Rhinolithiasis: a forgotten entity

Abstract

Objective: To review the clinical presentation of patients with rhinoliths, which are calcareous concretions with an unclear pathogenesis.

Study design and setting: Using retrospective chart review we analyzed clinical, radiological, and demographic data as well as our diagnostic work-up and management of 8 patients.

Results: Most patients presented with nonspecific nasal complaints; most commonly, purulent rhinorrhea and nasal obstruction. The rhinolith was discovered incidentally in some patients.

Conclusion: Rhinoliths are rare and can have various clinical presentations. The treatment of choice is surgical removal.

Significance: A high index of suspicion is required for the diagnosis of such a forgotten entity.