Cyanoacrylate‐assisted foreign body removal from the ear and nose in children

Hanson, Ralph; Stephens, Michael M.

doi:10.1111/j.1440-1754.1994.tb00573.x

Cited by 31 publications

(11 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several methods have been described for removing nasal foreign bodies using forceps, suction, wire cerumen loops, hooked probes, Foley and Fogarty catheters, and positive-pressure techniques [2,8]. More recently, probes tipped with cyanoacrylate "superglue" have also been used [9]. We currently recommend the following method: children over 5 years of age are examined in a sitting position while younger children are restrained in a lying position.…”

Section: Discussionmentioning

confidence: 98%

Nasal foreign bodies in children

François

Hamrioui

Narcy

1998

European Archives of Oto-Rhino-Laryngology

View full text Add to dashboard Cite

Between 1994 and 1997, a total of 72 nasal foreign bodies were removed from 68 children (28 girls and 40 boys, including 2 repeats) in the ENT Department at Robert Debré Hospital, Paris. Ages ranged from 1 to 12.5 years (median, 3 years). Two children had bilateral foreign bodies. The unilateral foreign bodies were on the right side in 67.6% of cases. The most frequent objects were plastic objects, beads, paper, cotton and foam. Insertion was witnessed by an adult or reported by the child himself in the majority of cases. The other cases were diagnosed when complications occurred (as seen by persistent rhinorrhea and a foul body odor). All foreign bodies were removed in the consultation room using a hook or nasal forceps.

show abstract

Section: Discussionmentioning

confidence: 98%

Nasal foreign bodies in children

François

Hamrioui

Narcy

1998

European Archives of Oto-Rhino-Laryngology

View full text Add to dashboard Cite

show abstract

“…31 This has been superseded by faster setting cyanoacrylate "superglues" and is now in common use. [32][33][34] It is most eVective in removing smooth, round objects that are diYcult to grasp. The foreign body must be dry and easily visualised so that the risk of accidental contact with the mucosa or tympanic membrane is avoided.…”

Section: Negative Pressure Techniques (Suction)mentioning

confidence: 99%

Foreign bodies in the nose and ear: a review of techniques for removal in the emergency department

Davies

2000

Emergency Medicine Journal

View full text Add to dashboard Cite

Patients frequently present to the emergency department for removal of foreign bodies from the nose or ear. Early descriptions of foreign body removal from Roman times include "An insect must first be killed with vinegar and then removed with a probe; the patient should be encouraged to sneeze or better still he should be bound to a table with the aVected ear downwards and the table struck with a hammer so that the foreign body may be shaken out of the ear". 1Little scientific evidence regarding the best method of foreign body removal exists. The diverse nature of the problem has precluded randomised controlled trails and the medical literature consists mainly of anecdotal case reports. Unfortunately it sometimes seems as if the cavalier attitude to these problems has changed little from those 2000 years ago. The following review attempts to provide a logical, up to date approach to this common complaint. MethodsMedline 1966 to August 1998 was searched using the OVID interface and the search terms [{exp foreign bodies OR foreign body.mp} AND {exp nose OR nose.mp OR exp ear OR ear.mp}] LIMIT to human and English language. All appropriate articles were retrieved and further searched for relevant references, which were in turn followed up until a complete picture of all previous literature was assembled. These papers were supplemented by information from major ear, nose, and throat (ENT) and emergency medicine textbooks. Aetiology and epidemiologyPatients presenting with foreign bodies in the nose or ear are predominantly children in the 2 to 8 age group.2 Foreign bodies in the nose are less common than those in the ear and occur almost exclusively in children. The earliest presentation is likely to be around the age of 9 months when a child develops a pincer grip, allowing easy manipulation of small objects.

show abstract

“…Hanson and Stephens 22 have described the use of cyanoacrylate applied to the end of a plastic swab stick for the removal of nasal foreign bodies. The stick was pressed and held onto a plastic bead for 60 seconds before withdrawn and required 3 attempts before successful removal.…”

Section: Mechanical Extractionmentioning

confidence: 99%

Nasal Foreign Body Removal in Children

Kiger

Brenkert

Losek

2008

Pediatric Emergency Care

View full text Add to dashboard Cite

Nasal foreign bodies in children are often managed in the pediatric emergency department. The child is usually between 2 and 4 years old, and the foreign body is most commonly a plastic toy or bead. Nasal foreign bodies are removed by a number of techniques. Positive-pressure expulsion is accomplished by orally applied pressure via a parent's mouth or an Ambu bag or by nasally applied pressure via a catheter or an oxygen source. The object can be washed out with nasally applied saline. Direct mechanical extraction is possible with a variety of tools, including forceps, hooks, or balloon-tipped catheters. Each method carries its own risks and benefits. Serious complications of nasal foreign bodies include posterior dislodgement and aspiration, trauma caused by the object itself or removal attempts, infection, and choanal stenosis. Magnets and button batteries require emergent removal as they carry the risk of septal perforation or necrosis, which may develop within a relatively short time.

show abstract

Cyanoacrylate‐assisted foreign body removal from the ear and nose in children

Cited by 31 publications

References 6 publications

Nasal foreign bodies in children

Nasal foreign bodies in children

Foreign bodies in the nose and ear: a review of techniques for removal in the emergency department

Nasal Foreign Body Removal in Children

Contact Info

Product

Resources

About