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Asiri M, Al-Khulban MS, Al-Sayed G. Foreign Body in the Nasal Cavity: A Case Report. Cureus 2023; 15:e50373. [PMID: 38213370 PMCID: PMC10782271 DOI: 10.7759/cureus.50373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/12/2023] [Indexed: 01/13/2024] Open
Abstract
We present a case of a pediatric patient who presented to the emergency room with acute nasal discharge, foul smell, and nasal pain. The patient's mother witnessed her inserting a foreign body into the nasal passage. After thorough examination and diagnostic imaging, a metallic necklace bead was identified as the foreign body lodged in the nasal cavity. The patient was promptly prepared for emergency operating room intervention. The metallic foreign body was successfully extracted without complications using endoscopic equipment and careful manipulation. The patient recovered well, was admitted for one day for observation and supportive care, and was discharged home in excellent condition. Follow-up in the clinic revealed a satisfied patient with no complaints, no septal perforation, and a patent airway.
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Affiliation(s)
- Mohammed Asiri
- Otorhinolaryngology-Head and Neck Surgery, Aseer Central Hospital, Abha, SAU
| | - Mohammed S Al-Khulban
- Otolaryngology-Head and Neck Surgery, Armed Forces Hospital Southern Region, Khamis Mushait, SAU
| | - Ghalib Al-Sayed
- Otolaryngology-Head and Neck Surgery, Armed Forces Hospital Southern Region, Khamis Mushait, SAU
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2
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Bahranifad H, Zandifar Z, Zaheri PM, Wallin L, Karimi Akhormeh A, Parsa N. Prolonged Undiagnosed Nasal Foreign Body Case Report. Indian J Otolaryngol Head Neck Surg 2022; 74:1242-1245. [PMID: 36452771 PMCID: PMC9702311 DOI: 10.1007/s12070-020-02319-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 12/08/2020] [Indexed: 11/28/2022] Open
Abstract
The case report presented is a 22-year-old female with an undiagnosed nasal foreign body (NFB) in her right nasal cavity for 18 years. Previous physical examination and anterior rhinoscopy by other health care specialists failed to detect the NFB. She was treated conservatively by many ENT specialists as sinusitis with antibiotics therapy and anti-allergy drugs for many years with no improvement. Due to persistent sinus symptoms unrelieved by conservative treatment further investigation with a paranasal sinus computed tomography (CT) scan was completed that identified the NFB. The NFB was successfully removed surgically with the aid of nasal endoscopy under general anesthesia. The NFB was diagnosed as a piece of calcified externally cotton vegetation. This case highlighted the importance of complete investigation of persistent symptoms including imaging with a non-contrast spiral CT, in addition to a dilated physical examination, clinical and pathologic lab exam.
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Affiliation(s)
| | | | | | | | - Ali Karimi Akhormeh
- Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Nader Parsa
- Cardiovascular Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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3
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Jung HJ, Kim SW, Lee JS, Choi HG, Wee JH. Analysis of Nasal Foreign Bodies in South Korea: Over 10-Year Experience. Diagnostics (Basel) 2022; 12:diagnostics12081810. [PMID: 36010161 PMCID: PMC9406659 DOI: 10.3390/diagnostics12081810] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Revised: 07/18/2022] [Accepted: 07/26/2022] [Indexed: 11/22/2022] Open
Abstract
Foreign bodies (FBs) in the nasal cavity are commonly encountered in otorhinolaryngology. This retrospective study was conducted between January 2009 and December 2020. The nasal FB frequencies were investigated according to age and sex. The type, shape, and location of the FBs, onset, and clinical features were obtained. In a total of 1228 cases, the average age was 3.9 ± 5.7 years. We found a higher incidence in patients 2–4 years old. The most frequent nasal FBs were beads (24.0%), toys/plastics (17.8%), and beans/corn (15.8%). However, there were some differences in the nasal FB types according to the age group. There was no difference in the location of the nasal FBs according to age group, but nasal FBs were found more frequently in the right nasal cavity in the 1–3-years-old groups. Most patients (97.5%) visited the hospital the same day when the nasal FB insertion was suspected, and most were asymptomatic. After the removal of the nasal FBs, most patients were free of complications. Of the nine cases involving button batteries, septal perforation was observed in two patients who visited the hospital one or two days after the FB insertion. There were specific age-based characteristics of the nasal FBs that may serve as a basis for specific precautions.
