The aim of this article is to present a case with rhinolithiasis which also has ipsilateral asymmetric adenoid hypertrophy.
The patient underwent endonasal endoscopic surgery with the diagnosis of rhinolithiasis.
Rhinolithiasis is a clinical entity caused by rhinoliths (2).
1) Rhinolithiasis was first described in 1654, and since then, more than 600 cases have been reported in the literature.
Rhinolithiasis is a possible diagnosis for patients with densely mineralized lesions that appear to be benign and do not cause bony destruction.
The most common manifestations of rhinolithiasis are unilateral nasal discharge, nasal obstruction, and facial pain.
Rhinolithiasis occurs as a result of the calcification of an endogenous or exogenous nidus.
The pathogenesis of rhinolithiasis is not fully understood, but it is thought that the presence of a foreign body predisposes to a chronic inflammatory reaction and the precipitation of salts.
Based on the patient's clinical history and CT findings, we hypothesized that he had rhinolithiasis
2,3) When symptoms of rhinolithiasis do occur, they can range from a slight unilateral nasal discharge or obstruction to marked structural changes, depending on how long the mass has been present.
5) We report an unusual case of rhinolithiasis, and we briefly review the characteristics of this entity.
l,2,14) The physician should have a high index of suspicion for a diagnosis of rhinolithiasis in a patient with a densely mineralized lesion that appears to be benign and is not associated with bone destruction.