Conclusions
To the best of our knowledge, this study represents one of the largest pediatric cohorts of NFB. Most patients with NFB are asymptomatic; thus, a high index of suspicion of the possibility of a foreign body is important. Button batteries and magnets in the nasal cavity are extremely hazardous and can cause rapid tissue damage to the nasal mucosa. Posterior location of NFB, left-sided insertion, multiple failures of removal and older age were found to be associated with the need of general anesthesia, and with consequent infections and complications. With regards to previous publications, it is worth mentioning that none of the patients in our cohort present with any major complications, including respiratory distress nor signs of sepsis or hemodynamic instability. This is in contrary to other reports. Although aspiration of the NFB is a potential life-threatening complication, we did not have such cases in our cohort. We believe that our favorable results represent the outstanding cooperation between pediatric ED physicians and otolaryngologists in our medical center. Excellent teamwork is crucial for treating all patients, especially children with NFB.