Foreign body nose introduction clinical features, treatment, symptoms, consequences. Complete powerpoint presentation

1. By: Yogesh Kaushik

2. Introduction
• Nasal foreign bodies are mostly seen in children ( 2-
4 years)
• Seen in adults who are mentally retarded or
psychiatric illness.
• Foreign body nose harbours potential for mortality
if the object is dislodged into airway.

3. Frequently encountered foreign
bodies
• Pebbles
• Slate pencils
• Beads
• Buttons
• Peas
• Paper
• Maggots
• Rubber

4. Types of foreign bodies
ANIMATE
- Maggots
- Worms
INANIMATE
-Vegetables - Peas, Beans
-Minerals - Metals,
plastic
-Post Surgical - Swabs
-Sequestra - Syphilis,
Neoplasm

5. Consequences
Inert Foreign Body
• Infection and
inflammation of
mucous membrane
• Granulation tissue
formation and
ulceration of mucosa
• Necrosis of bone or
cartilage
Vegetable Foreign Body
• Absorbs water and
swell
• Evoke brisk
inflammatory response

6. Clinical features
-Unilateral fetid discharge
mucopurulent or blood
stained.
-U/l nasal obstruction.
-Pain
-Nasal bleed
-Excoriation of nasal
vestibular skin.
- Visible forign body

7. Nasal Myiasis
- Larval forms of flies
- Attracted by foul
smelling discharge
- Patient present with
intense
irritation,sneezing,
lacrimation,
headache.
- Death can occur
from meningitis.

8. Investigation
• Nasal endoscopy
• X- Ray
Differential Diagnosos
• Neoplasm
• Unilateral sinusitis
• Unilateral choanal
atresia

9. Treatment
• Solid and rounded foreign bodies: A blunt hook or
eustachian catheter is passed beyond the limit of
foreign body then the foreign body is dragged out
along the nasal floor.
• Children and apprehensive parents: General
anaesthesia wirh cuffed ET tube should be used.
Patient kept in rose's position and nasopharynx
packed.
• Positive pressure technique.

10. Animate foreign body
• Isolation and broad spectrum antibiotics
• Good nourishment
• Tab Vitamin and iron
• Inj Tetanus
• Removal by placing cotton soaked in 25%
chloroform and turpentine oil. (4:1)

11. Thank you