Yasny Jeffrey S, Stewart Stacy
Departments of Anesthesiology, Sinai School of Medicine, New York, NY, USA.
Anesth Prog. 2011 Fall;58(3):121-3. doi: 10.2344/11-00016.1.
Abstract Nasal foreign bodies may result from the abundant availability of tiny objects in our society and a curious child exploring his or her nasal cavities. An inserted object that is not witnessed or retrieved can remain relatively asymptomatic or cause local tissue damage and potentially yield more serious consequences. An unusual case of a young child who presented for dental rehabilitation under general anesthesia is described. Immediately prior to the nasotracheal intubation, an unanticipated foreign body was detected and safely removed before any injury occurred. This case report discusses the presentation and pathophysiology of nasal foreign bodies. Moreover, applicable suggestions are provided to aid in the prevention and management of the unexpected discovery of a nasal foreign body after the induction of general anesthesia.
摘要 在我们的社会中，微小物品随处可见，好奇的儿童探索自己鼻腔时可能会导致鼻腔异物。未被目睹或取出的插入物体可能相对无症状，也可能导致局部组织损伤，并可能产生更严重的后果。本文描述了一例在全身麻醉下进行牙齿修复的幼儿的罕见病例。在鼻气管插管即将进行之前，检测到一个意外的异物，并在未造成任何损伤之前安全取出。本病例报告讨论了鼻腔异物的表现和病理生理学。此外，还提供了适用的建议，以帮助预防和处理全身麻醉诱导后意外发现鼻腔异物的情况。
