Nasal foreign body

Case contributed by Dr Mostafa El-Feky

Presentation

Chronic left nasal obstruction, epistaxis and headache.

Patient Data

Age: 40 years
Gender: Male
CT

Paranasal sinuses

Metallic density foreign body at the middle of the left nasal cavity with surrounding granulation tissue. The left inferior nasal turbinate could not be differentiated from the granulation tissue mass. Mild bowing of the lateral and inferior walls of the left nasal cavity.

Mild mucosal thickening of the left maxillary sinus.

Deviated nasal septum towards the left side with a bone spur.

Case Discussion

It is unusual to find a long-standing foreign body impaction at the nasal cavity. The deviated nasal septum towards the left side with bone spur was mostly responsible in the arrest of further posterior progression of the foreign body.

Chronic impaction was complicated by granulation tissue formation surrounding the lesion resulting in partial obstruction of the left nasal airway and mild lateral bowing of the left nasal cavity inferior and lateral walls. 3D volume rendered images revealed a metallic sew-on snap button.

PlayAdd to Share

Case information

rID: 70183
Published: 11th Aug 2019
Last edited: 14th Aug 2019
System: Head & Neck
Inclusion in quiz mode: Included
Institution: Dar El Ashaa Center

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.