Nasal foreign body - Revision history

Danbot: Add verified PubMed references (PMIDs 35561441, 19018225)

2026-03-22T10:53:37Z

Add verified PubMed references (PMIDs 35561441, 19018225)

← Older revision		Revision as of 10:53, 22 March 2026
Line 1:		Line 1:
	==Background==		==Background==
	[[File:Mouth and pharynx.png\|thumb\|Nasal anatomy.]]		[[File:Mouth and pharynx.png\|thumb\|Nasal anatomy.]]
	*Common foreign bodies include food (beans, nuts, gum), marbles, batteries, beads, magnets, jewelry, stones, tissue, etc.		*Common foreign bodies include food (beans, nuts, gum), marbles, batteries, beads, magnets, jewelry, stones, tissue, etc. <ref>Jungbauer WN Jr, et al. Comparison of pediatric nasal foreign body removal by care setting: A systematic review and meta-analysis. Int J Pediatr Otorhinolaryngol. 2022 Jul;158:111162. PMID 35561441</ref><ref>Kiger JR, Brenkert TE, Losek JD. Nasal foreign body removal in children. Pediatr Emerg Care. 2008 Nov;24(11):785-92; quiz 790-2. PMID 19018225</ref>
	*Suspect foreign body in a patient with ''unilateral'' purulent or bloody nasal discharge or unilateral sinusitis even if no history of foreign body insertion.		*Suspect foreign body in a patient with ''unilateral'' purulent or bloody nasal discharge or unilateral sinusitis even if no history of foreign body insertion.
	*Small children may need [[Procedural sedation (peds)\|procedural sedation]] for removal efforts.		*Small children may need [[Procedural sedation (peds)\|procedural sedation]] for removal efforts.

2022-04-23T13:42:43Z

Evaluation

← Older revision		Revision as of 13:42, 23 April 2022
Line 19:		Line 19:

	==Evaluation==		==Evaluation==
			[[File:PMC3725977 BMRI2013-846091.001.png\|thumb\|Plain X-ray: a right nasal button battery foreign body. (a) Lateral view (double contour), (b) Anteroposterior view.]]
	[[File:PMC2882928 1752-1947-4-157-2.png\|thumb\|Sagittal view of calcified nasal packing foreign body]]		[[File:PMC2882928 1752-1947-4-157-2.png\|thumb\|Sagittal view of calcified nasal packing foreign body]]
	===Workup===		===Workup===

2022-04-23T13:41:41Z

Clinical Features

← Older revision		Revision as of 13:41, 23 April 2022
Line 11:		Line 11:

	==Clinical Features==		==Clinical Features==
			[[File:PMC3725977 BMRI2013-846091.004.png\|thumb\|Intra nasal view of a right nasal button battery foreign body.]]
	*History of foreign body insertion		*History of foreign body insertion
	*Foreign body seen on exam		*Foreign body seen on exam

2022-04-23T13:38:21Z

Evaluation

← Older revision		Revision as of 13:38, 23 April 2022
Line 18:		Line 18:

	==Evaluation==		==Evaluation==
			[[File:PMC2882928 1752-1947-4-157-2.png\|thumb\|Sagittal view of calcified nasal packing foreign body]]
	===Workup===		===Workup===
	*Typically not indicated		*Typically not indicated

2022-04-23T12:54:38Z

← Older revision		Revision as of 12:54, 23 April 2022
Line 3:		Line 3:
	*Common foreign bodies include food (beans, nuts, gum), marbles, batteries, beads, magnets, jewelry, stones, tissue, etc.		*Common foreign bodies include food (beans, nuts, gum), marbles, batteries, beads, magnets, jewelry, stones, tissue, etc.
	*Suspect foreign body in a patient with ''unilateral'' purulent or bloody nasal discharge or unilateral sinusitis even if no history of foreign body insertion.		*Suspect foreign body in a patient with ''unilateral'' purulent or bloody nasal discharge or unilateral sinusitis even if no history of foreign body insertion.
	*Small children may need [[Procedural ~~Sedation~~ (~~Peds~~)]] for removal efforts.		*Small children may need [[Procedural sedation (peds)\|procedural sedation]] for removal efforts.
	*Radiographic imaging unlikely to be helpful.		*Radiographic imaging unlikely to be helpful.
	**Exception: if suspect nasal foreign body but do not see one, consider radiography to rule out button battery or magnets across septum prior to discharge and follow-up with ENT		**Exception: if suspect nasal foreign body but do not see one, consider radiography to rule out button battery or magnets across septum prior to discharge and follow-up with ENT

2022-04-23T12:19:54Z

Clinical Features

← Older revision		Revision as of 12:19, 23 April 2022
Line 11:		Line 11:

	==Clinical Features==		==Clinical Features==
			*History of foreign body insertion
			*Foreign body seen on exam

	==Differential Diagnosis==		==Differential Diagnosis==

2022-04-23T12:18:14Z

Evaluation

← Older revision		Revision as of 12:18, 23 April 2022
Line 17:		Line 17:
	==Evaluation==		==Evaluation==
	===Workup===		===Workup===
			*Typically not indicated

	===Diagnosis===		===Diagnosis===
			*Typically clinical, based on history and exam

	==Management==		==Management==

2022-04-23T12:17:41Z

Differential Diagnosis

2022-04-23T12:16:49Z

@@ Line 10: / Line 10: @@
 {{FB types}}
-==Methods==
+==Clinical Features==
 *Consider afrin spray or atomized lidocaine with epinephrine prior to removal efforts.
 *Keep patient upright to avoid foreign body going back into airway
@@ Line 23: / Line 32: @@
 *#Balloon catheter (e.g. foley catheter or fogarty catheter or commercial Katz extractor) - snake catheter into nare past the foreign body → gently inflate balloon → gently pull catheter out of nare
 *#Suction (can make own with small caliber ETT cut short or 14 Fr suction catheter cut short)
 ==Complications==
@@ Line 31: / Line 46: @@
 *Tissue necrosis (batteries and magnets)
 *Prolonged foreign body or extensive edema increases risk of [[sinusitis]]
 ==See Also==

2022-04-23T12:02:06Z

← Older revision		Revision as of 12:02, 23 April 2022
Line 7:		Line 7:
	**Exception: if suspect nasal foreign body but do not see one, consider radiography to rule out button battery or magnets across septum prior to discharge and follow-up with ENT		**Exception: if suspect nasal foreign body but do not see one, consider radiography to rule out button battery or magnets across septum prior to discharge and follow-up with ENT
	*Always check other nare and ears - may have multiple foreign bodies		*Always check other nare and ears - may have multiple foreign bodies

			{{FB types}}

	==Methods==		==Methods==