What’s in a Nose? A Case Report on Chronic Unilateral Rhinorrhea

Authors

  • Kennedy Dierks Kennedy Dierks, Research Assistant, Carniol Plastic Surgery, Seton Hall University, USA. Author
  • Eric Carniol Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, USA Author

DOI:

https://doi.org/10.47363/JOLRR/2022(1)106

Keywords:

Pediatrics, Foreign Body, ENT, Nose, Case Report, Otolaryngology

Abstract

Introduction and Importance: Nasal foreign bodies often present acutely following insertion but may be missed by both family and health care
providers, remaining in place for weeks, months, or even years after the initial event.
Case Presentation: We present the case of a 16-year-old female who presented in-office complaining of intermittent unilateral foul-smelling rhinorrhea.
The diagnosis was confirmed by intranasal examination with a speculum, as well as a computed tomography scan. She underwent surgery, removing
an eraser top for a pencil with subsequent resolution of symptoms.
Discussion: The diagnosis is based on the clinical history, physical examination and is supported by CT and exploratory surgery, this last one being
also therapeutic.
Conclusion: This case of chronic unilateral rhinorrhea due to a foreign body reinforces the importance of clinical examination as well as full evaluation
of the differential diagnosis of both acute and chronic rhinorrhea particularly in small and older children

Author Biographies

  • Kennedy Dierks, Kennedy Dierks, Research Assistant, Carniol Plastic Surgery, Seton Hall University, USA.

    Kennedy Dierks, Research Assistant, Carniol Plastic Surgery, Seton Hall University, USA.

  • Eric Carniol, Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, USA

    Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, USA

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Published

2025-11-22