Nose Flashcards
Who do intranasal foreign bodies occur most commonly in?
children
Where are intranasal FBs most commonly found?
Floor of the nasal passage near the inferior turbinate
Superiorly in the nasal cavity just anterior to the middle turbinate
What two type of intranasal FBs require urgent removal because they can cause serious damage to nasal structures?
Button batteries
Paired disk magnets
What are the clinical presentations of an intranasal FB?
Mucopurulent nasal discharge
Foul odor
Epistaxis, UNILATERAL
Nasal obstruction
Mouth breathing
Often seen in younger children and intellectually disabled patients
When would you get an xray of an intranasal foreign body?
Only if it is suspected that the object will be picked up by an xray
Usually metal objects only
How does one diagnose an intranasal FB?
otoscope/headlight looking into nasal passages
How are intranasal foreign bodies removed?
Positive Pressure
Instrumentation
Are intranasal FB extractions urgent or elective procedures?
They are elective except in the case of a button battery or paired disk magnets
Which patients will receive instrumentation removal?
Those that cannot use positive pressure technique and have nonocclusive FB’s in the anterior portion of the nose
When should nasal drops not be used?
in patients with lodged button batteries
When should you refer an intranasal FB to otolayngology?
When patient has a posterior FB that is not readily visualized by anterior rhinoscopy
If there is a chronic or impacted FB associated with marked inflammation
Penetrating or hooked FBs
Any FB that cannot be removed at initial attempt due to poor cooperation, bleeding, or limited instrumentation
Which types of intranasal FB’s pass easily through the GI tract if ingested?
Button Batteries
Magnets
