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Penetrating foreign body in the nasal floor through nasolacrimal duct

Roberto Santoro1, Valentina Katia Mannella1, Francesco Freni1

  • 1Department of Surgical Specialities, University of Messina, Messina, Italy.

BMJ Case Reports
|June 14, 2014
PubMed

Insights

This case report details an unusual nasal foreign body (FB) migration through the nasolacrimal duct and inferior turbinate. Prompt endoscopic removal is recommended to prevent complications from pediatric nasal FBs.

Area of Science:

  • Otolaryngology
  • Pediatric Medicine
  • Ophthalmology

Background:

  • Nasal foreign bodies (FBs) are common in children, presenting a frequent challenge for clinical otolaryngologists.
  • While FB removal is routine, complications can arise, including trauma and unusual migration pathways.
  • The nasolacrimal duct is a potential, though uncommon, route for FB extension within the nasal cavity.

Observation:

  • An unusual case of a foreign body (FB) migrating from the left medial canthus is presented.
  • The FB traversed the nasolacrimal duct, then the inferior turbinate, ultimately lodging in the nasal floor.
  • This migration pathway highlights a rare but significant clinical presentation.

Findings:

  • A transnasal endoscopic approach was successfully utilized for the removal of the deeply lodged nasal FB.
  • The endoscopic technique allowed for precise visualization and extraction of the foreign body.
  • This case demonstrates the feasibility of endoscopic management for complex FB presentations.

Implications:

  • Early diagnosis and intervention are crucial for managing nasal foreign bodies to prevent serious complications.
  • The transnasal endoscopic approach offers a minimally invasive and effective treatment option.
  • This case underscores the importance of considering unusual migration routes in pediatric nasal FB cases.

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