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Affiliation(s)
- Hahn Jin Jung
- Department of Otorhinolaryngology-Head & Neck Surgery, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju 28644, Korea;
| | - Sun Wook Kim
- Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Korea; (S.W.K.); (J.S.L.); (H.G.C.)
| | - Joong Seob Lee
- Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Korea; (S.W.K.); (J.S.L.); (H.G.C.)
| | - Hyo Geun Choi
- Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Korea; (S.W.K.); (J.S.L.); (H.G.C.)
| | - Jee Hye Wee
- Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang 14068, Korea; (S.W.K.); (J.S.L.); (H.G.C.)
- Correspondence: ; Tel.: +82-31-380-3849
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4
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Jungbauer WN, Shih M, Nguyen SA, Clemmens CS. Comparison of pediatric nasal foreign body removal by care setting: A systematic review and meta-analysis. Int J Pediatr Otorhinolaryngol 2022; 158:111162. [PMID: 35561441 DOI: 10.1016/j.ijporl.2022.111162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Revised: 03/30/2022] [Accepted: 04/23/2022] [Indexed: 11/18/2022]
Affiliation(s)
- W Nicholas Jungbauer
- Medical University of South Carolina, Department of Otolaryngology - Head and Neck Surgery, Charleston, SC, USA.
| | - Michael Shih
- Medical University of South Carolina, Department of Otolaryngology - Head and Neck Surgery, Charleston, SC, USA
| | - Shaun A Nguyen
- Medical University of South Carolina, Department of Otolaryngology - Head and Neck Surgery, Charleston, SC, USA
| | - Clarice S Clemmens
- Medical University of South Carolina, Department of Otolaryngology - Head and Neck Surgery, Charleston, SC, USA
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Zewdu D, Wondwosen M, Chufamo M, Eanga S, Aga A, Ewnte B, Hunie M, Teshome D. The practice of foreign body removal from the ear, nose, and upper esophageal in children in Ethiopia: A retrospective descriptive study. Laryngoscope Investig Otolaryngol 2021; 6:1316-1320. [PMID: 34938868 PMCID: PMC8665465 DOI: 10.1002/lio2.688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 09/24/2021] [Accepted: 10/18/2021] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Ear, nose, and upper esophageal foreign body (FB) impaction in children is a common emergency in-hospital service. There are no clear guidelines regarding the management of ingested FBs. This study aimed to determine the FB in terms of type, anatomic site, management outcome, and associated complications. METHODS Retrospective study of children with ear, nose, and upper esophageal FB managed under general anesthesia (GA) at operating room of Wolkite Hospital in the southern part of Ethiopia between January 2019 and February 2021. Data were collected from the medical chart of the patients using a prepared checklist. The parameters included were age, sex, FB anatomic site, type, management outcome, and associated complications related to FB or procedure modalities. RESULTS A total of 169 (31.4%) study subjects were required GA for the removal of FBs. The mean age was 4.45 ± 3.20 years. Under 5 years old children comprises 61.5% of total cases. The most common anatomic site of FB impaction was in the ear 97 (57.4%). The most commonly found type of FB was cereals or seeds, which constituted 102 (60.35%). The complication rate was 18.35%. Epistaxis was the commonest complication (6.51%) from the nose while canal abrasion (5.92%) was common from the ear. CONCLUSION Ear, nose, and upper esophageal FBs were found more frequently in younger children. The ear was the most common anatomic site of FB impaction followed by the nose and upper esophageal. The most common type of FB was cereals or seeds. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- Dereje Zewdu
- Department of Anesthesia, College of Medicine and Health ScienceWolkite UniversityWolkiteEthiopia
| | - Mekete Wondwosen
- Department of Surgery, College of Medicine and Health ScienceWolkite UniversityWolkiteEthiopia
| | - Mulatu Chufamo
- Department of Surgery, College of Medicine and Health ScienceWolkite UniversityWolkiteEthiopia
| | - Shamill Eanga
- Department of Anesthesia, College of Medicine and Health ScienceWolkite UniversityWolkiteEthiopia
| | - Abdisa Aga
- Department of AnesthesiaHarar College of Health ScienceHararEthiopia
| | - Biniam Ewnte
- Department of Surgery, College of Medicine and Health ScienceDebre Tabor UniversityDebre TaborEthiopia
| | - Metages Hunie
- Department of Anesthesia, College of Health ScienceDebre Tabor UniversityDebre TaborEthiopia
| | - Diriba Teshome
- Department of Anesthesia, College of Health ScienceDebre Tabor UniversityDebre TaborEthiopia
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6
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Ayotunde O, Burkard DJ, Kolacki C, Zamarripa A, Ouellette L, Hamilton M, Jones JS. Nasal foreign body removal: Success rates for techniques and devices. Am J Emerg Med 2021; 56:384-385. [PMID: 34840003 DOI: 10.1016/j.ajem.2021.11.027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2021] [Revised: 11/17/2021] [Accepted: 11/18/2021] [Indexed: 11/17/2022] Open
Affiliation(s)
- Oluwatosin Ayotunde
- Department of Emergency Medicine, Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, MI, USA
| | - David J Burkard
- Department of Emergency Medicine, Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, MI, USA
| | - Christian Kolacki
- Department of Emergency Medicine, Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, MI, USA
| | - Angela Zamarripa
- Department of Emergency Medicine, Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, MI, USA
| | - Lindsey Ouellette
- Department of Emergency Medicine, Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, MI, USA
| | - Megan Hamilton
- Department of Emergency Medicine, Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, MI, USA
| | - Jeffrey S Jones
- Department of Emergency Medicine, Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, MI, USA.
