Patients with foreign bodies in various locations often present to ENT emergency units. In the oropharynx, fishbone is the most common foreign body. In most cases, the foreign body cannot be found despite pain reported by the patient. The pain is due to injury to the oral mucosa and foreign body transition towards the gastrointestinal tract. If the foreign body is localized in an unusual location, diagnosis can be delayed. In such situations, diagnostic workup should be extended, which may include surgery.
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 rhino-lith in adulthood. Patients complained of nasal obstruction, lacrimation and recurrent inflammation of the nasolacrimal duct. On the basis of clinical and endoscopic examina-tion 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 symp-toms 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).
Jedną z przyczyn konsultacji na ostrym dyżurze laryngologicznym są ciała obce o różnym umiejscowieniu. W gardle środkowym najczęściej znajdowanym ciałem obcym jest ość. W większości przypadków ciało obce, pomimo dolegliwości bólowych, pozostaje niewidoczne. Jego obecność wiąże się ze zranieniem błony śluzowej jamy ustnej i przesunięciem ciała obcego w kierunku dalszych odcinków drogi pokarmowej. Nietypowe umiejscowienie ciała obcego może to doprowadzić to do opóźnienia rozpoznania. W takich sytuacjach trzeba wdrożyć dokładniejszą diagnostykę, czasem nawet zabiegową.
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.