoscopic nasal surgery. 1,3 We report the first case of rhinolithiasis described in Togo, remarkable for its association with septal perforation, nasal mycosis, and granulomatous reaction.…”

“…[1][2][3] The diagnosis of rhinolithiasis is based on endoscopic nasal examinations and computerized tomography (CT) of the naso-sinus cavities. 1,3 Although generally asymptomatic, rhinolithiasis can present in severe forms due to infectious and mechanical complications. Treatment is extraction by endoscopic nasal surgery.…”