Abstract
Otolaryngologists frequently encounter nasal foreign bodies, particularly among children and mentally retarded patients. Many unusual foreign bodies in the nose have been reported like nuts, plastic toy parts, beads and even button batteries. Several symptoms may be present in the case of a nasal foreign body which includes nasal discharge, epistaxis, infection, halitosis, foul breath or body odour and chronic sinusitis. We present a case of 19 years old girl with left sided nasal blockage, foul smell from left nostril and mouth with occasional nasal bleeding for last 13 years. She was treated conservatively but was not improved. On anterior rhinoscopy some blackish material covered with exudates was revealed which was very foul smelling and bleeds on touch. After nasoendoscopy we suspected that it would be an old foreign body which had already formed rhinolith. The large foreign body was fixed with floor, lateral and medial wall (nasal septum) and was removed by 0˚nasoendoscope and also through oral cavity under general anaesthesia.
 Delta Med Col J. Jan 2019 7(1): 49-52
Highlights
Cases of nasal foreign bodies are generally referred to otorhinolaryngologists.[1]
The presence of foul-smelling, purulent nasal discharge may be the sole symptom of a nasal foreign body; its remedy is the removal of the foreign body
Rhinolith is a partially or completely calcified mass of tissues in the nasal cavity which may form around a foreign body nidus or can develop de novo
Summary
K.M. Reza-Ul-Haq[1], Refat Tabassum[2], Shoriful Islam[3], Asif Imran Siddiqui[4], Mohammad Arman Zahed Basunia[5], Russel Ahmed Khan Lodi[6], Mithun Kumar Paul[7], Md. Amirul Islam[8]
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