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?

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.


Foul smelling
Unilateral discharge


Clinical Evaluation
X-ray / CT Scan


Removal under general anaesthesia with
Haemostatsis and nasal packing


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