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Wilson JL. Primary Care Removal of Fishhooks, Rings, and Foreign Bodies from the Ear, Nose, and Superficial Eye and Conjunctiva. Prim Care 2021; 48:655-676. [PMID: 34752276 DOI: 10.1016/j.pop.2021.07.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Embedded fishhooks, digital ring entrapment, and foreign bodies of the ear, nose, and superficial eye and conjunctiva may present to primary care clinics and can often be managed there. This review is a guide for primary care clinicians for effective, pragmatic, and safe techniques to address these scenarios in the office and when to refer them to a surgeon.
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Affiliation(s)
- J Lane Wilson
- Department of Family Medicine, East Carolina University Brody School of Medicine, 101 Heart Drive, Greenville, NC 27834, USA.
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Zavdy O, Viner I, London N, Menzely T, Hod R, Raveh E, Gilony D. Intranasal foreign bodies: A 10-year analysis of a large cohort, in a tertiary medical center. Am J Emerg Med 2021; 50:356-359. [PMID: 34454399 DOI: 10.1016/j.ajem.2021.08.045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2021] [Revised: 08/13/2021] [Accepted: 08/17/2021] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Nasal foreign bodies (NFB) are commonly seen in pediatric patients seeking medical attention in the emergency department (ED). We aim to describe the occurrence, clinical presentation and management, of these cases, and to assess various risk factors for complications. METHODS A retrospective analysis of a computerized patient directory of 562 children admitted to the emergency department during a 10-year period, with NFB, in a tertiary pediatric hospital. RESULTS Upon admittance, most of the children (82%) were asymptomatic. Among the symptomatic children (18%), the primary symptoms were nasal discharge (10%), epistaxis (8%) and pain (4%). Younger children (under 4 years) were more likely to insert organic materials, compared to older children. Younger children were also admitted sooner to the emergency department and were more likely to present with nasal discharge. The overall complication rate was 5%. None of the children had aspirated the foreign body. Complications included infection (2%), necrosis (0.7%), septal perforation (0.5%), deep mucosal laceration (1.5%) and loss of foreign body (1.9%). Significantly higher rates of symptoms and complications were associated with button batteries. Increased risk for complications were observed according to type of foreign body, multiple attempts to remove it, posterior insertion and left-side insertion. CONCLUSIONS Nasal foreign bodies in children are common. Mostly, patients are asymptomatic, therefore a high index of suspicion is required, for quick diagnosis and safe removal, without complications.
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Affiliation(s)
- Ofir Zavdy
- Department of Otolaryngology, Head and Neck Surgery, Rabin Medical Center and Schneider Children's Medical Center of Israel, 4920235 Petach Tikva, Israel.
