Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review
Yıl: 2021 Cilt: 8 Sayı: 2 Sayfa Aralığı: 172 - 177 Metin Dili: İngilizce DOI: 10.14744/nci.2020.32391 İndeks Tarihi: 09-05-2021
Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review
Öz: OBJECTIVE: Rhinolithiasis is a rare condition which results from deposition of salt around a endogenous or exogenous nidus. In the literature, most of the reports are single case studies. In this study, we aimed to present the characteristics, symptoms, diagnosis, and treatment methods of 31 rhinolithiasis cases and to focus on the current literature.METHODS: We retrospectively reviewed 31 rhinolithiasis cases which have been diagnosed and treated in a tertiary care center between January 2014 and December 2018. Patient characteristics, presenting symptoms, concomitant sinonasal disorders, and type of surgery were noted. Descriptive statistics were carried out.RESULTS: Mean age was 25.4±15.7. The cases were comprised 14 female patients (45.2%) and 17 male patients (54.8%). The most common presenting symptom was nasal obstruction (71%). Malodorous unilateral rhinorrhea was present in 17 patients (54.8%). Epistaxis snoring and sleep apnea were other rare symptoms. In 21 of the cases (67.7%), rhinolith was located between inferior turbinate and septum which was the most common location seen in our series. The number of patients who were under the age of 18 was 13, in 2 of them, rhinolith was found to be formed around a plastic bead, and in 2 of them, fruit seeds were the nidus. The most common concomitant sinonasal pathology was septal deviation which was detected in 20 of the patients (64.5%), adenoid vegetation and nasal polyposis were other disorders. In 20 of the patients (64.5%), simple removal of the rhinolith using a forceps with the help of a rigid nasal endoscope was performed. Eight of the 17 patients had severe deviation and septoplasty was performed at the same time, which was the most common concomitant surgical intervention (25.8%). In 3 patients (9.6%), functional endoscopic sinus surgery was performed at the same time.CONCLUSION: Our series is one of the largest series in the literature. The most common presenting symptom was nasal obstruction followed by malodorous rhinorrhea. Accompanying sinonasal disorders should be addressed to improve the outcome. Rigid or flexible endoscopic examination should be used to detect a rhinolith. Computed tomography scan can diagnose a hidden rhinolith in a patient with nasal obstruction.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Yildirim N, Arslanoglu A, Sahan M, Yildirim A. Rhinolithiasis: clinical, radiological, and mineralogical features. Am J Rhinol 2008;22:78–81.
- 2. Akkoca Ö, Tüzüner A, Demirci Ş, Ünlü C, Uzunkulaoğlu H, Arslan N, et al. Patient characteristics and frequent localizations of rhinoliths. Turk Arch Otorhinolaryngol 2016;54:154–7.
- 3. Zalagh M, Akhaddar A, Benariba F. Chronic rhinorrhea revealing an actinomycotic rhinolithiasis with ectopic tooth. Int J Oral Maxillofac Surg 2012;41:297–9.
- 4. Senkal HA, Suslu AE, Unal OF. A rare cause of rhinolithiasis: ectopic tooth. Int J Pediatr Otorhinolaryngol 2006;1:249–52.
- 5. Shaw LCK. Rhinolith of endogenous origin: a rare entity. Surg Pract 2007;11:48–50.
- 6. Ezsiás A, Sugar AW. Rhinolith: an unusual case and an update. Ann Otol Rhinol Laryngol 1997;106:135–8.
- 7. Send T, Jakob M, Eichhorn KW. Multiple causes for rhinolithiasis. Rhinology 2014;52:183–6.
- 8. Pinto LS, Campagnoli EB, de Souza Azevedo R, Lopes MA, Jorge J. Rhinoliths causing palatal perforation: case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:e42–6.
- 9. Inaoka T, Nonomura M, Kikukawa T. Rhinolith with Nasal Septum Perforation. Practica Oto-Rhino-Laryngologica 2003;96:693–5.
- 10. Adib H, Natout MAE, Zaytoun G, Hadi UA. Rhinolithiasis: a misleading entity. Allergy Rhinol (Providence) 2018;9:2152656718783596.
- 11. Aksakal C. Rhinolith: Examining the clinical, radiological and surgical features of 23 cases. Auris Nasus Larynx 2019;46:542–7.
- 12. Lahma J, Hejjouji R, Azzam I, Oujilal A, Essakalli L. Rhinolithiasis: about an observation of a rare condition. Pan Afr Med J 2018;31:78.
- 13. Eliachar I, Schalit M. Rhinolithiasis. Report of eight cases. Arch Otolaryngol 1970;91:88–90.
