Magnetic removal of fragmented Crawford hook during nasolacrimal duct probing

We present the case of a 13-month-old girl with Down syndrome who underwent probing to alleviate nasolacrimal duct obstruction (NLDO). During the procedure, a distal portion of the deployed Crawford hook fragmented and became lodged in the right nasopharynx. Traditional intraoperative methods of visualization were unsuccessful; however, extraction of the fragment was achieved by using a nasogastric bridle magnet. This case demonstrates a novel method of metallic foreign body removal, which may be useful when exact location cannot be determined.