Article Type
Case Report
Abstract
Background: Nasal foreign bodies are commonly encountered in pediatric patients but are relatively rare in adults. The presence of a live insect as nasal foreign bodies is an unusual occurrence that can cause significant discomfort. This report describes the case of a cockroach lodged in the right nasal cavity of an otherwise healthy adult female that was successfully removed endoscopically. Case Presentation: A 46-year-old otherwise healthy female presented with right-sided nasal discomfort and persistent rhinorrhea of two days' duration. She reported a sensation of an insect entering her right nostril but was unable to identify the insect. Nasal endoscopy revealed a dead cockroach lodged between the middle turbinate and the nasal septum, with its head deeply embedded superior to the middle turbinate. Under local anesthesia, the insect was removed in multiple pieces using a suction tip with the aid of a 0° nasoscope. The patient recovered uneventfully without complications. Conclusion: This case highlights the importance of considering unusual nasal foreign bodies in adults presenting with unexplained unilateral nasal symptoms. Endoscopic removal remains the preferred approach, ensuring safe extraction while minimizing complications.
Keywords
Nasal foreign body, Cockroach, Endoscopic removal, Rhinorrhea, Otorhinolaryngology
Recommended Citation
Alshihaby, Wael J.
(2026)
"Nasal Cockroach: A Rare Cause of Nasal Foreign Body in a Healthy Adult Female—A Case Report,"
Iraqi National Journal of Medicine: Vol. 8
:
Iss.
2
, Article 7.
Available at:
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