Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Rhinolith

4,299 views

Published on

rhinolith, stone nose. removal rhinolith, removal stone nose, Pakistan

Published in: Health & Medicine
  • Login to see the comments

Rhinolith

  1. 1. RHINOLITH STONE IN THE NASAL CAVITY BRIG ANWAR UL HAQ
  2. 2. Aetiology • FB forms around the nidus – Exogenous Foreign Body – Blood clot – Inspissated secretions • Process – Slow deposition of • Calcium Salts • Magnesium salt
  3. 3. Growth • Large • Irregular • Pedunculated • Into the nooks and corners • May cause pressure necrosis of – Lateral wall – Septum – Hard Palate
  4. 4. Clinical Features • More Common in Adults • Unilateral Nasal Obstruction • Nasal Discharge – Foul Smelling – Bloody • Frank Epistaxis • Neuralgic Pain – Pressure
  5. 5. Examination • Colour – Grey – Brown – Greenish black • Surface – Irregular • Feels with a probe – Stony hard • Brittle – Breaks off • Granulations • Complications – Septal, lat wall or Plaltal erosion
  6. 6. Diagnosis • History • Anterior Rhinoscopy • Anterior Rhinoscopy after decongestion • Endoscopy • X- Ray • CT Scan
  7. 7. Diagnosis • History • Anterior Rhinoscopy • Anterior Rhinoscopy after decongestion • Endoscopy • X- Ray • CT Scan
  8. 8. Treatment Removal
  9. 9. Removal • Without anaesthesia • Local anaesthesia • General anaesthesia • Ant Rhioscopy • Endoscopy • Usually comes out in pieces - brittle
  10. 10. Methods of removal • forceps
  11. 11. Methods of removal • hook
  12. 12. Nasal Myiasis
  13. 13. Nasal Myiasis Maggots in Nose Atrophic rhinitis FB in nose Excessive nasal discharge Poor mental health
  14. 14. Clinical features • Discharge –Foul smelling –Bloody • Face and lip swelling • Maggots –Intense destruction • All nasal walls • Fistula may form
  15. 15. Treatment • Removal • Chloroform • Oil • Water
  16. 16. CSF RHINORRHOEA • SPONTANEOUS –SNEEZING –STRAINING • TRAUMATIC –IATROGENIC –ACCIDENTAL
  17. 17. CSF RHINORRHOEA (WASHOUT SIGN) FOVIA ETHMOIDALIS SPHENOID SINUS CRIBRIFORM PLATE
  18. 18. CSF RHINORRHOEA (INTRATHECAL FLUORESCEIN)
  19. 19. REPAIR OF CSF FISTULA-ETHMOID
  20. 20. REPAIR OF CSF FISTULA
  21. 21. THANK YOU

×