Asymptomatic Rhinolith Diagnosis Through MR and CBCT Imaging: A Case Report

Ada Oğulcan Üstün; Sedef Ayşe Taşyapan; Nuray Alimollaoğlu

doi:10.62243/edr.1647775

Asymptomatic Rhinolith Diagnosis Through MR and CBCT Imaging: A Case Report

Abstract

Aim Rhinoliths are rare calcified masses that form in the nasal cavity due to the progressive accumulation of calcium and magnesium salts around a central nidus. This case report aims to highlight the crucial role of dental professionals in the incidental detection of rhinoliths during routine radiographic examinations and to emphasize the importance of comprehensive radiographic evaluation and interdisciplinary collaboration for accurate diagnosis and timely management. Case Report The current report presents a case of a 42-year-old female patient who presented to the Istanbul University Faculty of Dentistry for a routine dental examination. A panoramic radiograph revealed an elliptical, opacified mass in the left nasal fossa and medial maxillary sinus. Cone Beam Computed Tomography (CBCT) confirmed a well-demarcated calcified lesion measuring 20.7 × 11.2 × 10.9 mm in the left inferior turbinate, with surrounding mucosal thickening. Retrospective review of the patient’s prior Magnetic Resonance Imaging (MRI) scans from 2021, obtained for an unrelated meningioma assessment, demonstrated an unreported elliptical lesion with a hyperintense periphery causing narrowing of the nasal passage. The patient was asymptomatic and had no recollection of previous nasal foreign body insertion. Discussion Rhinoliths are often asymptomatic and incidentally detected in radiographic imaging. Accurate diagnosis and timely otolaryngologic referral are essential to prevent potential complications. Conclusion This case underscores the critical role of dental professionals in identifying incidental rhinoliths during routine radiographic evaluations. A comprehensive radiographic evaluation, integrated with interdisciplinary collaboration, is imperative for the early diagnosis and prevention of complications associated with longstanding rhinoliths.

Keywords

References

Seyhun, N., Toprak, E., Kaya, K. S., Dizdar, S. K., & Turgut, S. (2020). Rhinolithiasis, a rare entity: Analysis of 31 cases and literature review. North Clinics of Istanbul, 8(2), 172–177
Çakabay, T., Üstün Bezgin, S., Tarakçıoğlu, M. C., Koçyiğit, M., et al. (2019). Rhinolithiasis: Mineralogical, chemical composition, clinical and radiological features of rhinoliths. The Turkish Journal of Ear Nose and Throat, 29(1), 52–53
Heidarizadeh, M., Sarrafzadeh, A., Mohebiniya, M., & Jadidi, S. (2024). Accidental finding prior to rhinoplasty: Rhinolith – A rare case report. Clinical Case Reports, 12(3), e8679.
Akkoca, Ö., Tüzüner, A., Demirci, Ş., Ünlü, C., Uzunkulaoğlu, H., Arslan, N., & Aktar, G. (2016). Patient characteristics and frequent localizations of rhinoliths. Turkish Archives of Otorhinolaryngology, 54(4), 154–157.
Aljfout, Q., Saraireh, M., & Maita, A. (2016). Rhinolith misdiagnosed as allergic rhinitis: Case report. Electronic Physician, 8(2), 1880–1883.
Ersözlü, T., & Gültekin, E. (2020). Rhinolith in the concha bullosa as a rare location: A case report. Journal of International Medical Research, 48(8), 1–4.
Maheshwari, N., Etikaala, B., & Syed, A. Z. (2021). Rhinolith: An incidental radiographic finding. Imaging Science in Dentistry, 51(3), 333–336.
Ozdemir, S., Akbas, Y., Görgülü, O., Selçuk, T., & Sayar, C. (2010). Rhinolithiasis: Review of 21 cases. American Journal of Rhinology & Allergy, 24(6), 136–139.

Details

Primary Language

English

Subjects

Oral and Maxillofacial Surgery

Journal Section

Case Report

Authors

Ada Oğulcan Üstün ^*
0009-0001-1367-5192
Türkiye

Sedef Ayşe Taşyapan
0000-0002-1880-9276
Türkiye

Nuray Alimollaoğlu This is me
0009-0004-5574-3335
Türkiye

Publication Date

August 31, 2025

Submission Date

February 27, 2025

Acceptance Date

March 10, 2025

Published in Issue

Year 2025 Volume: 3 Number: 2

DOI

https://doi.org/10.62243/edr.1647775

IZ

https://izlik.org/JA69LL57SN

Cite

RIS / Bibtex

APA

Üstün, A. O., Taşyapan, S. A., & Alimollaoğlu, N. (2025). Asymptomatic Rhinolith Diagnosis Through MR and CBCT Imaging: A Case Report. Eurasian Dental Research, 3(2), 41-44. https://doi.org/10.62243/edr.1647775

AMA

1.Üstün AO, Taşyapan SA, Alimollaoğlu N. Asymptomatic Rhinolith Diagnosis Through MR and CBCT Imaging: A Case Report. EDR. 2025;3(2):41-44. doi:10.62243/edr.1647775

Chicago

Üstün, Ada Oğulcan, Sedef Ayşe Taşyapan, and Nuray Alimollaoğlu. 2025. “Asymptomatic Rhinolith Diagnosis Through MR and CBCT Imaging: A Case Report”. Eurasian Dental Research 3 (2): 41-44. https://doi.org/10.62243/edr.1647775.

EndNote

Üstün AO, Taşyapan SA, Alimollaoğlu N (August 1, 2025) Asymptomatic Rhinolith Diagnosis Through MR and CBCT Imaging: A Case Report. Eurasian Dental Research 3 2 41–44.

IEEE

[1]A. O. Üstün, S. A. Taşyapan, and N. Alimollaoğlu, “Asymptomatic Rhinolith Diagnosis Through MR and CBCT Imaging: A Case Report”, EDR, vol. 3, no. 2, pp. 41–44, Aug. 2025, doi: 10.62243/edr.1647775.

ISNAD

Üstün, Ada Oğulcan - Taşyapan, Sedef Ayşe - Alimollaoğlu, Nuray. “Asymptomatic Rhinolith Diagnosis Through MR and CBCT Imaging: A Case Report”. Eurasian Dental Research 3/2 (August 1, 2025): 41-44. https://doi.org/10.62243/edr.1647775.

JAMA

1.Üstün AO, Taşyapan SA, Alimollaoğlu N. Asymptomatic Rhinolith Diagnosis Through MR and CBCT Imaging: A Case Report. EDR. 2025;3:41–44.

MLA

Üstün, Ada Oğulcan, et al. “Asymptomatic Rhinolith Diagnosis Through MR and CBCT Imaging: A Case Report”. Eurasian Dental Research, vol. 3, no. 2, Aug. 2025, pp. 41-44, doi:10.62243/edr.1647775.

Vancouver

1.Ada Oğulcan Üstün, Sedef Ayşe Taşyapan, Nuray Alimollaoğlu. Asymptomatic Rhinolith Diagnosis Through MR and CBCT Imaging: A Case Report. EDR. 2025 Aug. 1;3(2):41-4. doi:10.62243/edr.1647775