Abstract
Rinolitiazis, burun içerisindeki bir yabancı cisim etrafında kalsifiye materyal birikimidir. Genellikle burnun ön kısmında bulunurlar. Tanısı endoskopik nazal muayene ve görüntüleme yöntemlerine dayanır. Rinolitin yerinin belirlenmesi ve operasyon kararının verilebilmesi için bilgisayarlı tomografi oldukça faydalıdır. Bu makalede, sol nazal kavitede obstrüksiyon, nefes almada güçlük ve son iki haftadır devam eden pürülan nazal akıntı şikayetleri ile kliniğimize başvuran ve dev bir rinoliti olan 16 yaşındaki bir hastayı sunduk. Endoskopik muayenede, nazal kavitedeki kitlenin nares girişinden koanaya kadar uzanım gösterdiği görüldü. Bilgisayarlı tomografide sol nazal kaviteyi tama yakın dolduran, yüksek derecede ranyodensiteye sahip, rinolit ile uyumlu görünüm izlendi. Rinolit endoskopik olarak çıkarıldı. Çıkarılan spesmen boyutları 10x5x4 cm idi. Rinolitler nadir olup, tanısı burunda yabancı cisim öyküsü ile birlikte fizik muayene ve nazal endoskopi ile konur. Rinolitlerin oluşumu yıllar alabilmektedir, bildiğimiz kadarıyla bu vaka, bu yaş grubunda bugüne kadar rapor edilmiş en büyük rinolit olgusudur.
References
- 1-Prasad V, Shenoy VS, Rao RA, Kamath PM,Sowmya V. A giant rhinolith: an unusual entity. Online J Otolaryngol 2016; 6(1): 1-5.
- 2- Noh KB, Sachlin IS, Gazali N, Shukri NM. Giant rhinolith: A case report. Egypt J Ear Nose Throat Allied Sci 2016; http://dx.doi.org/10.1016/j. ejenta.2016.09.005
- 3- Singh RK, Varshney S, Bist SS, Gupta N, Bhatia R, Kishor S. A case Of Rhinolithiasis. Online J Health Allied Scs.2008;7(2):7
- 4- Hsiao JC, Tai CF, Lee KW, Ho KY, Kou WR, Wang LF. Giant Rhinolith: A Case Report Kaohsiung J Med Sci 2005;21:582–5
- 5- Shamanna K, Shivakumar KL, Rajput R. An Unusual Case of Foreign Body in the Nose Presenting as Rhinolith. J Evidence Based Med Health Care 2014;1(7):450-4.
Abstract
Rhinolithiasis is the formation of calcified material around an intranasal foreign body. They are generally found in the anterior part of the nasal cavity. Diagnosis is based on endoscopic nasal examination and imaging methods. Computerized tomography (CT) is useful in determining the location of rhinoliths and in the decision to operate. In this report, we described a 16-year-old patient with a giant rhinolith who presented with obstruction in the left nasal cavity, difficulty breathing and purulent discharge for the previous 2 weeks.Endoscopic nasal examination revealed that the mass in the nasal cavity extended from the entrance to the anterior nares to the choana.A mass compatible with rhinoliths obliterating almost the entire left nasal cavity and with high radiodensity was determined at CT.The rhinolith was excised endoscopically. The extracted specimen was 10x5x4 cm in size. Rhinoliths are rare, and diagnosis is based on a history of foreign body in the nose, physical examination and nasal endoscopy. Rhinoliths take many years to form, and to the best of our knowledge this is the largest rhinolith reported to date in such a young patient.
References
- 1-Prasad V, Shenoy VS, Rao RA, Kamath PM,Sowmya V. A giant rhinolith: an unusual entity. Online J Otolaryngol 2016; 6(1): 1-5.
- 2- Noh KB, Sachlin IS, Gazali N, Shukri NM. Giant rhinolith: A case report. Egypt J Ear Nose Throat Allied Sci 2016; http://dx.doi.org/10.1016/j. ejenta.2016.09.005
- 3- Singh RK, Varshney S, Bist SS, Gupta N, Bhatia R, Kishor S. A case Of Rhinolithiasis. Online J Health Allied Scs.2008;7(2):7
- 4- Hsiao JC, Tai CF, Lee KW, Ho KY, Kou WR, Wang LF. Giant Rhinolith: A Case Report Kaohsiung J Med Sci 2005;21:582–5
- 5- Shamanna K, Shivakumar KL, Rajput R. An Unusual Case of Foreign Body in the Nose Presenting as Rhinolith. J Evidence Based Med Health Care 2014;1(7):450-4.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Publication Date | January 1, 2018 |
| Published in Issue | Year 2018 |