How to pull off nasal magnetic foreign body removal in the emergency department

Jamie L. Holland, Danny G. Thomas
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Abstract

Background

Nasal foreign body removal is a common procedure performed in the emergency department. However, the removal of magnetic nasal foreign bodies presents a unique challenge, and traditional removal techniques are often unsuccessful. These patients frequently warrant otolaryngology consultation (OC) and foreign body removal under general anesthesia.

Discussion

This case report describes an innovative technique for removal of two magnetic foreign bodies across the nasal septum in a pediatric patient presenting to the emergency department by utilizing equipment commonly on hand, including a small Magill forceps and the plastic handle of an 11-blade scalpel. The tapered/wedge shaped handle of the 11-blade scalpel was directed towards and glided between the nasal septum and the magnetic foreign body, thus separating them. The magnets were then drawn to the metal forceps by magnetic attraction.

Conclusion

The use of the technique described here can result in successful magnetic foreign body removal in the emergency department, reduce the likelihood of tissue trauma, and avoid the need for OC and removal under general anesthesia.

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如何在急诊科完成鼻腔磁性异物去除术
鼻异物清除术是急诊科常见的手术。然而,磁性鼻异物的去除是一个独特的挑战,传统的去除技术往往不成功。这些患者通常需要在全身麻醉下进行耳鼻喉科会诊和异物取出。本病例报告描述了一种创新的技术,通过使用常用的设备(包括小Magill钳和11刃手术刀的塑料柄),在急诊科为一名儿科患者切除两个穿过鼻中隔的磁性异物。11刃手术刀的锥形/楔形刀柄指向鼻中隔和磁性异物,并在两者之间滑动,从而将两者分离。磁铁被磁力吸引到金属钳上。结论采用本技术可在急诊科成功切除磁性异物,减少组织损伤的可能性,避免全身麻醉下手术切除。
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来源期刊
JEM reports
JEM reports Emergency Medicine
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