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The 'parent's kiss': an effective way to remove paediatric nasal foreign bodies

Neeraj Purohit1, Shalina Ray, Tom Wilson

  • 1ENT Department, Luton and Dunstable Hospital, Luton, UK. neerajpurohit@hotmail.com

Annals of the Royal College of Surgeons of England
|July 19, 2008
PubMed

Insights

The parent's kiss technique successfully removed nasal foreign bodies in 64.5% of children, significantly reducing the need for general anesthesia. This non-traumatic method is recommended for primary care management of pediatric nasal foreign bodies.

Area of Science:

  • Pediatric Emergency Medicine
  • Otolaryngology
  • Medical Innovations

Background:

  • Nasal foreign bodies are common in young children.
  • Traditional removal methods may require general anesthesia.
  • A novel, non-invasive technique, the 'parent's kiss', was introduced.

Purpose of the Study:

  • To assess the efficacy of the 'parent's kiss' technique for removing nasal foreign bodies in children.
  • To determine if this technique decreases the requirement for general anesthesia.

Main Methods:

  • Prospective observational study involving 31 children under 5 years old with nasal foreign bodies.
  • Data collected from accident, emergency, and ENT departments over 6 months.
  • Primary outcome: successful removal using the 'parent's kiss'; Secondary outcome: reduction in general anesthesia use.

Main Results:

  • The 'parent's kiss' technique was successful in 20 of 31 children (64.5%).
  • Only one child (3%) required general anesthesia, a significant decrease from the previous 32.5% rate.
  • Even when unsuccessful, the technique aided subsequent foreign body removal.

Conclusions:

  • The 'parent's kiss' is an effective, non-traumatic first-line treatment for pediatric nasal foreign bodies.
  • Routine use in primary care settings is advocated.
  • This technique offers both physical and emotional benefits for children.
Abstract

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