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References

Chai CK, Tang IP, Tan TY, Jong DE. A review of ear, nose and throat foreign bodies in Sarawak General Hospital: a five-year experience. Med J Malaysia. 2012; 67:17-20
Parajuli R. Foreign bodies in the Ear, Nose and Throat: an experience in a Tertiary Care Hospital in Central Nepal. Int Arch Otorhinolaryngol. 2015; 19:121-123
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Ramdoo K, Manjaly J, Tatla T. Delayed presentation of an undiscovered nasopharyngeal foreign body. BMJ Case Rep. 2014; https://doi.org/10.1136/bcr-2014-204246
Chan TC, Ufberg J, Harrigan RA, Vilke GM. Nasal body removal. J Emerg Med. 2004; 26:441-445
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Yasny JS, Stewart S. Nasal foreign body: an unexpected discovery. Anesth Prog. 2011; 58:121-123
Mallikarjauna R, Nalawade T. Incidentally detected nasal foreign body on routine dental radiograph. BMJ Case Rep. 2012; 1-3 https://doi.org/10.1136/bcr-2012-007369
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Foreign bodies in the nasal cavity: incidental findings during routine orthodontic radiographs

From Volume 45, Issue 4, April 2018 | Pages 351-354

Authors

Yung Lam

BDS, MFDS RCS(Glasg)

Dental Core Trainee in Restorative Dentistry, Leeds Dental Institute, Uttoxeter Road, Derby DE22 3NE, UK

Articles by Yung Lam

Alison Murray

BDS, MSc, MOrth RCS(Eng), FDS RCPS(Glasg)

Consultant Orthodontist, Royal Derby Hospital, Derby

Articles by Alison Murray

Anjli Patel

BDS, MFDS MSc, MOrth RCS(Edin), FDS Orth RCS(Edin)

Senior House Officer, Chesterfield Royal Hospital

Articles by Anjli Patel

Abstract

Abstract: Foreign bodies in the nasal cavity are common amongst young children as they begin to explore their senses. The occurrence in teenagers often goes unreported from a fear of embarrassment therefore resulting in a delay in presentation or until they become symptomatic. The sequelae of foreign bodies in the nasal cavity include prudent discharge, epistaxis, sinusitis and respiratory symptoms. If left untreated this can lead to mucosal necrosis, cutaneous fistula, rhinolith formation and chronic pain. Here, two patients who had foreign bodies in their nasal cavity, which were only discovered as an incidental finding as part of their orthodontic assessment, are reported.

CPD/Clinical Relevance: Clinicians should be mindful of the sequelae of foreign bodies in the nasal cavity and the need for thorough assessment of radiographic investigations, particularly in children.

Article

Foreign bodies (FB) in the nasal cavity are an unfortunate but common occurrence in children. The highest incidents are amongst young children 0–5 years-old as they explore their senses and it has been shown to drop significantly after the age of ten.1,2 It has also been shown to be more prevalent in boys than girls.3 FBs in the nasal cavity usually occur unilaterally and the most common objects are seeds, nuts and beads.1

The FB can be classified into two groups, organic and inorganic. Organic substances such as food, wood, paper and rubber absorb water and therefore are more likely to cause an inflammatory response and become symptomatic. These cases will need medical attention. The sequelae of foreign bodies in the nasal cavity include prudent discharge, epistaxis, sinusitis and respiratory symptoms.3,4,5 If left untreated this can lead to mucosal necrosis, cutaneous fistula, rhinolith formation and chronic pain.5,6

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