A Case of Nasal Cavity Foreign Bodies by Inhalation of Polyurethane Foam

Jae Hyuk Lee; Jin Su Park; Kyung Chul Lee; Seok Jin Hong

doi:10.18787/jr.2016.23.1.65

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Lee, Park, Lee, and Hong: A Case of Nasal Cavity Foreign Bodies by Inhalation of Polyurethane Foam

Case Report

J Rhinol 2016;23(1):65-69.

Published online: 10 January 2016

DOI: https://doi.org/10.18787/jr.2016.23.1.65

A Case of Nasal Cavity Foreign Bodies by Inhalation of Polyurethane Foam

Jae Hyuk Lee, MD¹, Jin Su Park, MD¹, Kyung Chul Lee, MD, PhD¹, Seok Jin Hong, MD, PhD^2,

¹Department of Otorhinolaryngology-Head and Neck Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul;

²Department of Otorhinolaryngology-Head and Neck surgery, Dongtan Sacred Heart Hospital, Hallym University School of Medicine, Hwaseong, Korea

교신저자：홍석진, 18450 경기도 화성시 큰재봉길 7 본관 2층 한림대학교 의과대학 동탄성심병원 이비인후과학교실 Tel: +82-31-8086-2670, Fax: +82-31-8086-2029, E-mail: enthsj@hanmail.net

Received 16 February 2016 Revised 2 April 2016 Accepted 20 April 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Foreign bodies in the nasal cavity are commonly encountered in otorhinolaryngologic practice, particularly among children and mentally handicapped patients. Such foreign bodies include plastic toys, pebbles, seeds, buttons, and many others. Many of these foreign bodies can be easily removed with simple tools. However, some of them adhere to the nasal mucosa, resulting in complications such as necrosis or neurovascular injury of the nasal mucosa. Polyurethane foam in the nasal cavity has never been reported in Korea. Furthermore, the complications caused by polyurethane foam in the nasal cavity have not yet been reported. In this article, we report a man who presented with polyurethane foam that had spread into both nasal cavity and nasopharynx by inhalation and adhered to the nasal cavity and sinuses.

Keywords: Polyurethane foam, Inhalation, Nasal cavity, Foreign bodies.

References

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Fig. 1.

Preoperative endoscopic findings. Whitish foreign bodies surrounding middle turbinate in right nasal cavity (A), inferior turbinate in right nasal cavity (B), middle turbinate in left nasal cavity (C), and in the nasopharynx (D).

Fig. 2.

PNS CT with noncontrast. Soft tissue densities with air bubbles sign (white arrow) were observed in the nasal cavity and the nasopharynx which were shown at coronal view (A), (B) and axial view (C).

Fig. 3.

Removed foreign bodies during operation. Multiple pieces of whitish foreign bodies were removed from both nasal cavity and the nasopharynx. Red-colored nasal mucosa attached to foreign bodies.

Fig. 4.

Postoperative follow-up endoscopic findings (POD 120 days). There were no whitish foreign bodies and no signs of necrosis and inflammation in both nasal cavity. (A) Right nasal cavity (B) Left middle meatus.

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