Case Reports

doi: 10.25005/2074-0581-2020-22-4-650-654
EXTREMELY RARE CASE OF BILATERAL EXOGENIC RHINOLITHIASIS WITH 16 YEARS HISTORY

U.A. Kurbanov1,2, S.M. Dzhanobilova1, Sh.I. Kholov1,3, K.M. Mardonzoda1,4

1Khatlon State Medical University, Dangara, Republic of Tajikistan
2Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
3Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan
4Republican Clinical Hospital of Dangara, Dangara, Republic of Tajikistan

The article describes a rare case of bilateral rhinolithiasis. The presence of a foreign body in the nasal cavity comprised 16 years. Pathogenetic aspects of the occurrence of the rhinoliths and their chemical composition are presented. Frequent recurrent acute exacerbations of chronic rhinitis, sensations of unpleasant smell, partial loss of smell, breathing problems due to nasal congestion and durable ineffectiveness of previous treatment triggered the patient to address to the clinic. CT revealed the presence of a foreign body on both sides of the nasal cavity. The patient underwent the surgery on bilateral rhinolithiasis with the application of precision technology and optical zoom. The nidus of rhinolith became plastic bullets of a toy gun. Intraoperative complications were not observed. The duration of hospitalization was 5 days. Follow-up evaluation by CT of the nasal cavity and paranasal sinuses in the period of 4 months after surgery revealed the absence of foreign bodies and nasal symptoms.

Keywords: Foreign body, bilateral rhinolithiasis, nasal cavity, CT scan.

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Author information:


Kurbanov Ubaydullo Abdulloevich
Corresponding Member of the National Academy of Sciences, Doctor of Medical Sciences, Full Professor, Rector of Khatlon State Medical University; Professor of the Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
Researcher ID: E-1476-2019
ORCID ID: 0000-0002-5546-7180
Author ID: 845057
SPIN: 5959-8681
E-mail: kurbonovua@mail.ru

Dzhanobilova Sitora Murodilloevna
Candidate of Medical Sciences, Researcher, Science Innovation Department, Khatlon State Medical University
Researcher ID: E-1438-2019
ORCID ID: 0000-0001-9458-1798
E-mail: sattarstar77@gmail.com

Kholov Sharafdzhon Iskhokdzhonovich
Surgeon, Department of Reconstructive and Plastic Microsurgery, Republican Scientific Center for Cardiovascular Surgery; Assistant, Department of Surgical Disciplines № 1, Khatlon State Medical University
Researcher ID: E-1387-2019
ORCID ID: 0000-0003-1437-7979
E-mail: microsurgerytj@gmail.com

Mardonzoda Kurbonalii Mirzo
Surgeon, Republican Clinical Hospital of Dangara; Assistant, Department of Surgical Disciplines № 1, Khatlon State Medical University
Researcher ID: E-1383-2019
ORCID ID: 0000-0001-9507-9089
E-mail: tibplus@gmail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:


Kholov Sharafdzhon Iskhokdzhonovich
Surgeon, Department of Reconstructive and Plastic Microsurgery, Republican Scientific Center for Cardiovascular Surgery; Assistant, Department of Surgical Disciplines № 1, Khatlon State Medical University

734003, Republic of Tajikistan, Dushanbe, Sanoi str., 33

Tel.: +992 (918) 890079

E-mail: microsurgerytj@gmail.com