Nasal Foreign Body Removal in Children

Kiger, James; Brenkert, Timothy E.; Losek, Joseph D.

doi:10.1097/pec.0b013e31818c2cb9

Cited by 46 publications

(57 citation statements)

References 29 publications

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“…beads Note: Potentially less emotionally traumatic for the child than direct physical removal of the object 1 and good for very young patients.…”

Section: Positive Pressure (Parent) Methods [12] -Also Known As the Kmentioning

confidence: 99%

“…Technique: Parent uses his or her mouth to apply positive pressure into the patient's mouth with simultaneous occlusion of the contralateral nostril [1].…”

Section: Positive Pressure (Parent) Methods [12] -Also Known As the Kmentioning

confidence: 99%

“…Nasal foreign body (NFB) is a not an uncommon presentation to the emergency department (ED) and makes up approximately 0.1% of paediatric emergency department visits [1]. Most commonly found NFB are object of interest to children such as beads, toys, jewels, sweets, stones, batteries and even magnets.…”

Section: Objectivementioning

confidence: 99%

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20 ways of removing a nasal foreign body in the emergency department

Ng¹

2016

Otorhinolaryngol Head Neck Surg

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Background: Nasal foreign body (NFB) is a common presentation to the emergency department (ED). It is often a dilemma for the treating physician to choose the best method as removal of NFB can be challenging, frustrating and distressing for the physician, the patient, and the patient's parents. Method:We have listed the 20 possible methods one could use to remove NFB in an ED setting. Results 1.Positive Discussion: Any of the chosen methods has its own benefits and most are suitable for some but not all NFB shapes. In addition, for the removal of NFB with any technique to be successful, four prerequisite needs to be fulfilled which are: a well restrained patient, a good head light with optimal illumination, a nasal speculum and decongested nasal cavity. Conclusion:The child usually allows only one or two attempts at most for removal of NFB, hence assess the child carefully and if you do not feel you are the right person for the job, get help from seniors or direct referral to the ENT team should you anticipate a difficult removal of a NFB. ObjectiveNasal foreign body (NFB) is a not an uncommon presentation to the emergency department (ED) and makes up approximately 0.1% of paediatric emergency department visits [1]. Most commonly found NFB are object of interest to children such as beads, toys, jewels, sweets, stones, batteries and even magnets. For the dilemma facing the

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“…beads Note: Potentially less emotionally traumatic for the child than direct physical removal of the object 1 and good for very young patients.…”

Section: Positive Pressure (Parent) Methods [12] -Also Known As the Kmentioning

confidence: 99%

“…Technique: Parent uses his or her mouth to apply positive pressure into the patient's mouth with simultaneous occlusion of the contralateral nostril [1].…”

Section: Positive Pressure (Parent) Methods [12] -Also Known As the Kmentioning

confidence: 99%

See 1 more Smart Citation

20 ways of removing a nasal foreign body in the emergency department

Ng¹

2016

Otorhinolaryngol Head Neck Surg

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“…Еще одним этиологическим фактором ППН яв ляются инородные тела, особенно батарейки, кото рые, окисляясь, приводят к некрозу слизистой обо лочки и ППН уже в течение первых часов [22][23][24].…”

Section: Introductionunclassified

Nasal septal perforations: Etiology, pathogenesis, clinical manifestation and treatment (A review of literature)

Чекалдина¹

2016

Ross. rinol.

