Pediatric Rhinolithiasis: Value of Computed Tomography in Diagnosis and Management – A Case Report

Rhinolithiasis is defined as a solid calcific concretion formed by the progressive deposition of calcium salts around a central core, which may or may not be resorbable, with variable shape and size. Computed tomography (CT) of the naso-sinus cavities is a crucial diagnostic tool. It enables accurate characterization of the shape, number, precise location, size, and origin of the lesion, providing imaging that is highly valuable for pre-therapeutic planning. We report the case of a 10-year-old child with a history of a syndromic right cleft lip and palate, surgically repaired at the age of one. The clinical examination was unremarkable, and the infectious workup was negative. Given the persistence of symptoms, a computed tomography scan of the naso-sinusal cavities was performed and revealed the presence of a rhinolithiasis.