NOSE - Rhinolith

What is Rhinolith?

Definition: When there is a long standing foreign body in the nose it is surrounded by granulation tissue and it acts as a nucleus for concretion to occur. It eventually gets coated with calcium and magnesium phosphate and carbonate to form a Rhinolith.

What is Aetiology of Rhinolith?

Age:
1. Can occur in any age group but is more common in children.
2. Foreign bodies, blood clots, inspissated pus.

What is the pathology of Rhinolith?

1. Rhinorrhoea: Unilateral, Purulent, foul smelling
2. Nasal obstruction: Unilateral
3. Rhinolith usually seen on anterior rhinoscopy.

What investigations are required for the diagnosis of Rhinolith?

 X-ray PNS/ CT Scan reveals the radio-opaque Rhinolith.

Site: Rhinoliths are usually formed near the floor of the nose.

 

What is the treatment of Rhinolith?

Removal: Usually under general anaesthesia. FESS may be required if there is any secondary sinusitis.

RHINOLITH

Foul smelling
Unilateral discharge

 

Clinical Evaluation
Investigations
X-ray / CT Scan

 

Removal under general anaesthesia with
Haemostatsis and nasal packing

  



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