![]() ![]() She was also placed on cerumol ear drops and subsequently had bilateral ear syringing with Normal saline irrigation via an 18 G cannular and a 20 mls syringe. She was commenced on syrup co-amoxiclav, Ibuprofen, pseudoephedrine hydrochloride and menthol crystal steam inhalation. The procedure was fast and well tolerated by the child. Patient had foreign body removed with a eusthachian tube catheter, patient was properly held between mother’s legs and there was no need for local or general anaesthesia, foreign body was non negative in nature, it was a piece of foam. ![]() The pinna were well formed, both external auditory canals were obscured by wax so tympanic membrane could not be visualised.Īn assessment of foreign body in the left nasal cavity was made with acute left maxillary sinusitis and left periorbital cellulitis. Mucopurulent post nasal discharge was noted on the posterior pharyngeal wall.Įxamination of the neck yielded no abnormal findings. On nasal toileting, a foreign body was noted. Left nasal cavity was covered by mucopurulent discharge. It was also tender to touch with differential warmth. The maxillary area was erythematous and swollen. She had periorbital swelling with differential warmth. On examination at the Ear, Nose, Throat, Head and Neck Clinic UBTH, she was febrile to touch, not pale, anicteric, there was no peripheral lymph node enlargement. Patient thus presented at a private hospital, the private hospital had no ear nose and throat specialist so patient was counselled and referred to the Ear, Nose, Throat, Head and Neck Clinic of the University of Benin Teaching Hospital, the closest teaching hospital from referal centre also located in Benin city, Nigeria. There was no dysphagia, odynophagia or refusal of meals, she also had no ear complains. There was associated fever, no visual loss, no epiphora. The swelling progressively increased to involve left maxillary area. There was associated foul smelling muco purulent left nasal discharge, however no pain and no epistaxis.Ī day later, the mother noted left periorbital swelling which progressively increased in size associated with redness of the left eye. Mother’s attention was drawn by patient to an object she inserted into her left nasal cavity mother tried to remove foreign body but could not. A 3 year old female presented with a referral from a private hospital with complaints of foreign body in the left nasal cavity of three days duration and left eye swelling of two days duration. ![]()
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