To X-Ray or Not to X-Ray? Discussing Unknown Nasal Foreign Bodies and Button Batteries

Abstract

The emergency of esophageal button batteries is recognized. Foreign bodies in the ear or nose are treated as comparatively nonemergent. We present the case of a child who presented with suspected pen-nib in the nostril to highlight the importance of investigation and intervention in unwitnessed nasal foreign body and review the literature regarding X-rays in these cases. Fifteen papers were identified as per search parameters; 3 papers recommend the use of plain radiographs for nasal foreign bodies. We propose that in unwitnessed pediatric nasal foreign body insertion, a facial X-ray should be considered, especially if suspecting a metallic foreign body.

Current Approach to Diagnosis and Treatment of Foreign Body in Otorhinolaryngology

“…Early plain film X-rays should be justified for unwitnessed foreign body insertions, suspected unknown metallic foreign bodies, and disproportionate discharge or pain [20].…”