fb nose.ppt useful for bds and mbbs students

ppt for bds

1. Foreign body nose
Dr Sudeep Mishra

2. »Nasal foreign bodies are a common condition in
Emergency
»Common in children
»Adults-mental disability
»Most doesn’t cause much problems
»Battery and magnets-can cause extensive injuries
»Dislodgement into lower airway may pose an serious
aspiration or fatal airway obstruction

3. Foreign bodies nose
•Animate or Inanimate
•Common in children
•Most are asymptomatic
•Foul smelling unilateral discharge and nasal
obstruction
•Common inanimate foreign bodies
•Buttons, seeds, peas, sponge, eraser etc

4. site
»The most common locations for NFBs to lodge are just
anterior to the middle turbinate or below the inferior
turbinate (see the illustration below).
»Because most people are right-handed, most FBs are
right sided.

5. complications
»Sinusitis
»Acute otitis media
»Nasal septal perforation
»Periorbital cellulitis
»Meningitis

6. management
•Forceps
•Foreign body hook
•If impacted-under general anesthesia, large
ones need lateral rhinotomy

7. Rhinolith
•Deposit of salts of calcium,
magnesium,carbonate,phosphate formed
around foreign body, mucous, blood etc
•C/F-obstruction, epistaxis, confirmed by ant.
Rhinoscopy and probing,
•X-ray
•RX-pernasal removal
•-lateral rhinotomy approach

8. Maggots
•Larval stage of flies
•Poor hygiene, immunocompromized, open infected wounds,
chronic discharge
•CF-foul nasal discharge, blood mixed, headache, crawling
sensation, occasionally epistaxis
•complication-Meningitis
•RX-packing & irrigation with
-Turpentine oil
-Chloroform water 1:4 ratio
surgical debridement
Antibiotics, prevention/using nets

9. Thank You