PMC6457722_01
Deformation of the nasal pyramid on the right side
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The beginning of the symptomatology goes back to 4 years by the progressive installation of a right nasal obstruction associated with an anterior and posterior fetid chronic rhinorrhea unimpeded by well-conducted antibiotic treatment with occurrence of a progressive deformation of the ipsilateral nasal pyramid (Figure 1).
Coronal sinonasal computed tomography (CT) showing a high-density, calcified mass located between the inferior turbinate and nasal septum in the right nasal cavity with destruction of medial wall of maxillary sinus
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The nasosinusal tomodensitometry examination showed 3 cm long axis calcium density opacity, with a hypodensity at its center, with destruction of medial wall of maxillary sinus which led us to make the diagnosis of rhinolithiasis (Figure 2, Figure 3, Figure 4 ).
Axial sinonasal computed tomography (CT) showing rhinolite at the medium 1/3 of the right nasal fossa
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The nasosinusal tomodensitometry examination showed 3 cm long axis calcium density opacity, with a hypodensity at its center, with destruction of medial wall of maxillary sinus which led us to make the diagnosis of rhinolithiasis (Figure 2, Figure 3, Figure 4 ).
Sagittal sinonasal computed tomography (CT) showing incarceration of the rhinolite at the level of the inferior turbinate
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The nasosinusal tomodensitometry examination showed 3 cm long axis calcium density opacity, with a hypodensity at its center, with destruction of medial wall of maxillary sinus which led us to make the diagnosis of rhinolithiasis (Figure 2, Figure 3, Figure 4 ).
Extraction of the rhinolithe from back to front with a hook
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The extraction was carried out under general anesthesia under control of a rigid endoscope 0 , a hook having allowed the rhinolite to be brought from back to front (Figure 5) and a lower turbinectomy was performed due to its incarceration at the level of the inferior turbinate (Figure 6, Figure 7).
Endoscopic view of nasal cavity showing the posterior part of the rhinolite: tail of the inferior turbinate: choana: nasal septum
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The extraction was carried out under general anesthesia under control of a rigid endoscope 0 , a hook having allowed the rhinolite to be brought from back to front (Figure 5) and a lower turbinectomy was performed due to its incarceration at the level of the inferior turbinate (Figure 6, Figure 7).
Image of extracted rhinolithiasis rounded by granulation and inflammatory tissue
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The extraction was carried out under general anesthesia under control of a rigid endoscope 0 , a hook having allowed the rhinolite to be brought from back to front (Figure 5) and a lower turbinectomy was performed due to its incarceration at the level of the inferior turbinate (Figure 6, Figure 7).