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Soft tissue intranasal foreign bodies

R E Wesley, J F Arterberry

    Annals of Emergency Medicine
    |April 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Soft tissue foreign bodies in children often cause unexplained chronic rhinorrhea. This study identifies their typical location in the anterior-superior nasal cavity, aiding diagnosis and treatment.

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    Area of Science:

    • Otolaryngology
    • Pediatrics
    • Foreign Body Detection

    Background:

    • Intranasal foreign bodies are common in young children, often presenting as chronic, unilateral, purulent, and fetid rhinorrhea.
    • Diagnosis can be challenging as the foreign material is frequently missed during routine nasal examinations.

    Observation:

    • This study presents four cases of soft tissue intranasal foreign bodies in children aged 1.5 to 3 years.
    • The foreign bodies were consistently located in the anterior-superior aspect of the nasal cavity, between the anterior edge of the middle turbinate and the nasal bridge.

    Findings:

    • The precise anatomic location of these soft tissue foreign bodies is documented for the first time.
    • Successful removal was achieved using a hemostat advanced superiorly along the anterior nasal border.

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  • No recurrence of symptoms was observed after removal.

    • Implications:

    • Accurate identification of this specific intranasal location can improve diagnostic accuracy for unexplained chronic rhinorrhea in young children.
    • Prompt removal prevents complications such as persistent rhinorrhea, pneumonia, and generalized body odor.
    • This finding offers a targeted approach for the effective management of soft tissue intranasal foreign bodies.