Rhinolithiasis associated with septal perforation. A case report.

A case of bilateral rhinolithiasis secondary to bony septal destruction is reported. The lesion had developed over several years resulting in bilateral nasal obstruction with repeated bouts of fetid, purulent rhinitis. Rhinoscopy allowed localisation of the lesion in the posterior portion of both nasal fossae. Medical imaging (CT-scan) further revealed total destruction of the bony septum and the transverse presentation of the rhinolith anterior to the two choanae. Endoscopic examination, after extraction under local anesthesia, revealed the septal perforation.