• Christopher E Fundakowski, Seo Moon, and Leonardo Torres.
• Department of Otolaryngology-Head & Neck Surgery, University of Miami-Miller School of Medicine, Miami, Florida 33136, USA.
• J Emerg Med. 2013 Jan 1;44(1):104-6.

BackgroundNasal foreign bodies (NFBs) are a common occurrence, particularly in children between 2 and 4 years old. Many techniques have been developed to remove NFBs, though intranasal batteries, in particular, possess characteristics such as round shape, smooth surface, and limited visibility that make attempts at removal significantly more difficult. In the context of intranasal batteries, a considerable local soft tissue reaction and potential necrosis may exist to further complicate removal.ObjectiveTo present a technique for removal of difficult intranasal foreign bodies that may be utilized by health care practitioners, particularly in the Emergency Department setting.Case ReportWe present a case of a 4-year-old child presenting with intranasal battery with mucosal necrosis. After conventional techniques failed, we utilized a novel wire snare technique to dissect the NFB free from the nasal mucosa safely and in an atraumatic fashion.ConclusionThis technique is noted to be a rapid, atraumatic, and effective means for the removal of difficult NFBs.Copyright © 2013 Elsevier Inc. All rights reserved.

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