![]() Sometimes visualization occurs after suctioning of the discharge. Other clinical features of FB include nasal obstruction or mouth breathing, a history of FB insertion, and obvious visualization of the foreign object in the nasal passage.ĭiagnosis is made after direct visualization of an object or after visualization using an otoscope or headlight. 2 Button batteries may also cause these symptoms, as was seen in our patient, who presented with nasal bruising and epistaxis secondary to a lithium battery lodged in the right nasal cavity. This can cause local inflammation or even produce secondary infection leading to a foul smell, epistaxis, or facial pain. Nasal discharge that is purulent or foul smelling and more so unilateral is highly suspicious for FB, especially an FB of organic material. Paired disc magnets can also lead to septal perforation as a result of sustained compression of the nasal septum. Inserted button batteries, which are found in many toys and electronic devices, can lead to nasal septal perforation due to alkaline tissue necrosis and warrant emergency removal. Button batteries and magnets are concerning intranasal FBs with the potential to damage nasal structures. 1Ĭommon FBs include beads, rubber pieces, small toys, and food objects such as carrots, seeds, and chewing gum. Nasal FBs are most commonly seen on the right side, due to easy accessibility with the child’s right hand, and are usually located either on the floor of the nasal passage just under the inferior turbinate or superiorly in the nasal cavity just in front of the middle turbinate. It is important to remove FBs in a timely fashion, since certain objects can cause significant damage to intranasal structures. ![]() Nasal FBs are common in young children and can have organic or inorganic causes. At follow-up, the patient was doing well, with no further concerns. She was discharged home with nasal saline drops. At an outpatient follow-up visit to an otorhinolaryngologist the next day, the girl underwent nasal endoscopy to rule out nasal septal or other tissue damage. The nasal cavity was packed using hemostatic matrix with thrombin after the bleeding had been controlled. The FB-a lithium button battery-was removed using a Katz extractor. The films showed a 1.2-cm round metallic foreign body (FB) in the right nasal cavity, with intact bones and soft tissues ( Figures 1 and 2). Nasal bone radiographs were obtained to rule out fractures and foreign objects. The rest of the examination findings were normal.ĭuring attempted removal of the thick discharge, the curette hit against a hard surface that had not been clearly visualized through the otoscope. Otoscopic examination revealed thick, muddy-brown, serosanguinous discharge in the right nasal cavity. Inspection of the nose was positive for bruising over the nasal bridge and associated tenderness on palpation. ![]() The girl looked well and had normal vital signs. ![]() The child had no significant past history, had no known medication allergies, and was up to date with her immunizations. 1.An 18-month-old girl presented to the emergency department with a right-sided nasal bleed and bruising, which her mother attributed to a possible injury while the girl played outdoors earlier that day. It only takes three simple steps to complete an extraction with the Katz Extractor oto-rhino foreign body remover.ĭuring trial studies most extractions took, on average, less than 2 minutes to complete. Removal of foreign bodies has never been easier. This device may also be used in the external ear canal, based upon clinical judgment. Katz, MD, MPH, the Katz Extractor oto-rhino foreign body remover is intended principally for extraction of impacted foreign bodies in the nasal passages. The Katz Extractor oto-rhino foreign body remover - new, quick and simple solution for nasal and otic foreign body removal.ĭesigned in conjunction with David L. We are confident that once you try the Katz Extractor oto-rhino foreign body remover, you will be impressed with its fast, no hassle, easy-to-use qualities that will bring smiles to your patients and staff. Just peel back the Tyvek lid and the one-size-fits-all Katz Extractor oto-rhino foreign body remover is ready to use. There are no expensive supplies (such as Fogartys, Foleys, syringes, forceps, etc.) to hunt and assemble and no additional suction equipment is required. It comes in a convenient, ready-to-use, five-pack dispenser box. The Katz Extractor oto-rhino foreign body remover is a small, lightweight, single use device for quick and easy extraction of foreign bodies from the nose or external ear canal.
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