[Rhinolithiasis complicated by purulent dacryocystitis].

Area of Science:

• Otolaryngology
• Rhinology

Background:

• Rhinoliths, calcified foreign bodies in the nasal cavity, are rare causes of nasal obstruction and infection.
• Typical symptoms include unilateral nasal obstruction, purulent discharge, and facial pain.

Observation:

• An 80-year-old female presented with a unilateral nasal obstruction, purulent, fetid nasal discharge, and purulent dacryocystitis.
• Clinical examination and radiological imaging confirmed the presence of a large rhinolith in the right nasal cavity.

Findings:

• The rhinolith was successfully removed via fragmentation (concassation) and extraction.
• The patient experienced an uncomplicated postoperative recovery.

Implications:

• This case highlights the importance of considering rhinoliths in the differential diagnosis of unilateral nasal symptoms, especially in the elderly.
• Prompt diagnosis and surgical intervention are crucial for managing rhinoliths and preventing complications such as dacryocystitis.