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'A parent's kiss': evaluating an unusual method for removing nasal foreign bodies in children
1Department of Otolaryngology-Head and Neck Surgery, Royal Hospital for Sick Children, Yorkhill, Glasgow, UK.
Insights
Mouth-to-mouth blowing effectively removed nasal foreign bodies in 79% of children. This safe and acceptable technique is recommended as a first-line treatment for pediatric nasal foreign body removal.
Area of Science:
- Pediatric Otolaryngology
- Emergency Medicine
Background:
- Nasal foreign bodies are frequent pediatric emergencies.
- Established removal methods exist, but positive pressure techniques are underutilized.
Purpose of the Study:
- To assess the efficacy, safety, and acceptability of a novel mouth-to-mouth blowing technique for pediatric nasal foreign body removal.
Main Methods:
- A prospective evaluation was conducted on 19 children with intranasal foreign bodies.
- The mouth-to-mouth blowing technique was applied to remove the foreign bodies.
Main Results:
- The technique achieved a success rate of 79% (15 out of 19 children).
- The procedure was well-tolerated, causing minimal distress and no complications.
- Parents universally found the method acceptable.
Conclusions:
- Mouth-to-mouth blowing is an effective and safe first-line management strategy for pediatric nasal foreign bodies.
- This prospective study provides the first evidence supporting this technique's efficacy.
Abstract:
Nasal foreign bodies are a common problem in children. Various techniques have been described for removing the offending articles. Positive pressure techniques have long been described, and have many potential advantages, but are not yet in widespread use. The aim of this study was to evaluate the efficacy, safety and acceptability of a technique of mouth-to-mouth blowing. Of 19 children with intranasal foreign bodies, the technique was successful in 15 (79 per cent). The procedure caused little or no distress to the child, and no complications were encountered. All parents found the technique acceptable. This technique for nasal foreign body removal is, as far as we are aware, the first to be subjected to any prospective evaluation of effectiveness. We suggest that it should be used as the first line management for removing nasal foreign bodies in young children.