Rhinolith: Examining the clinical, radiological and surgical features of 23 cases

Aksakal, Ceyhun

doi:10.1016/j.anl.2018.12.008

Cited by 18 publications

(51 citation statements)

References 17 publications

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“…Other locations include the nasopharynx and the fossa of Rosenmüller. 3 A previous study by Aksakal 2 regarding rhinoliths reported a female predominance, which is concurrent with the current report involving a female patient.…”

Section: Discussionsupporting

confidence: 90%

“… 1 These soft tissue calcifications usually arise due to the deposition of mineral salts and are composed of various minerals, such as calcium phosphate, calcium carbonate, and magnesium, around the nidus. 2 3 The nidus of a rhinolith is usually an exogenous foreign body (coins, beads, and so on), especially in the paediatric population. Generally, the route of entry of the foreign body is the anterior region of the nose.…”

mentioning

confidence: 99%

“…However, some bodies may enter the choana posteriorly during sneezing, coughing, or emesis. 2 Conversely, the nidus of a calcification in the antrum of the maxillary sinus, referred to as an antrolith, is usually endogenous, such as a root tip, bone fragment, blood clot, or inspissated mucus, especially in the adult population. 4 5…”

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confidence: 99%

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Rhinolith: An incidental radiographic finding

Maheshwari¹,

Etikaala

Syed³

2021

Imaging Sci Dent

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Rhinoliths are foreign bodies composed of mineralised deposits in the nasal cavity that are rarely encountered in routine dental practice. The current report presents a case of a 77-year-old female patient who visited a dental treatment centre for a routine dental check-up and prophylaxis. On the clinical examination, the patient did not report any breathing difficulty, nasal obstruction, or any form of discharge. Panoramic radiography showed a horizontally magnified radiopaque structure in the right nasal fossa region. Cone-beam computed tomography (CBCT) revealed a hyperdense entity with a laminated presentation in the right nasal fossa. The hyperdense entity was diagnosed as a rhinolith based on the radiographic findings. Although the patient was asymptomatic, a referral was made to an ear, nose, and throat surgeon for a further evaluation. This report highlights the importance of CBCT imaging in the diagnosis of soft-tissue calcifications.

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Section: Discussionsupporting

confidence: 90%

mentioning

confidence: 99%

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Rhinolith: An incidental radiographic finding

Maheshwari¹,

Etikaala

Syed³

2021

Imaging Sci Dent

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“…De forma geral, a cirurgia endoscópica nasossinusal é a via preferida, mas a abordagem externa também é uma possibilidade em casos mais complexos. 3,[6][7][8][11][12][13] No pós-operatório deve ser instituída antibioterapia profilática e analgesia adequada. A litotrícia, embora relatada por alguns autores, não é consensual.…”

Section: Discussionunclassified

“…Além de precisar o local exato da lesão e ser útil na programação de uma eventual abordagem cirúrgica, este exame permite também identificar patologias concomitantes, como rinossinusite ou desvios do septo nasal, bem como presença de complicações associadas. 6,[10][11][12] O diagnóstico diferencial abrange lesões hiperdensas das fossas nasais e inclui pólipo calcificado, sequestro ósseo, tumores benignos (hemangioma, osteoma, fibroma ossificante) e malignos (osteossarcoma, condrossarcoma). 4,10,11 CASOS CLÍNICOS…”

Section: Introductionunclassified

Rinolitíase: Revisão de Literatura a Propósito de Dois Casos Clínicos

Campos¹,

Pais²,

Barreto

et al. 2020

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A rinolitíase é uma patologia rara e pouco descrita na literatura. Um rinólito é uma massa calcificada das fossas nasais. Pode ser um achado acidental num doente assintomático ou ser causa de rinossinusite crónica e de destruição das fossas nasais e dos seios perinasais. É um diagnóstico a ter em conta nos casos de obstrução nasal e rinorreia unilaterais, sendo a endoscopia nasal e a tomografia computorizada fundamentais para o diagnóstico. O tratamento implica a sua remoção cirúrgica, podendo ser realizado sob anestesia local ou geral, geralmente por via endoscópica. Os autores apresentam dois casos clínicos que ilustram ambos os espectros desta condição e fazem uma revisão bibliográfica sobre o tema.

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