TY - JOUR T1 - Rhinolithiasis: Clinical Findings, Treatment Approach, and Associated Pathologies: A Single-Center Experience TT - Rinolitiazis: Klinik Bulgular, Tedavi Yaklaşımı ve Eşlik Eden Patolojiler: Tek Merkez Deneyimi AU - Günay, Mehmet Murat AU - Toptaş, Gökhan AU - Altan, Esma AU - Çadallı Tatar, Emel AU - Saka, Cem AU - Saylam, Güleser PY - 2024 DA - April Y2 - 2024 DO - 10.29058/mjwbs.1427023 JF - Medical Journal of Western Black Sea JO - Med J West Black Sea PB - Zonguldak Bülent Ecevit Üniversitesi WT - DergiPark SN - 2822-4302 SP - 52 EP - 57 VL - 8 IS - 1 LA - en AB - Aim: To identify the characteristics of rhinolithiasis in terms of its clinical, radiological, and surgical featuresin the largest case series in the literature.Material and Methods: A rhinolithiasis series comprising 32 cases that were treated at a singletertiary care center between 2014 and 2019 was reviewed retrospectively. The patients’ demographiccharacteristics, clinical features, rhinolith localization, accompanying sinonasal pathologies, and surgicaldata were noted. All patients underwent surgery via an endoscopic approach under general anesthesia,and any concomitant sinonasal pathology was treated during the same session. The patients werefollowed up with endoscopic examinations at the postoperative first and sixth months.Results: The sample consisted of 19 female (59.4%) and 13 male (40.6%) patients, with a mean ageof 35.53±15.06 years. The most common symptoms were nasal malodor (65.6%), nasal congestion(53.1%), and purulent nasal discharge (15.6%). Rhinoliths were located in the right nasal cavity in 17cases and the left nasal cavity in 15 cases. The most common localization of rhinoliths was betweenthe septum and the inferior turbinate (65.6%). A nidus was detected in only four cases (12.5%), ofwhich three belonged to an ectopic tooth. The most common concomitant nasal pathology was chronicrhinosinusitis (34.4%), followed by septal deviation (25%) and allergic rhinitis (9.4%). Endoscopicrhinolith excision was performed in 17 patients (53.1%), while surgical intervention was required foradditional pathologies in 15 patients (46.9%). The most common simultaneous surgical interventionwas septoplasty (15.6%).Conclusion: Rhinolithiasis should be considered in cases presenting with unilateral nasal symptomsthat persist or worsen after initial treatment. Since the treatment of rhinolithiasis is surgical excision, theappropriate approach is the preoperative detection of pathologies which require additional surgery thatcan be simultaneously undertaken with rhinolith excision. KW - Rhinolith KW - nasal obstruction KW - rhinolithiasis KW - nasal malodor KW - endoscopic surgery N2 - Amaç: Literatürdeki en geniş vaka serisi eşliğinde rinolitiazisin klinik bulgularını, tedavi yaklaşımlarını ve eşlik eden patolojileri tanımlamakamaçlanmıştır.Gereç ve Yöntemler: Kliniğimizde, 2014-2019 yılları arasında opere edilen 32 rinolitiazis olgusu retrospektif olarak incelendi. Hastalarındemografik özellikleri, rinolit lokalizasyonları, eşlik eden sinonazal patolojiler ve cerrahi verileri kaydedildi. Tüm hastalar genel anestezialtında endoskopik yaklaşımla opere edildi ve eşlik eden sinonazal patolojiler eş zamanlı olarak tedavi edildi. Hastalar ameliyat sonrasıbirinci ve altıncı aylarda endoskopik muayene ile takip edildi.Bulgular: Hastaların 19’u kadın (%59.4), 13’ü erkek (%40.6) hastalar olup, yaş ortalamaları 35,53±15,06 idi. En sık görülen semptomlarsırasıyla burunda kötü koku (%65.6), burun tıkanıklığı (%53.1) ve pürülan burun akıntısıydı (%15.6). 17 olguda sağ nazal pasajda, 15 olgudasol nazal pasajda tespit edilen rinolitler, yerleşim yeri açısından en sık septum ile alt konka arasında saptandı (%65.6). Üçü ektopik dişe aitolan sadece dört vakada (%12.5) nidus tespit edilebildi. En sık eşlik eden nazal patolojiler ise kronik rinosinüzit (%34.4), septum deviasyonu(%25) ve alerjik rinitti (%9.4). Olguların 17’sinde (%53.1) sadece endoskopik rinolit eksizyonu yapılırken, 15 hastaya (%46.9) eşlik edenpatolojiler sebebiyle ek cerrahi müdahale gerekti. En sık yapılan eş zamanlı cerrahi girişim ise septoplasti oldu (%15.6).Sonuç: Burun tıkanıklığı ile başvuran ve başlangıç tedavisinden sonra semptomları devam eden veya kötüleşen olgularda rinolitiazis akıldatutulmalıdır. 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