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Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1982;25(2): 392-5. |
Two Cases of the Calculi which are Rare in the E.N.T. Field |
Seock Yong Lee, MD, Oh Kyoo Yang, MD, Sang Yul Shim, MD, Kang Mook Yoon, MD, and Jae Sun Kim, MD |
Department of Otolaryngology, Wonju School of Medical Science Yonsei University, Wonju, Korea |
이비인후과 영역에서 희귀한 결석증 2례 |
이석용 · 양오규 · 심상열 · 윤강묵 · 김재선 |
연세대학교 원주대학 의학부 이비인후과학교실 |
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ABSTRACT |
Compared with other medical parts, there are relatively rare cases of the calculi in the Otolaryngologic field. The authors have recently experienced cases of the tonsillolith and huge rhinolith. They were successfully removed under the local anesthesia. Small quantities of calcareous or gritty particles are often found in the center of the caseous plug filling the crypts of the tonsil in the chronic follicular tonsillitis. The patient usually give a history of repeated tonsillitis in the earlier years. The patient may be aware of a constant sensation as of a foreign body in the throat. The breath is often fetid. The tonsillar calculi was found to be the accumulated keratohyalin masses in the crypts. The rhinoliths are rare in nasal cavity. They usually have a foreign body nucleus of bacteria, blood clots, pus cells, mucus, crusts, or some foreign material from outside the body. They are largely composed of calcium and magnesium salts, principally carbonate with traces of sodium chloride. The condition is commonly found in adults and in female. They are usually unilateral and are located, in the majority of instances, in the lower portion of the nasal cavity. The first well documented cases of rhinolithiasis, however, were reported by Batholin in 1654. Since then over 400 cases have been reported. |
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