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Research Paper | Otorhinolaryngology | India | Volume 13 Issue 1, January 2024 | Popularity: 6.3 / 10

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Nasal Foreign Bodies: An Observational Study

Pankaj Chauhan, Shobha Mohindroo, Trilok Chand Guleria, Divyanshi Singh

Abstract: Background: Nasal foreign bodies are a common ENT emergency worldwide, particularly in children. Unless proven otherwise, unilateral foul-smelling nasal discharge in a child indicates the presence of a foreign body in the nose. Many nasal foreign bodies can be easily diagnosed and removed in outpatient settings using anterior rhinoscopy; however, anaesthesia may be required depending on their location and the patient's cooperation. Methods: A prospective observational study of 52 cases involving foreign bodies in the nose was conducted. The clinical evaluation involves anterior rhinoscopy with the thudicum nasal speculum, which usually results in the visualisation of the foreign body. The foreign bodies were then removed with the appropriate instruments, such as a Eustachian tube catheter, forceps, Jobson-Horne probe etc. General anaesthesia was required for patients with impacted, posteriorly placed foreign bodies and who were uncooperative. Data were collected, including the patient's age and gender, mode of presentation, the nature of the foreign body, the mode of treatment and the complications. Results: Fifty-two cases, diagnosed with nasal foreign bodies had presented to us in the department, there were 28 boys and 24 girls (boy: girl ratio 1.16:1).Most children were in the age group 3-6 years 55.77% (n=29) and 73% (n=38) had presented with foreign bodies in their right nostril. In our study the foreign body objects that were removed from the nasal cavity beads were the most common 28% (n=15). The majority of patients 67.3% (n=35) presented in less than 24 hours of the foreign body insertion in the nasal cavity. The majority of patients (96%) were treated in the emergency room for foreign body removal using various methods. In this study, the most common complication associated with nasal foreign body removal was epistaxis, which occurred in 58% (n=30) of patients. Conclusions: Foreign bodies in the nose require immediate attention due to the high risk of aspiration. The child's parents should be advised to be more vigilant, and public awareness campaigns regarding the dangers of nasal foreign bodies should be emphasised.

Keywords: Nasal, Foreign body, Unilateral, Rhinoscopy, Aspiration

Edition: Volume 13 Issue 1, January 2024

Pages: 1108 - 1110

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