Unilateral inferior turbinate hypoplasia caused by a longstanding (approximately 35 yr) nasal foreign body

by Fiorenza Derosas, MD, Gino Marioni, MD, Brescia Giuseppe, MD, Alessandra Florio, MD, Claudia Staffieri, MD, and Alberto Staffieri, MD | Tuesday, January 01, 2008

IntroductionReports of foreign bodies being lodged in the nasal cavity for more than 20 years are rare in the English-language literature. We describe the case of a nasal foreign body that had been impacted for approximately 35 years. We also discuss the resultant hypoplasia of the inferior turbinate on the ipsilateral side.Case reportWe evaluated a 44-year-old man who complained of recurrent right-sided epistaxis of approximately 2 years’ duration. These episodes were self-limited and did not require any medical or surgical treatments. During the previous year, he had also experienced cacosmia, ipsilateral rhinorrhea, and mild facial pain in the area of the right maxillary sinus.Four months earlier, the patient had been evaluated at another otolaryngology department and diagnosed with acute rhinosinusitis. He was treated with an oral antibiotic (amoxicillin) and a topical nasal steroid (budesonide), but he experienced only limited improvement. The patient's general practitioner .../continued/

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