Specialist ENT RHINOLITH

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. Aetiology:
  1. Age: Can occur in any age group but is more common in children.
  2. Foreign bodies, blood clots, inspissated pus.
Clinical features:
  1. Rhinorrhea: Unilateral, Purulent, foul smelling.
  2. Nasal obstruction: Unilateral.
  3. Rhinolith usually seen on anterior rhinoscopy.
Investigations:  X-ray PNS/ CT Scan PNS reveals the radio-opaque rhinolith.
Specialist ENT Screenshot 2020 11 28 Ganpati nose
Site: Rhinoliths are usually formed near the floor of the nose.
Specialist ENT Screenshot 2020 11 28 Ganpati nose
Treatment: Removal of nasal rhinolith usually done under general anesthesia. FESS may be required if there is any secondary sinusitis. Also, endoscopic clearance of the Rhinolith particles is necessary.

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