The rhinolith-a possible differential diagnosis of a unilateral nasal obstruction.
The rhinolith-a possible differential diagnosis of a unilateral nasal obstruction.
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DOI：
10.1155/2010/845671
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发表时间：
2010
影响因子：
0.8
通讯作者：
Riemann R
中科院分区：
文献类型：
--
作者：
Brehmer D;Riemann R
鼻石是鼻腔内的矿化异物，是前鼻镜检查的偶然发现。在未被发现的情况下，它们的体积会明显增大，并会导致难闻的鼻涕和呼吸问题。巨大的鼻结石现在非常罕见，因为改进的诊断技术，如内窥镜/显微鼻镜，现在可以在发育的早期阶段识别异物。我们报告一位37岁的病人，在5-6岁时，将一个异物，可能是一颗石头，放入他的右鼻腔。在陈述时，他抱怨说，过去10年来一直存在的右鼻孔呼吸困难。在过去的四年里，他周围的人都明显地闻到了鼻子里强烈的恶臭。在全身麻醉下，从右鼻腔取出结石。讨论了鼻石的可能成因，将我们的病例与文献中所描述的病例进行了比较，并考虑了可能的鉴别诊断。
Rhinoliths are mineralised foreign bodies in the nasal cavity that are a chance finding at anterior rhinoscopy. Undiscovered, they grow appreciably in size and can cause a foul-smelling nasal discharge and breathing problems. Giant nasal stones are now a very rare occurrence, since improved diagnostic techniques, such as endoscopic/microscopic rhinoscopy, now make it possible to identify foreign bodies at an early stage of development. We report the case of a 37-year-old patient who, at the age of 5-6 years, introduced a foreign body, probably a stone, into his right nasal cavity. On presentation, he complained of difficulty in breathing through the right nostril that had persisted for the last 10 years. For the past four years a strong fetid smell from the nose had been apparent to those in his vicinity. Under general anaesthesia, the stone was removed in toto from the right nasal cavity. The possible genesis of the rhinolith is discussed, our case compared with those described in the literature, and possible differential diagnoses are considered.