International Journal of Head and Neck Surgery

Register      Login

VOLUME 13 , ISSUE 3 ( July-September, 2022 ) > List of Articles


Giant Rhinolith in a Bizarre Form

Susan P Chacko, Devika S Shere, Adip K Shetty, Ritu K Sheth, Hruchali D Patangrao

Keywords : Computed tomography (CT), Endoscopic sinus surgery, Foreign body, Nasal bleed, Nasal cavity, Rhinolith

Citation Information : Chacko SP, Shere DS, Shetty AK, Sheth RK, Patangrao HD. Giant Rhinolith in a Bizarre Form. Int J Head Neck Surg 2022; 13 (3):91-93.

DOI: 10.5005/jp-journals-10001-1533

License: CC BY-NC 4.0

Published Online: 28-10-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Background: Rhinoliths are masses of calcified nature seen in the nasal cavity. It is a rare condition caused by gradual deposition of calcium and magnesium over an object which could be thick mucus plug or a piece of paper or seed. In such conditions the symptoms usually develop over the years causing persistent unilateral nasal discharge which could be foul smelling or bloodstained associated with nasal obstruction. Case description: We report one such case of a 39-year-old woman who presented with similar complaints in the right nostril, on evaluating her we were surprised to see the huge bizarre shaped rhinolith. Conclusion: A relatively rare condition is rhinolith, suspicion needs to be given in cases who present with unilateral foul-smelling rhinorrhea with bony hard mass seen in nasal cavity during examination. Computed tomography will help in planning the procedure. In cases with huge irregular rhinolith bleeding needs to be anticipated hence general anesthesia should be considered. Clinical significance: Suspicion of rhinolith needs to be given in cases who present with long-standing unilateral foul-smelling rhinorrhea after excluding other differential diagnoses by doing a computed tomography of paranasal sinuses.

PDF Share
  1. Vedasalam S, Sipaul F, Hill A, et al. Nasendoscopy for unusual nasal symptoms. BMJ Case Rep 2010;2010:bcr0420102911. DOI: 10.1136/bcr.04.2010.2911
  2. Polson CJ. On rhinoliths. J Laryngol Otol 1943;58(3):79–116. DOI: 10.1017/S0022215100011002
  3. Çakabay, T. Rhinolithiasis: mineralogical, chemical composition, clinical and radiological features of rhinoliths. The Turkish Journal of Ear Nose and Throat 2019;29(1):52-59. DOI: 10.5606/tr-ent.2018.36855
  4. Ozdemir S, Akbas Y, Görgülü O, et al. Rhinolithiasis: review of 21 cases. Am J Rhinol Allergy 2010;24(6):136–139. DOI: 10.2500/ajra.2010.24.3553
  5. Al Mastour AS, Ghnnam WM, Zubaidi AH. Rhinolith: delayed presentation after head trauma—a case report. Case Rep Otolaryngol 2012;2012:492081. DOI: 10.1155/2012/492081
  6. Ali DS. Congenital unilateral choanal atresia associated with a rhinolith. J Laryngol Otol 1967;81(3):359–362. DOI: 10.1017/s0022215100067177
  7. Srinivas C, Krishnappa S, Rao S, et al. Two rhinoliths in a single nasal cavity in an elderly patient mimicking fungal sinusitis. Clinical Rhinology An International Journal 2014;7(2):76–79. DOI: 10.5005/jp-journals-10013-1201
  8. Fatih A, Yusuf D, Ahmet U. A giant rhinolith: an unusual cause of pediatric halitosis, case report. Ann Otolaryngol Rhinol 2016; 3(2):1088.
  9. Girgis S, Cheng L, Gillett D. Rhinolith mimicking a toothache. Int J Surg Case Rep 2015;14:66–68. DOI: 10.1016/j.ijscr.2015.06.031
  10. Flood. Rhinolith: an unusual cause of palatal perforation. Br J Oral Maxillofac Surg 1988;26(6):486–490. DOI: 10.1016/0266-4356(88)90070-8
  11. Ali M. Giant ‘staghorn’ rhinolith in a 15-year-old girl. BMJ Case Rep 2018;11(1):e227587. DOI: 10.1136/bcr-2018-227587
  12. Aziz Y, Chauhan J, Hasan SA, et al. Staghorn rhinolith in nasopharynx: an unusual case. Indian J Otolaryngol Head Neck Surg 2008;60(1): 91–93. DOI: 10.1007/s12070-008-0029-6
  13. Primo BT, Stringhini DJ, da Costa DJ, et al. Delayed removal of maxillary third molar displaced into the maxillary sinus. Stomatologija, Baltic Dental and Maxillofacial Journal 2016;18(4):128–132. PMID: 28980543.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.