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A Mysterious Odor After Nose Blowing

Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
1 Credit CME

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Article Information

Corresponding Author: Dylan Z. Erwin, BBA, 7342 Oak Manor Dr, #7206, San Antonio, TX 78229 (erwind@livemail.uthscsa.edu).

Published Online: February 18, 2021. doi:10.1001/jamaoto.2020.5628

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient for granting permission to publish this information.

References
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Hanna  TN , Shuaib  W , Han  T , Mehta  A , Khosa  F .  Firearms, bullets, and wound ballistics: an imaging primer.   Injury. 2015;46(7):1186-1196. doi:10.1016/j.injury.2015.01.034PubMedGoogle ScholarCrossref
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Ford  EG , Senac  MO  Jr , McGrath  N .  It may be more significant than you think: BB air rifle injury to a child’s head.   Pediatr Emerg Care. 1990;6(4):278-279. doi:10.1097/00006565-199012000-00007PubMedGoogle ScholarCrossref
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Harkare  VV , Khadakkar  SP , Deosthale  NV , Dhoke  P , Dhote  K .  Endoscopic management of accidentally lodged airgun pellet in paranasal sinus.   People’s Journal of Scientific Research. 2018;11(1):78-81. https://www.pjsr.org/Mar2017C/78-81.pdfGoogle Scholar
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Kim  BJ , Shoffel-Havakuk  H , Johns  MM  III .  Retained nasal trumpet for 20 months: an unusual foreign body.   JAMA Otolaryngol Head Neck Surg. 2019;145(1):93-94. doi:10.1001/jamaoto.2018.2939PubMedGoogle ScholarCrossref
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