FOREIGN BODY IN THE NOSE

Usually occurs in children <5 years

Causes

  • Seeds, e.g., bean, peas, ground nut
  • Paper, foam rubber (e.g. mattress foam)
  • Beads, stones, metal objects

Clinical features

  • Usually inserted by the child, and therefore mostly found in the right-hand nasal cavity
  • Foreign body noticed by child/parent
    • May be visible or felt
    • Sharp object may cause bleeding
  • Unilateral foul-smelling discharge from the nose

Differential diagnosis

  • Infection in the nose, sinuses, or adenoids

Investigations

  • Usually not required (Clinical diagnosis is enough)
  • X-rays may be helpful in case of metallic objects like wires or ball bearings

MANAGEMENT

  • Sit the child up or wrap in a blanket

First aid

  • Blow through the mouth while blocking the unaffected side of the nose

Other methods of removal


Paper or foam rubber

  • Grasp firmly and remove with a fine forceps, e.g., Tilley’s forceps
  • Carefully pass a blunt hook behind the object, and then gently pull it out

If the above fails

  • Refer to an ENT specialist

Prevention

  • Caution children about placing objects in mouth, nose, and ears