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

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.