Kharoubi S
Service ORL, CHU IBN ROCHD, Algerie.
Acta Otorhinolaryngol Belg. 1998;52(3):241-5.
A case of bilateral rhinolithiasis secondary to bony septal destruction is reported. The lesion had developed over several years resulting in bilateral nasal obstruction with repeated bouts of fetid, purulent rhinitis. Rhinoscopy allowed localisation of the lesion in the posterior portion of both nasal fossae. Medical imaging (CT-scan) further revealed total destruction of the bony septum and the transverse presentation of the rhinolith anterior to the two choanae. Endoscopic examination, after extraction under local anesthesia, revealed the septal perforation.
报告了一例继发于鼻中隔骨质破坏的双侧鼻石症病例。该病变已发展数年,导致双侧鼻塞,并伴有反复发作的恶臭脓性鼻炎。鼻镜检查确定病变位于双侧鼻腔后部。医学影像(CT扫描)进一步显示鼻中隔完全破坏,鼻石在两个后鼻孔前方呈横向分布。在局部麻醉下取出后,内镜检查发现鼻中隔穿孔。