Nasal foreign body (unnatural object in the nose)


Description

A foreign substance in the nasal cavity. It occurs most often in children when they put an object in their nose. At times the foreign body becomes lodged deep in the nose and cannot easily be seen by parents. It may cause symptoms of a runny nose and recurrent infections that are thought to be a sinus infection (sinusitis). At times these objects can be difficult to remove and may require general anesthesia for sedation.

Symptoms

Thick yellow nasal discharge, foul odor from the nose, noisy breathing, itching, nasal pain, recurrent nosebleeds, headaches.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be done. A CT scan will only be needed if there is suspected associated injury, suspected associated infection, or if the foreign body cannot be visualized.

Tests:
CT Scan

Specialists:
Internal Medicine, Pediatrics, Family Practice, Ear, Nose, and Throat (ENT), Pediatric ENT (Otolaryngology)

Treatment

Many methods can be used to remove the foreign body ranging from grabbing the object with forceps to forcing air through the other nostril. At times the patient may need to be sedated. If there is an associated laceration sutures may need to be done. Rarely surgery is required to repair an associated injury.
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