Nasal foreign body
| Nasal foreign body | |
|---|---|
 | |
| The medial side of the nasal cavity | |
 | |
| Specialty | ENT surgery |
| Symptoms | Bad smelling discharge from one side of the nose[1] |
| Complications | Bleeding, infection, aspiration[2] |
| Usual onset | 2 to 5 years old[2] |
| Causes | Paper, small stones, beans, button batteries[1] |
| Risk factors | Mental illness, developmental disabilities[2] |
| Diagnostic method | Looking in the nose[1] |
| Differential diagnosis | Sinusitis, nasal polyp[2] |
| Medication | Phenylephrine, procedural sedation[1][2] |
| Frequency | Relatively common[2] |
Nasal foreign body (NFB) is a foreign body in the nose.[3] Symptoms may include bad smelling discharge from one side of the nose.[1] They occur more commonly on a person's right.[2] Complications can include bleeding, infection, and aspiration.[2]
Objects that are typically placed in the nose include paper, small stones, beans, and button batteries.[1] Risk factors include mental illness or developmental disabilities.[2] Diagnosis is usually by looking in the nose.[1] Occasionally medical imaging may be needed.[2]
Treatment is by removal.[1] This may be done with a nasal speculum and forceps or blunt curved probe.[1] Having a parent seal their mouth over their child's mouth while blowing may be effective.[2] Placing phenylephrine in the nose may help as may procedural sedation.[1][2] Usually removal is not immediately required, except in the case of batteries or if a magnet is placed in each nostril.[2]
Nasal foreign bodies are relatively common.[2] They most commonly occur in children 2 to 5 years old.[2] It occurs more commonly in boys than girls.[2]
References
- 1 2 3 4 5 6 7 8 9 10 "Nasal Foreign Bodies - Ear, Nose, and Throat Disorders". Merck Manuals Professional Edition. Archived from the original on 20 February 2022. Retrieved 4 April 2022.
- 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Baranowski, K; Al Aaraj, MS; Sinha, V (January 2022). "Nasal Foreign Body". PMID 29083647.
{{cite journal}}: Cite journal requires|journal=(help) - ↑ "PEM Playbook - Foreign Bodies in the Head and Neck". emDOCs.net - Emergency Medicine Education. 30 March 2018. Archived from the original on 24 November 2020. Retrieved 4 April 2022.
External links
- emDocs Archived 2020-11-24 at the Wayback Machine
- Life in the Fastlane Archived 2021-04-16 at the Wayback Machine
- Ng, Tian-Tee (2016). "20 ways of removing a nasal foreign body in the emergency department". Otorhinolaryngology-Head and Neck Surgery. 1 (1): 2–6. doi:10.15761/OHNS.1000102.