| | - Igor Viner
- Department of Otolaryngology, Head and Neck Surgery, Rabin Medical Center and Schneider Children's Medical Center of Israel, 4920235 Petach Tikva, Israel
| | - Nataly London
- Department of Otolaryngology, Head and Neck Surgery, Rabin Medical Center and Schneider Children's Medical Center of Israel, 4920235 Petach Tikva, Israel
| | - Tomer Menzely
- Department of Otolaryngology, Head and Neck Surgery, Rabin Medical Center and Schneider Children's Medical Center of Israel, 4920235 Petach Tikva, Israel
| | - Roy Hod
- Department of Otolaryngology, Head and Neck Surgery, Rabin Medical Center and Schneider Children's Medical Center of Israel, 4920235 Petach Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Eyal Raveh
- Department of Otolaryngology, Head and Neck Surgery, Rabin Medical Center and Schneider Children's Medical Center of Israel, 4920235 Petach Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Dror Gilony
- Department of Otolaryngology, Head and Neck Surgery, Rabin Medical Center and Schneider Children's Medical Center of Israel, 4920235 Petach Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
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9
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Chronic sinonasal symptoms due to retained bullet fragments in the skull base. OTOLARYNGOLOGY CASE REPORTS 2021. [DOI: 10.1016/j.xocr.2021.100290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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10
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Yan S, Zeng N, Chen G, Chen Y, Wu Z, Pan H, Teng Y, Ma X, Li L. Presentation and management of nasal foreign bodies in a Chinese metro area. Medicine (Baltimore) 2021; 100:e25626. [PMID: 33879736 PMCID: PMC8078234 DOI: 10.1097/md.0000000000025626] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 04/01/2021] [Indexed: 01/04/2023] Open
Abstract
Nasal foreign bodies in children are common complaints encountered by pediatric otolaryngologists. We investigated clinical features, diagnosis, and treatment of nasal foreign bodies in children in a Chinese metro area.Six hundred sixty eight children with nasal foreign bodies presented to Shenzhen Children's Hospital, diagnosed and treated by the authors were enrolled from January 2016 to October 2019, causes for medical consultation, age, sex, duration, types, locations, removal, and complications were recorded and analyzed.Nasal foreign bodies were common in children between 1 and 5 years of ages (96.8%). The right nasal cavity (61.4%) was the most common site for foreign body insertion (61.4%). Most of the children (89.4%) presented for a complaint of nasal discomfort or foreign body insertion themselves, or for foreign body impaction discovered by the caregivers. Most of the foreign bodies (85.0%) were discovered within 1 day. The most nasal foreign bodies were the whole toys and toy parts (34.1%). The majority of nasal foreign bodies (99.1%) located in the antero-inferior portion of the nasal cavities and could be removed with simple instruments. The occurrence of complications in nasal foreign bodies (10.2%) was not common.The present study objectively exhibited clinical features, diagnosis, and treatment of nasal foreign bodies in a Chinese metro area.
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Affiliation(s)
- Shang Yan
- Department of Otolaryngology, Shenzhen Children's Hospital
| | - Nan Zeng
- Department of Otolaryngology, Huazhong University of Science and Technology Union Shenzhen Hospital (Nanshan Hospital), Shenzhen, Guangdong, China
| | - Guowei Chen
- Department of Otolaryngology, Shenzhen Children's Hospital
| | - Yongchao Chen
- Department of Otolaryngology, Shenzhen Children's Hospital
| | - Zebin Wu
- Department of Otolaryngology, Shenzhen Children's Hospital
| | - Hongguang Pan
- Department of Otolaryngology, Shenzhen Children's Hospital
| | - Yishu Teng
- Department of Otolaryngology, Shenzhen Children's Hospital
| | - Xiangyu Ma
- Department of Otolaryngology, Shenzhen Children's Hospital
| | - Lan Li
- Department of Otolaryngology, Shenzhen Children's Hospital
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Alshehri WM, Aldosari A, Alherz AH, Alrashood OA, Al Qahtani B. Augmentation Rhinoplasty Using Iliac Crest Graft in Saddle Nose Deformity. Cureus 2020; 12:e9705. [PMID: 32944428 PMCID: PMC7489330 DOI: 10.7759/cureus.9705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Autologous bone graft is one of the management solutions for saddle nose deformity. This helps from both functional and esthetic perspective. Several features of autologous graft specify the best material used to repair bony and cartilaginous nasal defects. This article describes a case of a female who presented with saddle nose deformity after incidental insertion of a button battery in her nostril during childhood which was followed by depressed nasal dorsum. It was managed with good outcomes by augmentation rhinoplasty using an iliac crest bone graft.
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Affiliation(s)
| | - Abdullah Aldosari
- Otolaryngology - Head and Neck Surgery, King Saud Medical City, Riyadh, SAU
| | - Ahmed H Alherz
- Otolaryngology - Head and Neck Surgery, King Saud Medical City, Riyadh, SAU
| | - Omar A Alrashood
- Otolaryngology - Head and Neck Surgery, King Saud Medical City, Riyadh, SAU
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