An unusual long standing metallic foreign body in nasopharynx in an adult

Authors

  • Freni J. K. Department of ENT, Muthoot Hospital, Pathanamthitta, Kerala, India
  • Jibu K. Jo Department of Neurology, Muthoot Hospital, Pathanamthitta, Kerala, India
  • Prasanth Sankar Department of Medicine, Muthoot Hospital, Pathanamthitta, Kerala, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20213295

Keywords:

Foreign body, Nasopharynx, Long standing foreign body, Unusual site

Abstract

This case report was to highlight the occurrence of a long standing unusual foreign body in the nasopharynx in an adult. Foreign bodies are common in ENT practice universally. At times they may present as emergency requiring urgent intervention and many a times they go unnoticed as these are not suspected. Nasopharyngeal foreign bodies are rare in any age group. A 70 year old man presented to neurology department with complaints of headache of 1 month duration. CT brain angiography showed atherosclerotic wall calcifications in bilateral cavernous segment of ICA and there was an incidental detection of a metallic foreign body in the posterior wall of oropharynx. History revealed accidental ingestion of a ring into mouth at 1 year of age. Diagnostic nasal endoscopy (DNE) was done, FB (foreign  body) ring was seen at the level of left torus tubarius in nasopharynx and same removed in to intraorally. Care should be taken while removing these FBs. Digital manipulation for removal of such FBs are hazardous and should be avoided at all cost.

Metrics

Metrics Loading ...

References

DeWeese DD, Saunders AH. Acute and chronic diseases of the nose. In: DeWeese DD, Saunders AH, eds. Textbook of otolaryngology. St Louis: CV Mosby; 1982.

Majumdar PK, Sinha AK, Mookherjee PB, Ganguly SN. An unusual foreign body (10 NP coin) in nasopharynx. Ind J Otolaryngol Head Neck Surg. 1999;52(1):93.

Kalan A, Tariq M. Foreign bodies in the nasal cavities: a comprehensive review of the aetiology, diagnostic pointers, and therapeutic measures. Postgrad Med J. 2000;76(898):484-7.

Kumar S, Singh DB, Singh AB. An unusual nasopharyngeal foreign body with unusual presentation as nasal regurgitation and change in voice. BMJ Case Rep. 2013;2013:2013010005.

Tay AB. Long-standing intra nasal foreign body: an incidental finding on dental radiograph. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(4):546-9.

Martins RHG, Mano JB, DaSilva EF. Foreign body in nasopharynx: an accidental radiological finding. Braz J Otorhinolaryngol. 2006;72(3):431.

Kanotra SP, Kanotra S, Paul J. Cleft palate secondary to an ingested foreign body: a learning experience. J Emerg Med. 2012;43(5):315-7.

Sushil KK. Foreign body (coin) in the nasopharynx of a child and its management. Glob J Otolaryngol. 2016;1(5):555575.

Downloads

Published

2021-08-23

Issue

Section

Case Reports