Display options
Cite
Brehmer D, Riemann R. The rhinolith-a possible differential diagnosis of a unilateral nasal obstruction. Case Rep Med. 2010;2010:845671doi: 10.1155/2010/845671.
Brehmer, D., & Riemann, R. (2010). The rhinolith-a possible differential diagnosis of a unilateral nasal obstruction. Case reports in medicine, 2010845671. https://doi.org/10.1155/2010/845671
Brehmer, Detlef, and Riemann, Randolf. "The rhinolith-a possible differential diagnosis of a unilateral nasal obstruction." Case reports in medicine vol. 2010 (2010): 845671. doi: https://doi.org/10.1155/2010/845671
Brehmer D, Riemann R. The rhinolith-a possible differential diagnosis of a unilateral nasal obstruction. Case Rep Med. 2010;2010:845671. doi: 10.1155/2010/845671. Epub 2010 Jun 17. PMID: 20592993; PMCID: PMC2892702.
Copy Download .nbib Format: NLM
Share it on

Case Rep Med. 2010;2010:845671. doi: 10.1155/2010/845671. Epub 2010 Jun 17.

The rhinolith-a possible differential diagnosis of a unilateral nasal obstruction.

Case reports in medicine

Detlef Brehmer, Randolf Riemann

Affiliations

  1. Private ENT Clinic Goettingen, Faculty of Medicine, University Witten/Herdecke, Friedrichstrasse 3/4, 37073 Goettingen, Germany.

PMID: 20592993 PMCID: PMC2892702 DOI: 10.1155/2010/845671

Abstract

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.

References

  1. Z Laryngol Rhinol Otol. 1966 Aug;45(8):524-8 - PubMed
  2. Ear Nose Throat J. 1985 Sep;64(9):421-6 - PubMed
  3. Oral Surg Oral Med Oral Pathol. 1988 Jun;65(6):693-8 - PubMed
  4. Scanning Microsc. 1987 Dec;1(4):2025-32 - PubMed
  5. Laryngol Rhinol Otol (Stuttg). 1974 Jul;53(7):516-8 - PubMed
  6. Auris Nasus Larynx. 2006 Mar;33(1):19-22 - PubMed
  7. Acta Otorhinolaryngol Belg. 1998;52(3):241-5 - PubMed
  8. HNO. 1965 Apr;13:116-7 - PubMed
  9. J Laryngol Otol. 2002 Dec;116(12):1036-40 - PubMed
  10. HNO. 1985 Feb;33(2):65-9 - PubMed
  11. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Dec;104(6):e42-6 - PubMed
  12. Laryngol Rhinol Otol (Stuttg). 1983 Sep;62(9):419-21 - PubMed
  13. HNO. 1991 Mar;39(3):116-7 - PubMed
  14. J Laryngol Otol. 1988 Jan;102(1):59-61 - PubMed
  15. Am J Rhinol. 2008 Jan-Feb;22(1):78-81 - PubMed
  16. Postgrad Med J. 1968 Jun;44(512):478-9 - PubMed
  17. Rhinology. 2002 Sep;40(3):162-4 - PubMed
  18. Br J Oral Maxillofac Surg. 1988 Dec;26(6):486-90 - PubMed
  19. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Feb;101(2):e28-32 - PubMed
  20. Ann Otolaryngol Chir Cervicofac. 2008 Feb;125(1):11-7 - PubMed
  21. J Laryngol Otol. 1979 Dec;93(12):1205-9 - PubMed
  22. S Afr Med J. 1986 Feb 1;69(3):200-1 - PubMed

Publication Types