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Перфорация перегородки носа (ППН) -это за болевание, при котором нарушается целостность слизистой оболочки и хряща перегородки носа (ПН) [1]. Распространенность ППН в популяции, по не которым данным, составляет 0,9% [2].Основной причиной ППН (по данным разных авторов, около 60%) остаются ятрогенные факторы: предшествующая операция на ПН, электрокоагуля ция или радиоволновое прижигание сосудов на ПН при носовых кровотечениях, особенно, если они выполняются симметрично с обеих сторон, уста новка интраназальных стентов, длительная тампо нада носа, неаккуратно выполненный туалет носа после операции, когда наконечником отсоса трав мируется слизистая оболочка [3][4][5][6][7][8][9][10][11][12][13].К ятрогенным факторам относятся также по грешности при лечении [1,4,[11][12][13]. Одним из важных причинных факторов ППН является травма doi: 10.17116/rosrino201624124-27 Перфорации перегородки носа: этиология, патогенез, клиника и лечение (обзор литературы) Е.В. ЧЕКАЛДИНА ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России, Москва, Россия В обзоре представлены данные литературы о распространенности перфораций перегородки носа (ППН), описаны этиологические факторы, ведущие к их образованию. Рассмотрены ятрогенные (операции на перегородке носа, репозиции костей носа) и профессиональные факторы риска, описаны причины образования ППН на фоне злоупотребления различными интраназальными веществами, вследствие системных воспалительных или инфекционных заболеваний, новообразований, а также возникающие после проведения системной химиотерапии. В зависимости от размеров и расположения ППН описаны симптомы заболевания: свист при дыхании, сухость, носовые кровотечения, деформация наружного носа; рассмотрены варианты бессимптомных перфораций. Описано консервативное лечение при больших размерах ППН, которое, по сути, является паллиативным при данной патологии. Представлены варианты хирургического лечения, которые направлены не на закрытие перфорации, но могут улучшить носовое дыхание и уменьшить проявление заболевания. Описана методика использования «назальных пуговиц» как альтернатива хирургическому лечению при наличии противопоказаний к пластическому закрытию ППН. The review gives the data available in the literature on the prevalence of nasal septal perforations (NSP) and describes the etiological factors leading to their development. It considers iatrogenic (nasal septal surgery, nasal bone repositions) and occupational risk factors and describes the causes of NSP in the abuse of different intranasal substances, because of systemic inflammatory or infectious diseases, neoplasms, as well as those occurring after systemic chemotherapy. The disease symptoms, such as wheezing, dryness, nasal hemorrhage, external nasal deformity, are described according to the sizes and position of NSP; the types of asymptomatic perforations are considered. The paper depicts the medical treatment for large NSP, which is per palliative for this pathology. It presents surgical treatments that are aimed at...

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“…Foreign bodies are generally located in the anterior section of the nasal cavity (8). Although symptoms may vary according to the patient age and type of foreign body, in very young children parents may be suspicious or have witnessed the act and in older children there are feelings of pain and discomfort (9).…”

Section: Introductionmentioning

confidence: 99%

Foreign Body in the Nose in Children: The Relationship with the Dominant Hand, Parental Behaviour and Level of Education

Sarıca

Kırık

2018

Iran J Pediatr

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Background: The aim of this study was to examine the relationship between a foreign body in the nose of a child and the dominant hand, the educational level of the parents and the habits of the mother in cleaning the nose with tissues or tweezers etc. Objectives: There is a lack of evidence about the foreign body in the nose in children and association among dominant hand, parental behaviour and education level. Methods: A retrospective examination was made of the records of 136 patients (78 male, 58 female) diagnosed with a foreign body in the nose in the period January 2014 -January 2017. A record was made of age, gender, the type of foreign body, treatment and complications, etc. Patients with a psychosomatic disorder were excluded from the study. Results: The vast majority of the patients were children aged 2-5 years (N = 124, 91.17%). The most common foreign bodies were a bead, a part of a plastic toy, a button, a safety pin, paper and paper tissues. The foreign body was removed from the same side as the dominant hand in 116 (85.29%) cases. The incidence of nasal foreign body was found to be statistically significantly higher in those with a parental level of education of primary school (P < 0.026). Conclusions:There was a statistically significant relationship between the localisation of a nasal foreign body and the dominant hand, so the patient's relatives must be asked about the side of the dominant hand. Taking into consideration that complications are greatly reduced with clinical experience, it is recommended that intervention for a nasal foreign body is made by an ear, nose and throat specialist.

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Nasal Foreign Body Removal in Children

Cited by 46 publications

References 29 publications

20 ways of removing a nasal foreign body in the emergency department

20 ways of removing a nasal foreign body in the emergency department

Nasal septal perforations: Etiology, pathogenesis, clinical manifestation and treatment (A review of literature)

Foreign Body in the Nose in Children: The Relationship with the Dominant Hand, Parental Behaviour and Level of Education

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