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Nasal foreign body removal in children
James R Kiger1, Timothy E Brenkert, Joseph D Losek
1Pediatric Department, Medical University of South Carolina, Charleston, USA.
Pediatric Emergency Care
|November 20, 2008
Summary
Nasal foreign bodies in children, often toys, are removed using various emergency department techniques. Prompt removal is crucial, especially for magnets and button batteries, to prevent serious complications like tissue damage.
Area of Science:
- Pediatric Emergency Medicine
- Otolaryngology
Background:
- Nasal foreign bodies are common in young children (2-4 years old).
- Plastic toys and beads are the most frequent objects found.
Purpose of the Study:
- To review management techniques for pediatric nasal foreign bodies.
- To highlight associated risks and potential complications.
Main Methods:
- Overview of positive-pressure expulsion techniques (oral, nasal).
- Description of direct mechanical extraction methods (forceps, hooks, catheters).
- Discussion of saline irrigation as a removal method.
Main Results:
- Multiple removal techniques exist, each with unique risks and benefits.
- Complications include aspiration, trauma, infection, and choanal stenosis.
- Button batteries and magnets necessitate immediate removal due to necrosis risk.
Conclusions:
- Effective management strategies are available for nasal foreign bodies in children.
- Awareness of potential complications guides treatment decisions.
- Urgent intervention is critical for hazardous materials like magnets and button batteries.
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