Management of chronic exogenous rhinolith with gingivonasal fistula: a case report

Authors

  • Foppi Puspitasari Department of Otorhinolaryngology, Head and Neck Surgery, Hasanuddin University. Makassar, Indonesia
  • Fadjar Perkasa Department of Otorhinolaryngology, Head and Neck Surgery, Hasanuddin University. Makassar, Indonesia

DOI:

https://doi.org/10.47391/JPMA.9784%20

Keywords:

Exogenous, fistule, ginggivonasal, rhinolith

Abstract

Recurrent rhinorrhoea that occurs chronically, needs to consider the possibility of a fistula in the nasal cavity, which has the potential to form a rhinolith. We report the case of a 39-year-old man with complaints of recurrent rhinorrhoea since four years ago, accompanied by thick secretions, symptoms of post-nasal drips, and olfactory disturbances. The patient had a history of removing the left upper molar (molar I), which causes a fistula in the tooth extraction site, making it more likely for food and drink to enter the left nasal cavity. Anterior rhinoscopy examination revealed a white mass in the left inferior meatus and a purulent odour discharge. In addition, there were gingival defects of the first molar teeth, multi-sinusitis, and nasal septum deviation. Rinolith extraction was performed using functional endoscopic sinus surgery, submucosal resection, and repair of gingivo-nasal defects with rotational flaps.

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Published

2024-05-24

How to Cite

Puspitasari, F., & Perkasa, F. (2024). Management of chronic exogenous rhinolith with gingivonasal fistula: a case report. Journal of the Pakistan Medical Association, 74(6), 1180–1182. https://doi.org/10.47391/JPMA.9784

Issue

Section

Case Report