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Removal of nasal foreign bodies with a Fogarty biliary balloon catheter
1Department of Otorhinolaryngology, Whiston Hospital, Prescot, Merseyside.
Insights
A Fogarty biliary balloon catheter successfully removed nasal foreign bodies in 23 of 25 children. This safe, outpatient procedure offers a cost-effective alternative to general anesthesia for pediatric nasal foreign body removal.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Nasal foreign bodies are common in children.
- Traditional removal methods can be challenging and may require general anesthesia.
Purpose of the Study:
- To evaluate the efficacy and safety of using a Fogarty biliary balloon catheter for removing nasal foreign bodies in children.
- To compare the cost-effectiveness of this method against traditional approaches.
Main Methods:
- A prospective study involving 25 children with nasal foreign bodies.
- Removal attempted using a Fogarty biliary balloon catheter (Intimax).
Main Results:
- Successful removal in 23 out of 25 children.
- No complications were reported in any of the cases.
- The procedure was safely performed on an outpatient basis.
Conclusions:
- The Fogarty biliary balloon catheter is a safe and effective method for removing nasal foreign bodies in children.
- This technique presents a favorable cost-benefit profile compared to inpatient removal under general anesthesia.
Abstract:
Twenty-five children with a range of nasal foreign bodies, which were not easily amenable to anterior instrumental extraction, were considered for this study. These foreign bodies were removed by the use of a Fogarty biliary balloon catheter (Intimax) successfully in 23 children. In two children no foreign body was found. None of the children had any complications. This is a safe procedure which can be performed as an out-patient. Whilst the cost of the catheter may appear expensive, in comparison to the cost of admission for removal of similarly sited foreign bodies under general anaesthesia, the catheter fares favourably.