The Rhinolith—A Possible Differential Diagnosis of a Unilateral Nasal Obstruction

Rhinoliths are mineralised foreign bodies in the nasal cavity that are a chance finding at anterior rhinoscopy. Undiscovered, they grow appreciably in size and can cause a foul-smelling nasal discharge and breathing problems. Giant nasal stones are now a very rare occurrence, since improved diagnost...

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Main Authors: Detlef Brehmer, Randolf Riemann
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2010/845671
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author Detlef Brehmer
Randolf Riemann
author_facet Detlef Brehmer
Randolf Riemann
author_sort Detlef Brehmer
collection DOAJ
description Rhinoliths are mineralised foreign bodies in the nasal cavity that are a chance finding at anterior rhinoscopy. Undiscovered, they grow appreciably in size and can cause a foul-smelling nasal discharge and breathing problems. Giant nasal stones are now a very rare occurrence, since improved diagnostic techniques, such as endoscopic/microscopic rhinoscopy, now make it possible to identify foreign bodies at an early stage of development. We report the case of a 37-year-old patient who, at the age of 5-6 years, introduced a foreign body, probably a stone, into his right nasal cavity. On presentation, he complained of difficulty in breathing through the right nostril that had persisted for the last 10 years. For the past four years a strong fetid smell from the nose had been apparent to those in his vicinity. Under general anaesthesia, the stone was removed in toto from the right nasal cavity. The possible genesis of the rhinolith is discussed, our case compared with those described in the literature, and possible differential diagnoses are considered.
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spelling doaj-art-039cb27a3fbd46869b107e7c88aa607b2025-02-03T05:46:58ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/845671845671The Rhinolith—A Possible Differential Diagnosis of a Unilateral Nasal ObstructionDetlef Brehmer0Randolf Riemann1Private ENT Clinic Goettingen, Faculty of Medicine, University Witten/Herdecke, Friedrichstraße 3/4, 37073 Goettingen, GermanyDepartment of Otorhinolaryngology, City Hospital Frankfurt-Hoechst, Gotenstr., 6–8, 65929 Frankfurt, GermanyRhinoliths are mineralised foreign bodies in the nasal cavity that are a chance finding at anterior rhinoscopy. Undiscovered, they grow appreciably in size and can cause a foul-smelling nasal discharge and breathing problems. Giant nasal stones are now a very rare occurrence, since improved diagnostic techniques, such as endoscopic/microscopic rhinoscopy, now make it possible to identify foreign bodies at an early stage of development. We report the case of a 37-year-old patient who, at the age of 5-6 years, introduced a foreign body, probably a stone, into his right nasal cavity. On presentation, he complained of difficulty in breathing through the right nostril that had persisted for the last 10 years. For the past four years a strong fetid smell from the nose had been apparent to those in his vicinity. Under general anaesthesia, the stone was removed in toto from the right nasal cavity. The possible genesis of the rhinolith is discussed, our case compared with those described in the literature, and possible differential diagnoses are considered.http://dx.doi.org/10.1155/2010/845671
spellingShingle Detlef Brehmer
Randolf Riemann
The Rhinolith—A Possible Differential Diagnosis of a Unilateral Nasal Obstruction
Case Reports in Medicine
title The Rhinolith—A Possible Differential Diagnosis of a Unilateral Nasal Obstruction
title_full The Rhinolith—A Possible Differential Diagnosis of a Unilateral Nasal Obstruction
title_fullStr The Rhinolith—A Possible Differential Diagnosis of a Unilateral Nasal Obstruction
title_full_unstemmed The Rhinolith—A Possible Differential Diagnosis of a Unilateral Nasal Obstruction
title_short The Rhinolith—A Possible Differential Diagnosis of a Unilateral Nasal Obstruction
title_sort rhinolith a possible differential diagnosis of a unilateral nasal obstruction
url http://dx.doi.org/10.1155/2010/845671
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