Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2024; 12(20): 4331-4336
Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4331
Nasal congestion caused by long-term retention of a nasal foreign body near the orbit: A case report
Dan Wang, Qing Liu, Hui Liu, Jia-Sha Wei
Dan Wang, Qing Liu, Hui Liu, Jia-Sha Wei, Department of Rhinology, Zibo Central Hospital, Zibo 255000, Shandong Province, China
Author contributions: Wang D contributed to manuscript writing, editing and data collection; Wang D, Liu Q, Liu H and Wei JS contributed to data analysis, conceptualization and supervision; Wang D contributed to translating and reviewing; All authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jia-Sha Wei, BMed, Doctor, Department of Rhinology, Zibo Central Hospital, No. 10 Shanghai Road, Zhangdian District, Zibo 255000, Shandong Province, China. weijiasha_421@163.com
Received: March 4, 2024
Revised: April 24, 2024
Accepted: April 26, 2024
Published online: July 16, 2024
Processing time: 118 Days and 21.8 Hours
Abstract
BACKGROUND

Nasal trauma presents a risk of foreign body invasion into the nasal cavity. However, in the early treatment stage of nasal trauma, patients and doctors are not always aware of possible foreign body invasion, resulting in delayed detection. We describe the case of an adult patient admitted to the hospital due to left nasal congestion accompanied by yellow, purulent, and bloody discharge.

CASE SUMMARY

Consultation with the patient revealed a history of nasal trauma 30 years prior that did not receive thorough examinations and imaging during treatment, resulting in a glass fragment retained in the nasal cavity adjacent to the orbit. After admission, computerized tomography (CT) confirmed the presence of the foreign body in the patient’s left nasal–maxillary sinus. The nasal foreign body led to symptoms such as chronic sinusitis, nasal polyps, fungal infection, and deviated nasal septum. The foreign body was successfully removed by nasal endoscopy, polypectomy, sinus fungal removal, left middle turbinate conchoplasty, fenestration via the right inferior meatus, nasal endoscopic maxillary sinus cystectomy, and septolplasty. The operation was successful and without any complications.

CONCLUSION

CT scans should be performed in addition to necessary debridement sutures to avoid possible foreign body invasion during nasal trauma. Surgical planning should be tailored to the patient’s specific situation. The surgical method should be carefully selected, and sufficient preparation should be undertaken before the surgery to avoid possible displacement of the nasal foreign body.

Keywords: Nasal foreign body; Nasal endoscopic surgery; Adult patients; Nasal trauma; Case report

Core Tip: A 56-year-old man presented with persistent nasal congestion and purulent discharge caused by a glass foreign body retained in the nasal cavity adjacent to the orbit. This report describes the details of the patient’s medical history, clinical manifestations, diagnostic process, and successful surgical treatment and is further supported by a literature review.