Rynolit u pacjentów po operacjach rozszczepu podniebienia - opis dwóch przypadków

Rhinolith is a mineralized deposit in nasal cavity. We present two cases of patients who have plastic surgery due to cleft palate in childhood, and who were diagnosed with rhinolith in adulthood. Patients complained of nasal obstruction, lacrimation and recurrent inflammation of the nasolacrimal duct. On the basis of clinical and endoscopic examination and after performing CT scan of the paranasal sinuses both patients were diagnosed with rhinolith of nasal cavity. Changes were removed under general anesthesia. In the follow-up after surgery, patients did not complain of nasal patency disorders and all symptoms have subsided. It seems that the most likely mechanism of rhinolith formation in the first case was mineralization of retained secretions (rhinolith around the endogenous foreign body). However, in the second case, the mechanism was most likely based on a mineralization around exogenous foreign body (gauze left after previous surgery).