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Related Experiment Video

Updated: Jun 21, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

[Nasal foreign body in infants].

I Claudet¹, S Salanne, C Debuisson

¹Service d'urgences pédiatriques, hôpital des Enfants, Toulouse cedex 9, France. claudet.i@chu-toulouse.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie

|July 7, 2009

Summary

Nasal foreign bodies (NFBs) are common in young children, often occurring at home. While most are benign, battery or magnet insertions require emergency removal due to severe risks. Positive pressure techniques may be attempted before medical intervention.

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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

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Area of Science:

Pediatric Emergency Medicine
Otolaryngology
Foreign Body Ingestion/Aspiration

Context:

Nasal foreign bodies (NFBs) are a frequent occurrence in pediatric emergency departments.
Accurate data on demographics, management, and outcomes of pediatric NFB cases are essential for optimizing care.

Purpose:

To conduct a descriptive analysis of children admitted to a pediatric emergency department (PED) for nasal foreign bodies.
To describe current knowledge and management strategies for pediatric nasal foreign body accidents.

Summary:

A retrospective study analyzed 388 children (<15 years) with 393 NFBs over five years. Most NFBs occurred in children under 4 years old, predominantly at home. Non-organic materials like plastic were most common. While most cases were resolved with instrumental extraction, 26% required ENT referral.
Symptoms were often absent, but bleeding, pain, and foul odor were noted. The right nostril was the most common location. One case required hospitalization for extraction under general anesthesia. Recurrent accidents were reported in 5 children.
The study highlights the need for prompt management, especially for button batteries or magnets, which pose significant risks of mucosal necrosis and septal perforation, necessitating emergency intervention. Positive pressure techniques may be considered as a first-line approach.

Impact:

Provides a comprehensive overview of pediatric nasal foreign body cases, aiding in understanding incidence, common materials, and seasonal variations.
Informs clinical practice by detailing common symptoms, extraction methods, and referral patterns, potentially improving efficiency in pediatric emergency settings.
Emphasizes the critical importance of recognizing and managing high-risk foreign bodies like batteries and magnets to prevent severe complications such as nasal septal perforation.