RT Book, Section A1 Shah, Ashish A1 Sobolewski, Brad A1 Mittiga, Matthew R. A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1177127479 T1 Nasal Foreign Body T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessmedicine.mhmedical.com/content.aspx?aid=1177127479 RD 2021/04/15 AB The nose is the most common site of aerodigestive tract foreign bodies in children. Most children present with a history of witnessed or suspected foreign-body insertion and are symptom free. However, one-quarter are discovered incidentally, with no preceding history by the caregiver. Common symptoms include mucopurulent discharge, foul odor, epistaxis, pain, and nasal obstruction. Objects most often include inorganic material (beads or small toys) and food. Unilateral foul-smelling discharge suggests organic or porous material (paper, sponge, foam rubber) or the long-standing presence of a foreign body leading to a localized inflammatory reaction.