Accidental detection of an intra nasal foreign body during probing for congenital nasolacrimal duct obstruction Saudi Journal of Ophthalmology (2016) 30, 272–273 Photo essay Accidental detection of an[.]
Saudi Journal of Ophthalmology (2016) 30, 272–273 Photo essay Accidental detection of an intra-nasal foreign body during probing for congenital nasolacrimal duct obstruction Mohammad Javed Ali A male patient, aged years, underwent an endoscopic guided irrigation and probing for right sided congenital nasolacrimal duct obstruction (CNLDO) Once the probe was passed through the obstructed nasolacrimal duct, endoscopic guidance was sought to confirm the correct position During the attempt to gently lift the inferior turbinate (IT, Panel A) to visualize the probe, a round white object slipped Panel A: Endoscopic view of the right nasal cavity showing the foreign body with one of its end still in contact with the inferior turbinate (IT) from the inferior meatal edge (white arrow, Panel A) of the IT towards the septum The object was 10 10 mms approximately with one surface still in contact with the edge of the inferior turbinate (Panel A) The foreign body was slippery and gently retrieved using the straight Blakesley forceps Subsequent nasal cavity examination was normal The planned procedure for CNLDO was uneventful Following Panel B: The grayish black vegetable seed foreign body Received April 2016; accepted 31 October 2016; available online November 2016 Ó 2016 The Author Production and hosting by Elsevier B.V on behalf of Saudi Ophthalmological Society, King Saud University This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) http://dx.doi.org/10.1016/j.sjopt.2016.10.005 The Institute of Dacryology, L.V Prasad Eye Institute, Hyderabad, India e-mail address: drjaved007@gmail.com Peer review under responsibility of Saudi Ophthalmological Society, King Saud University Production and hosting by Elsevier Access this article online: www.saudiophthaljournal.com www.sciencedirect.com 273 Accidental detection of an intra-nasal foreign body during probing retrieval, the whitish discharge over the NFB was cleared and it was now noted to be grayish black in colour (Panel B) and a material of plant origin (vegetable seed) Comment Intranasal foreign bodies (NFB) are not very uncommon in children and are usually noted more in males below years of age.1 The common NFB reported include synthetic beads, nuts, seeds, beans, broken stationery items and button batteries.2 They are most commonly detected either because of reporting by the parents or following nasal symptoms but accidental detection during a procedure is rare.1,2 Although extremely rare, accidental finding of NFB can be encountered during paediatric lacrimal procedures and adequate care should be ensured in their gentle retrieval and subsequent endoscopic screening to assess for any trauma or complications of the foreign body Conflict of interest The author declares that there is no conflict of interest References Kalan A, Tariq M Foreign bodies in the nasal cavities: a comprehensive review of the etiology, diagnostic pointers, and therapeutic measures Postgrad Med J 2000;76:484–7 Heim SW, Maughan KL Foreign bodies in the ear, nose, and throat Am Fam Physician 2007;76:1185–9 ...273 Accidental detection of an intra- nasal foreign body during probing retrieval, the whitish discharge over the NFB was cleared and it was now noted to be grayish black in colour (Panel B) and... assess for any trauma or complications of the foreign body Conflict of interest The author declares that there is no conflict of interest References Kalan A, Tariq M Foreign bodies in the nasal. .. B) and a material of plant origin (vegetable seed) Comment Intranasal foreign bodies (NFB) are not very uncommon in children and are usually noted more in males below years of age.1 The common