RESUMO
Rhinolith is a stone like nasal mass uncommon in children and adolescent. Diagnosis of rhinolithiasis may be difficult because of the possibility of varying clinical presentations. We report 2 cases in adults. The first was 23 years old female having unilateral nasal obstruction, cacosmia and occasional blood stained nasal discharge. The second case was that of a 47 years old male having unilateral foul smelling nasal discharge, progressive unilateral nasal obstruction, anosmia and atypical facial pain. Both were diagnosed on anterior rhinoscopy and rigid endoscopic examination of nose. Radiological evaluation of nose and paranasal sinuses were performed to confirm the diagnosis. These rhinoliths were removed using zero degree rigid nasal endoscope. Salient features of such large rhinoliths and the role of rigid endoscope in the diagnosis and treatment are discussed briefly enabling the attending physician to be aware of this infrequent entity in adults which requires high index of suspicion
RESUMO
Rhinosporidiosis is chronic granulomatous parasitic infection caused by Rhinosporidium seeberi. The organism is now classified under mesomycetozoa as a parasite. It predominantly affects mucous membrane of nose and nasopharynx but other sites are also involved. It is non-contagious sporadic disease which is notorious for its high rate of recurrence and vascularity. We report a 32 years old Indian male who presented in outpatient department of Rafha Central Hospital with complaint of recurrent epistaxis, intermittent left nasal obstruction and pedunculated fragile mass coming out from left nostril after forceful blowing of nose. Diagnosis was established by histopathology of partially excised lesion with high index of suspicion for rhinosporidiosis due to strawberry-like appearance of fragile polypoidal mass. The treatment involved total surgical excision of the lesion with electrocoagulation of the base using rigid nasal endoscope. This case is reported due to its rarity and high recurrence after surgical excision