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Sinolith in the ethmoid sinus: report of two cases and review of the literature

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Abstract

We present two cases of sinolith in the ethmoid sinus. The first was a 52-year-old woman who complained of nasal dyspnea, postnasal drip and dry cough. Computed tomography (CT) showed a smooth-margined oval stone embedded in the middle meatus and occupying the bulla ethmoidalis, which was destroyed. The second was a 71-year-old man who had had repeated polypectomies. An oval calcified mass was revealed on CT in the anterior ethmoid sinus adjacent to the left lamina papyracea. All pertinent literature were reviewed and only one further case of ethmoid sinolith was encountered. The etiology, radiological features, differential diagnosis and treatment are discussed.

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References

  1. Bowerman JE (1969) The maxillary antrolith. J Laryngol Otol 83:873–882

    Article  CAS  PubMed  Google Scholar 

  2. Grant DG, Hussain A, Burgel R (1998) Frontal sinolith. J Laryngol Otol 112:570–572

    Article  CAS  PubMed  Google Scholar 

  3. Mori S, Lee K, Fujieda S, Kojima A, Saito H (2000) Antrolithiasis in the frontal sinus. ORL 62:335–337

    Article  CAS  PubMed  Google Scholar 

  4. Kanzaki S, Sakamoto M (2006) Sinolith in the ethmoid sinus. J Laryngol Otol 120:E11. doi:10.1017/S0022215105000162

    Article  CAS  PubMed  Google Scholar 

  5. Nass Duce M, Talas DU, Ozer C, Yildiz A, Apaydin FD, Ozgur A (2003) Antrolithiasis: a retrospective study. J Laryngol Otol 117:637–640

    Article  PubMed  Google Scholar 

  6. Hadi U, Ghossaini S, Zaytoun G (2002) Rhinolithiasis: a forgotten entity. Otolaryngol Head Neck Surg 126:48–51. doi:10.1067/mhn.2002.121018

    Article  PubMed  Google Scholar 

  7. Orhan K, Kocyigit D, Kisnisci R, Paksoy CS (2006) Rhinolithiasis: an uncommon entity of the nasal cavity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 101:E28–E32. doi:10.1016/j.tripleo.2005.07.036

    Article  PubMed  Google Scholar 

  8. Ogata Y, Okinaka Y, Takahashi M (1997) Antrolith associated with aspergillosis of the maxillary sinus: report of a case. J Oral Maxillofac Surg 55:1339–1341

    Article  CAS  PubMed  Google Scholar 

  9. Che-Wei W, Chih-Feng T, Ling-Feng W, Kun-Bow T, Wen-Rei K (2005) Aspergillosis: a nidus of maxillary antrolith. Am J Otolaryngol Head Neck Med Surg 26:426–429. doi:101016/j.amjoto.2005.009

    Google Scholar 

  10. Momeni AK, Roberts C, Chew FS (2007) Imaging of chronic and exotic sinonasal disease: review. AJR 189:S35–S45. doi:10.2214/AJR.07.7031

    Article  PubMed  Google Scholar 

  11. Braun JJ, Bourjat P (2000) CT imaging of fungal and non-fungal caseous sinusitis. A report of 50 cases. J Radiol 81:227–231

    Google Scholar 

  12. Yoon JH, Dong GN, Hong SB, Young HK, Seung KCH, Hum-Jong D (1999) Calcification in chronic maxillary sinusitis: comparison of CT findings with histopathologic results. Am J Neuroradiol 20:571–574

    CAS  PubMed  Google Scholar 

  13. Ozcan C, Talas D, Gorur K, Aydin O, Yildiz A (2005) Actinomycosis of the middle turbinate: an unusual cause of nasal obstruction. Eur Arch Otorhinolaryngol 262:412–415. doi:10.1007/s00405-004-0832-y

    Article  PubMed  Google Scholar 

  14. Som PM, Lidov M (1994) The significance of sinonasal radiodensities: ossification, calcification, or residual bone? Am J Neuroradiol 15:917–922

    CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to thank Dr Lucia Batty MRCP MFOM and Dr Owen Keyes-Evans from King’s College Hospital, London, United Kingdom, for revising the English manuscript.

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The authors declare that they have no conflict of interest.

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Correspondence to Milan Almaši.

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Almaši, M., Andrašovská, M. & Koval, J. Sinolith in the ethmoid sinus: report of two cases and review of the literature. Eur Arch Otorhinolaryngol 267, 1649–1652 (2010). https://doi.org/10.1007/s00405-010-1321-0

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  • DOI: https://doi.org/10.1007/s00405-010-1321-0

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