Rhinolithiasis

Abstract

The significance of computer tomography of paranasal cavities was confirmed in coronal lines, as the most valid radiological analysis which provides adequate diagnosis, differential diagnosis and helps in making the decision on surgical treatment. Surgery is obligatory and in most cases it is endonasal endoscopy. Bigger nasal stones (rhinoliths), progressing into the surrounding anatomic structures, are treated using rhinotomy and trepanation (Caldweell-Luc). In cases of greater rhynoliths with propagation into neighboring anatomic areas, cases of surgical treatment by lateral rhynotomy and trepancy of the sinuses (Caldwel-Luc) were shown.

Naso-oral fistula due to rhinolithiasis: a rare presentation

“…There have been occasional reports of rhinolith along with antrolith (11). Sometimes, inflammatory changes secondary to rhinolith can lead to a purulent form with complications, intracranial propagation and dacryocystitis (12). The rhinolith consists of a strongly elliptical core of calcium stearate (C36H70CaO4.H2O), surrounded by concentric growth rings consisting of sodium-containing whitlockite (Ca18Mg2(Na,H)(PO4)14) (13).…”