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Foreign body mimicking a nasal bone fracture
S Maitra1, C G L Hobbs, K L Evans
1Department of Otolaryngology and Head & Neck Surgery, Gloucestershire Royal Hospital, Gloucester, UK.
Insights
An extranasal foreign body caused a nasal fracture in an adult, a rare presentation. This case underscores the need for detailed patient history and wound examination after nasal trauma.
Area of Science:
- Otolaryngology
- Trauma Surgery
Background:
- Nasal foreign bodies are frequent in pediatric patients, usually self-inserted intranasally.
- Extranasal foreign bodies are rare, especially in adults.
Observation:
- A case report of an adult patient with an extranasal foreign body.
- The foreign body presented as a nasal fracture after facial trauma.
Findings:
- This presentation of an extranasal foreign body leading to nasal fracture is previously unreported.
- Highlights the diagnostic challenge of extranasal foreign bodies.
Implications:
- Emphasizes the critical role of thorough patient history in nasal trauma evaluations.
- Stresses the importance of meticulous wound exploration for penetrating nasal injuries.
Abstract:
Nasal foreign bodies are common in young children and are typically the result of intranasal placement by the child. The authors report a case of an extranasal foreign body in an adult, which presented as a nasal fracture following trauma to the nose. This uncommon presentation, previously unreported in the literature, highlights the importance of careful history taking in cases of nasal trauma and of thorough wound exploration if any penetrative injury is found.
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