An unusual case of chronic nasal foreign body

Description 

A 15-year-old boy was referred to the ear, nose and throat department with a 5-year history of left-sided nasal obstruction and purulent, foul-smelling nasal discharge. On flexible nasendscopy, mucopurulent discharge from the left middle meatus was noted and the nasendoscope could not be passed beyond this point. The right nasal passage was entirely normal.

A CT scan of the sinuses demonstrated a hyperdense, irregular mass measuring 2.5x2.5 cm in the left posterior nasal airway, projecting into the nasopharynx (figure 1). There was no history of foreign body insertion.

Figure 1

A coronal CT of the foreign body in the left nasal cavity.

Operative findings during examination under anaesthetic were of a large occlusive foreign body lodged in the posterior nasal cavity between the septum and inferior turbinate, eroding into the nasal septum (figure 2). There was distortion of the floor...

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