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Large rhinolith causing nasal obstruction.

Onur Dincer Kose1, Taha Emre Kose2, Mehmet Ali Erdem1

  • 1Department of Oral and Maxillofacial Surgery, Istanbul University, Health Sciences Instıtute, Istanbul, Turkey.

BMJ Case Reports
|March 12, 2015
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Summary
This summary is machine-generated.

Rhinoliths, calcified nasal masses, can cause significant symptoms. This case report details the successful endonasal removal of a large rhinolith causing obstruction and pain in a young woman.

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Area of Science:

  • Otolaryngology
  • Rhinology
  • Medical Imaging

Background:

  • Rhinoliths are rare calcified masses within the nasal cavity.
  • Symptoms include nasal obstruction, facial pain, and fetid odor.
  • Diagnosis is often incidental or based on symptomatic presentation.

Observation:

  • A 27-year-old Caucasian woman presented with right nasal obstruction, anosmia, and facial pain.
  • Radiographic examination revealed a calcified mass in the right nasal cavity.
  • The mass significantly obstructed the nasal passage.

Findings:

  • The calcified mass was identified as a rhinolith.
  • Surgical removal was performed using an endonasal approach.
  • Histopathological examination confirmed the diagnosis of rhinolith.

Implications:

  • Endonasal endoscopic surgery is an effective treatment for symptomatic rhinoliths.
  • Prompt diagnosis and surgical intervention can alleviate patient symptoms.
  • This case highlights the importance of considering rhinoliths in the differential diagnosis of nasal masses.