- 14. Ozdemir S, Akbas Y, Görgülü O, Selçuk T, Sayar C. Rhinolithiasis: review of 21 cases. Am J Rhinol Allergy 2010;24:136–9.
- 15. Manning N, Wu P, Preis J, Ojeda-Martinez H, Chan M. Chronic sinusitis-associated antrolith. IDCases 2018;14:e00467.
- 16. Hadi U, Ghossaini S, Zaytoun G. Rhinolithiasis: a forgotten entity. Otolaryngol Head Neck Surg 2002;126:48–51.
- 17. Cetinkaya EA, Arslan İB, Cukurova İ. Nasal foreign bodies in children: Types, locations, complications and removal. Int J Pediatr Otorhinolaryngol 2015;79:1881–5.
- 18. Brehmer D, Riemann R. The rhinolith-a possible differential diagnosis of a unilateral nasal obstruction. Case Rep Med 2010;2010:845671.
- 19. Yılmaz S, Güven DG, Subaşı B, Güler ŞY, Güçlü E. A rhinolith surrounded by a nasal polyp. J Craniofac Surg 2010;21:1954–5.
- 20. Yuca K, Caksen H, Etlik O, Bayram I, Sakin YF, Dülger H, et al. The importance of rigid nasal endoscopy in the diagnosis and treatment of rhinolithiasis. Auris Nasus Larynx 2006;33:19–22.
- 21. Ayub-ur-Rehman, Muhammad MN, Moallam FA. Endoscopy in rhinolithiasis. J Coll Physicians Surg Pak 2012;22:601–3
APA | Seyhun N, toprak E, Kaya K, Kurt dizdar S, Turgut S (2021). Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review. , 172 - 177. 10.14744/nci.2020.32391 |
Chicago | Seyhun Nurullah,toprak Ebubekir,Kaya Kerem Sami,Kurt dizdar Senem,Turgut Suat Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review. (2021): 172 - 177. 10.14744/nci.2020.32391 |
MLA | Seyhun Nurullah,toprak Ebubekir,Kaya Kerem Sami,Kurt dizdar Senem,Turgut Suat Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review. , 2021, ss.172 - 177. 10.14744/nci.2020.32391 |
AMA | Seyhun N,toprak E,Kaya K,Kurt dizdar S,Turgut S Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review. . 2021; 172 - 177. 10.14744/nci.2020.32391 |
Vancouver | Seyhun N,toprak E,Kaya K,Kurt dizdar S,Turgut S Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review. . 2021; 172 - 177. 10.14744/nci.2020.32391 |
IEEE | Seyhun N,toprak E,Kaya K,Kurt dizdar S,Turgut S "Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review." , ss.172 - 177, 2021. 10.14744/nci.2020.32391 |
ISNAD | Seyhun, Nurullah vd. "Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review". (2021), 172-177. https://doi.org/10.14744/nci.2020.32391 |
APA | Seyhun N, toprak E, Kaya K, Kurt dizdar S, Turgut S (2021). Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review. İstanbul Kuzey Klinikleri, 8(2), 172 - 177. 10.14744/nci.2020.32391 |
Chicago | Seyhun Nurullah,toprak Ebubekir,Kaya Kerem Sami,Kurt dizdar Senem,Turgut Suat Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review. İstanbul Kuzey Klinikleri 8, no.2 (2021): 172 - 177. 10.14744/nci.2020.32391 |
MLA | Seyhun Nurullah,toprak Ebubekir,Kaya Kerem Sami,Kurt dizdar Senem,Turgut Suat Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review. İstanbul Kuzey Klinikleri, vol.8, no.2, 2021, ss.172 - 177. 10.14744/nci.2020.32391 |
AMA | Seyhun N,toprak E,Kaya K,Kurt dizdar S,Turgut S Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review. İstanbul Kuzey Klinikleri. 2021; 8(2): 172 - 177. 10.14744/nci.2020.32391 |
Vancouver | Seyhun N,toprak E,Kaya K,Kurt dizdar S,Turgut S Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review. İstanbul Kuzey Klinikleri. 2021; 8(2): 172 - 177. 10.14744/nci.2020.32391 |
IEEE | Seyhun N,toprak E,Kaya K,Kurt dizdar S,Turgut S "Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review." İstanbul Kuzey Klinikleri, 8, ss.172 - 177, 2021. 10.14744/nci.2020.32391 |
ISNAD | Seyhun, Nurullah vd. "Rhinolithiasis, a rare entity: Analysis of 31 cases andliterature review". İstanbul Kuzey Klinikleri 8/2 (2021), 172-177. https://doi.org/10.14744/nci.2020.32391 |