Conclusions
To the best of our knowledge, this study represents one of the largest
pediatric cohorts of NFB. Most patients with NFB are asymptomatic; thus,
a high index of suspicion of the possibility of a foreign body is
important. Button batteries and magnets in the nasal cavity are
extremely hazardous and can cause rapid tissue damage to the nasal
mucosa. Posterior location of NFB, left-sided insertion, multiple
failures of removal and older age were found to be associated with the
need of general anesthesia, and with consequent infections and
complications. With regards to previous publications, it is worth
mentioning that none of the patients in our cohort present with any
major complications, including respiratory distress nor signs of sepsis
or hemodynamic instability. This is in contrary to other reports.
Although aspiration of the NFB is a potential life-threatening
complication, we did not have such cases in our cohort. We believe that
our favorable results represent the outstanding cooperation between
pediatric ED physicians and otolaryngologists in our medical center.
Excellent teamwork is crucial for treating all patients, especially
children with NFB.