Ran Xiangqun, Zhao Xingyu, Tong Hongxia
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Nov;28(22):1804-5.
To analyze six cases concerning clinical features, the treatment process and curative effect of Rhinolith. The six patients had unilateral nasal obstruction, three of them were accompanied with purulent nasal discharge, two had blood with them, one patient had repeated hemorrhage of nasal cavity and two patients had developed headache. By using endoscopic, four irregular stones which are yellow, gray and brown were found in the middle and back end. Because of the severe nasal septum deviation and inferior turbinate polypoid, the stone could not be seen clearly but could be touched by aspirator. In sinus CT examination of 6 cases, it showed incomplete irregular shapes and had high density unilateral nasal cavity in the posterior segment. 4 patients had nasal deviation, 3 patients had ipsilateral sinusitis. 4 patients removed their stone by using endoscopy, 2 patients took the stone away after correction of nasal septum. Pathologic diagnosis: rhinolith. Two patients also had exogenous foreign matters which were considered as pseudo nasal stones.
分析6例鼻石症的临床特征、治疗过程及疗效。6例患者均有单侧鼻塞，其中3例伴有脓性鼻涕，2例伴有血性分泌物，1例鼻腔反复出血，2例出现头痛。经鼻内镜检查，在中后端发现4块不规则结石，呈黄色、灰色和棕色。因鼻中隔严重偏曲及下鼻甲息肉样变，结石无法清晰窥见，但可通过吸引器触及。6例鼻窦CT检查显示，后段单侧鼻腔呈不完全不规则形且密度增高。4例患者有鼻中隔偏曲，3例同侧有鼻窦炎。4例患者经鼻内镜取出结石，2例在鼻中隔矫正后取出结石。病理诊断：鼻石症。2例患者还伴有外源性异物，考虑为假性鼻石。
