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Paediatr Anaesth. 2011 Nov;21(11):1100-2. doi: 10.1111/j.1460-9592.2011.03578.x. Epub 2011 Apr 8.

Nasal foreign bodies in children: considerations for the anesthesiologist.

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Department of Anesthesiology, The Mount Sinai School of Medicine, New York, NY 10029-6574, USA.


The combination of a curious young child exploring his/her nasal cavities, with the abundance of small inert and natural objects in our society, culminates in a significant number of nasal foreign bodies (NFBs). Usually NFBs are benign entities, yielding relatively simple resolutions and mild morbidities. However, their presence can lead to much more serious consequences if they are inserted unwitnessed, grow asymptomatically for several months or years, and significantly affect surrounding tissues. Moreover, if these substances become displaced posteriorly and enter the lower respiratory tract, dire circumstances may occur. This article discusses the different types of NFBs, various clinical presentations, diagnosis, pathophysiology, and pertinent considerations for the anesthesia care provider. Increasing one's awareness of the implications of NFBs, can optimize the safe treatment of patients harboring this development.

[Indexed for MEDLINE]

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