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Rhino lithiasis is defined as a solid concretion secondary to the gradual deposition of calcium salt around an exogenous or endogenous central formation in the nasal cavity it is a relatively common condition in developing countries. We report a retrospective study spread over period of 9 years, from January 2012 to December 2020, relating to 16 cases of rhino lithiasis treated in our department. The protocol Included for each patient: an anamnesis, an ENT examination meticulous and systematic scam. Patients consulted for purulent and fetid rhinorrhea associated with nasal obstruction rhino lithiasis affected as many adults as children, the formal sex was affected in 68% of cases un favorable socioeconomic conditions were noted, in 75% of cases diagnostic times ranged from six months to ten years, the examination she the rhinolith as a grayish, hard concretion, unilateral in 15 cases ( 5 cases on the right an on the left ) and bilateral in one case in 2 cases, a foreign body was visualized on endonasal examination, the treatment consisted of an instrumental extraction by natural means (100% of cases) under general Anas the sea in 75% of cases the size of the rhinoliths varied between 5 to 30 mm in diameter. An underlying foreign body was found intraoperatively in 6 cases. Complication was rare (epistaxis: 3 cases), No recurrence was detected. It is always necessary to evoke a rhinolithiasis in front of a chronic unilateral fetid rhinnorhea with or without nasal obstruction on the same side. The nasosinus scanner confirms the diagnosis and helps to prepare the therapeutic strategy alongside the endonasal endocopic examination with the rigid optic which remains a means used both in diagnosis and in therapy. |
