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Rhinolith: An incidental radiographic finding.
Nisha Maheshwari1, Badirinath Etikaala2, Ali Z Syed1
1Department of Oral and Maxillofacial Medicine and Diagnostic Sciences, CWRU School of Dental Medicine Dental Clinic, Cleveland, OH, USA.
Imaging Science in Dentistry
|October 8, 2021
Summary
This case report details a rare nasal foreign body, a rhinolith, discovered incidentally during a routine dental check-up in an asymptomatic 77-year-old female. Cone-beam computed tomography (CBCT) proved crucial for diagnosis.
Area of Science:
- Dentistry
- Radiology
- Otolaryngology
Background:
- Rhinoliths, mineralized nasal foreign bodies, are infrequently diagnosed in dental settings.
- Early detection is often challenging due to asymptomatic presentation.
Observation:
- A 77-year-old female presented for routine dental care without nasal symptoms.
- Panoramic radiography revealed an unusual radiopaque structure in the nasal cavity.
- Cone-beam computed tomography (CBCT) precisely visualized a laminated, hyperdense nasal entity.
Findings:
- The nasal entity was diagnosed as a rhinolith based on CBCT imaging.
- The patient was asymptomatic, with no reported nasal obstruction or discharge.
Implications:
- This case underscores the diagnostic value of CBCT in identifying calcified nasal masses.
- Dentists should be aware of potential incidental findings of rhinoliths during routine imaging.
- Collaboration with ENT specialists is vital for managing such rare conditions.
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