Foreign Body Nose: An Unusual Presentation

Introduction This is a very interesting case of retained homicidal foreign body in the nose in contrast to most of the foreign bodies which are accidental. Case Report A 27 year old male presented to ENT emergency with alleged history of assault over face with sharp object following which pati...

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Main Authors: Ankit Gulati, Surinder K Singhal, Shashikant A Pol, Nitin Gupta
Format: Article
Language:English
Published: The Association of Otolaryngologists of India, West Bengal 2021-02-01
Series:Bengal Journal of Otolaryngology and Head Neck Surgery
Subjects:
Online Access:https://bjohns.in/journal3/index.php/bjohns/article/view/295
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author Ankit Gulati
Surinder K Singhal
Shashikant A Pol
Nitin Gupta
author_facet Ankit Gulati
Surinder K Singhal
Shashikant A Pol
Nitin Gupta
author_sort Ankit Gulati
collection DOAJ
description Introduction This is a very interesting case of retained homicidal foreign body in the nose in contrast to most of the foreign bodies which are accidental. Case Report A 27 year old male presented to ENT emergency with alleged history of assault over face with sharp object following which patient developed nasal bleed. On examination vertical laceration of approximately 8 cm in length was present along left naso-orbital groove extending superiorly from medial canthus of left eye and inferiorly to nasal alar cartilage. On anterior rhinoscopy a metallic foreign body was seen in both nasal cavities, which appeared to be crossing from left to right side piercing the nasal septum. Foreign body was removed via open approach. Discussion Penetrating maxillofacial injury with foreign body impaction are less common. High index of suspicion is required in diagnosing these cases. Radiological intervention should be done to get idea of exact location and extent of foreign body. Lateral rhinotomy is a useful approach in removing these foreign bodies.
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spelling doaj.art-5a867295ea2d4a9285d6e6570b1a237e2024-03-02T13:31:14ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072021-02-0128310.47210/bjohns.2020.v28i3.295Foreign Body Nose: An Unusual PresentationAnkit Gulati0Surinder K Singhal1Shashikant A Pol2Nitin Gupta3GMCH-32 Sector 32 Chandigarh 160020GMCH-32JIPMERGMCH-32Introduction This is a very interesting case of retained homicidal foreign body in the nose in contrast to most of the foreign bodies which are accidental. Case Report A 27 year old male presented to ENT emergency with alleged history of assault over face with sharp object following which patient developed nasal bleed. On examination vertical laceration of approximately 8 cm in length was present along left naso-orbital groove extending superiorly from medial canthus of left eye and inferiorly to nasal alar cartilage. On anterior rhinoscopy a metallic foreign body was seen in both nasal cavities, which appeared to be crossing from left to right side piercing the nasal septum. Foreign body was removed via open approach. Discussion Penetrating maxillofacial injury with foreign body impaction are less common. High index of suspicion is required in diagnosing these cases. Radiological intervention should be done to get idea of exact location and extent of foreign body. Lateral rhinotomy is a useful approach in removing these foreign bodies.https://bjohns.in/journal3/index.php/bjohns/article/view/295Foreign BodyNoseHomicidalLateral Rhinotomy
spellingShingle Ankit Gulati
Surinder K Singhal
Shashikant A Pol
Nitin Gupta
Foreign Body Nose: An Unusual Presentation
Bengal Journal of Otolaryngology and Head Neck Surgery
Foreign Body
Nose
Homicidal
Lateral Rhinotomy
title Foreign Body Nose: An Unusual Presentation
title_full Foreign Body Nose: An Unusual Presentation
title_fullStr Foreign Body Nose: An Unusual Presentation
title_full_unstemmed Foreign Body Nose: An Unusual Presentation
title_short Foreign Body Nose: An Unusual Presentation
title_sort foreign body nose an unusual presentation
topic Foreign Body
Nose
Homicidal
Lateral Rhinotomy
url https://bjohns.in/journal3/index.php/bjohns/article/view/295
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AT surinderksinghal foreignbodynoseanunusualpresentation
AT shashikantapol foreignbodynoseanunusualpresentation
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