Foreign Body Inhalation - Essay Example

Attempts to remove foreign material from the nasal cavity may be difficult because the material may be deeply lodged. Thus, careful planning and having right instruments is important. The removal of the toothbrush head requires Visual inspection and proper investigations of the nasal cavity to reveal its precise location (Goswami and Goswami, 2015). A CT scan can be carried out to obtain 3-cross-sectional and dimensional pictures of the internal anatomy of the nasal cavity. A CT scan produces more detailed pictures images, and it is a more sensitive technique that can show the presence of the toothbrush in the nasal cavity (Foltran, Ballali, Rodriguez, Passali, Gulati, and Gregori, 2013).

The patient should be prepared for surgery under anesthesia. Prior to surgical intervention, blood spectrum antibiotics will be essential to prevent sepsis, if the patient is unimmunized tetanus prophylaxis is important and anti-inflammatory agents will also be important to increase the visibility of the toothbrush and to reduce edema (Oza, Agrawal, and Panda, 2002). The most appropriate approach for the surgery is open rhinoplasty. This approach is safe and effective in removing foreign bodies in the nasal cavity because it provides good surgical exposure (Patil, and Anand, 2011). Open rhinoplasty allows the surgeon to observe the entire structure of the external nose with effectual bimanual surgical dissection whereas providing an acceptable result (Patil, and Anand, 2011).

After the surgery, careful examination of the nasal cavity should be undertaken because there may be another unrecognized foreign body. Besides, epistaxis that is commonly seen during the removal of foreign bodies from the nasal cavity should be dealt with appropriately (Svider, Sheyn, Folbe, Sekhsaria, Zuliani, Eloy, and Folbe, 2014).

Bibliography

Goswami, S. and Goswami, C., 2015. A broken toothbrush in the retropharyngeal space in a toddler of sixteen months. Case reports in emergency medicine, 2015.

Foltran, F., Ballali, S., Rodriguez, H., Passali, D., Gulati, A. and Gregori, D., 2013. Inhaled foreign bodies in children: a global perspective on their epidemiological, clinical, and preventive aspects. Pediatric pulmonology, 48(4), pp.344-351.

Oza, N., Agrawal, K. and Panda, K.N., 2002. An unusual mode of injuryimplantation of a broken toothbrush medial to ramus: Report of a case. Journal of Dentistry for Children, 69(2), pp.193-195.

Patil, P.M. and Anand, R., 2011. Nasal foreign bodies: A review of management strategies and a clinical scenario presentation. Craniomaxillofacial Trauma and Reconstruction, 4(01), pp.053-058.

Svider, P.F., Sheyn, A., Folbe, E., Sekhsaria, V., Zuliani, G., Eloy, J.A. and Folbe, A.J., 2014, November. How did that get there? A populationbased analysis of nasal foreign bodies. In International forum of allergy & rhinology (Vol. 4, No. 11, pp. 944-949).