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Nose Stud Screw Aspiration- A Tiny Foreign Body with Potentially Huge Disaster: 2 Cases with Different Ways of Retrieval
( Khai Lip Ng ) , ( Nai Chien Huan ) , ( Mona Zaria Nasaruddin ) , ( Noorul Afidza Muhammad ) , ( Ummi Nadira Daut ) , ( Jamalul Azizi Abdul Rahaman )
UCI I410-ECN-0102-2022-500-000981805
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Nose piercing is traditionally a common practice among women of Indian ancestry. The practice of nose piercing has gained significant popularity in various communities worldwide for the past decade. The practice can potentially lead to aspiration of nose jewelleries such as screws of nose studs. Aspiration of small foreign bodies can be silent although potentially serious and life-threatening sequelae can happen in long term. Herein, we present 2 patients of Indian ancestry who aspirated screw of nose studs with different Methods of retrieval. Both of the patients are assymptomatic and foriegn body was found incidentally on chest radiograph. They could not recall the timing of aspiration of foreign body, which is nose stud screw in this case. Small foriegn body such the nose stud screw could potentially dislodge into subsegmental bronchi, rendering retrieval extermely difficult. The 2 cases are presented to show that the same type of foreign body can be retrieved easily if it remains in the main bronchus simply with flexible bronchoscope and grasping forceps, or require various method such as retrieval basket, magnet etc under rigid bronchoscopy. Small foriegn body could lead to serious complications such as severe infection, or massive hemoptysis if left in the airway. While aspiration of scarf pins among Muslim girls and ladies who wears a hijab, called the “hijab syndrome” have been extensively reported, there is a paucity of publications regarding “nosestud syndrome” among Indian communities. To the best of our knowledge, this is the first case report delineating aspiration of screw of nose studs and their retrieval Methods. The incidence and burden of nose stud aspiration remains unknown, and is likely underreported and underrecognized, as patients can remain asymptomatic. We hope that our case report can help to increase awareness and understanding of potential dangers of nose piercing.

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