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ASOHNS ASM 2025
ASOHNS ASM 2025
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An Attractive Solution for Magnet Removal in the Paediatric Emergency Department

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Presentation Description

Institution: Perth Children's Hospital - WA, Australia

Foreign body ingestion in children is a common reason for emergency department visits, interhospital transfers and operative interventions. These situations often induce anxiety for the child, the caregiver, and the otolaryngologist. The approach to management depends on the number, size, shape and location of the object(s), the time elapsed since ingestion, and the patient’s age. Small, powerful magnets are increasingly available in toys and other products, and the incidence of magnet-related injuries is on the rise. The ingestion of multiple magnetic foreign bodies can present additional challenges as they may attract each other through two sides of a lumen, and can result in serious complications such as obstruction, perforation or fistula formation. We present a case of a 13-month-old who presented to the paediatric emergency department hours after swallowing several small spherical magnets. Plain films revealed three connected magnets in the stomach and another set of three in the oropharynx. ENT was consulted for retrieval of the upper aerodigestive tract foreign bodies before they could be ingested and cause complications. A metallic tongue depressor was used to successfully retrieve the magnets. This innovative approach offers a quick, effective solution for managing magnetic foreign bodies, minimising delays and reducing the need for anaesthesia. This case underscores the importance of prompt evaluation and removal of such foreign bodies, and demonstrates how simple, familiar instruments can be creatively employed, allowing primary care physicians, especially in rural or remote settings, to manage such troublesome cases efficiently.

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