Bengal Journal of Otolaryngology and Head Neck Surgery (Jun 2021)

A Colossal Rhinolith

  • Neha Shakrawal,
  • Bikram Choudhury,
  • Kapil Soni,
  • Darwin Kaushal

Journal volume & issue
Vol. 29, no. 1

Abstract

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Introduction Rhinolith is a calcic deposition formed by mineralization of salts in an impacted nasal foreign body. It is a benign condition that can be troublesome owing to its size and extent of impact. Case Report A 35-year-old man with a history of right nasal obstruction with occasional foul-smelling discharge and right eye pain since ten years was diagnosed with rhinolith. During its removal, it was three times bigger than what could be visualized in nasal endoscopy. Conclusion Proper history, examination, and a high suspicion can clinch the diagnosis in almost all cases. A rigid diagnostic nasendoscopy is an important tool in the diagnosis. The treatment of choice is endoscopic removal under local or general anaesthesia.

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