Abstract

Background: Nasal foreign bodies (FBs) are a common pediatric emergency, particularly in young children. This study analyzes the characteristics, management, and outcomes of nasal FB cases in children treated at Almahawil Hospital, Babylon Governorate, Iraq.
Patients and Methods: A prospective study was conducted on 213 children aged 1–12 years who presented with nasal FBs over 36 months (January 2022–December 2024). Data collected included demographic details, FB characteristics, duration of FB presence, location, prior removal attempts, method of removal, and complications.
Results: Of the 213 children, 112 (52.6%) were male and 101 (47.4%) were female. Ages ranged from 1–12 years, with most cases in children aged 3–4 years (42.3%). FBs were removed within 24 hours in 38% of cases, while 30% had an unknown duration. Most FBs were found in the right nasal cavity (54.9%), and multiple FBs were noted in 8% of cases. The most common FBs included plastic bullets (34.7%), sponge fragments (20.7%), and beads (10.3%). Removal was performed in the outpatient clinic in 95.8% of cases, with 4.2% requiring general anesthesia. Complications were reported in 36.6% of cases, including nasal vestibulitis, rhinosinusitis, epistaxis, and nasal tissue necrosis. No long-term sequelae were observed.
Conclusion: Younger children are more prone to inserting foreign bodies, which are typically objects found at home. Unilateral nasal discharge in children is highly suggestive of a foreign body. Education for caregivers and healthcare providers on early detection and proper handling is crucial.