Departament of Surgery and Diagnosis, School of Dentistry, São Paulo State University (Unesp), Araçatuba.
J Craniofac Surg. 2024 Oct 1;35(7):e681-e683. doi: 10.1097/SCS.0000000000010551. Epub 2024 Aug 26.
Although rhinoliths are rare, they deserve attention and should be considered in the differential diagnoses of calcified lesions that can affect the nasal cavity and maxillary sinus region. This article reports a case of a large rhinolith in the nasal cavity caused by cocaine use. Initially, the patient denied drug use, leaving several uncertainties regarding the diagnosis, including recurrent sinusitis. However, after the histopathologic results, the patient admitted to previous cocaine use, emphasizing the importance of honesty in the medical history to guide diagnostic hypotheses, as well as the awareness of the diagnostic possibility of a rhinolith to assist in treatment.
尽管鼻石较为罕见，但它们值得关注，并且应该被考虑在可能影响鼻腔和上颌窦区域的钙化病变的鉴别诊断中。本文报告了一例因可卡因使用而导致鼻腔内出现大鼻石的病例。最初，患者否认使用药物，这使得诊断存在一些不确定性，包括反复发作的鼻窦炎。然而，在进行组织病理学检查结果后，患者承认曾使用可卡因，这强调了在病史中保持诚实以指导诊断假设的重要性，同时也意识到鼻石的诊断可能性，以协助治疗。
