Removing Blunt Foreign Bodies from Nasal Cavities by Using a Foley Balloon Catheter in the Emergency Department.
- Author:
Gi Woon KIM
1
;
Sang Cheon CHOI
;
Sang Kyu YOON
;
Ji Young KIM
;
Joon Pil CHO
;
Yoon Seok JUNG
Author Information
1. Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea. ysjung@ajou.ac.kr
- Publication Type:Comparative Study ; Original Article
- Keywords:
Foreign bodies;
Nasal cavity;
Catheter zativn
- MeSH:
Axis, Cervical Vertebra;
Catheters*;
Child, Preschool;
Emergencies*;
Emergency Service, Hospital*;
Epistaxis;
Foreign Bodies*;
Head;
Humans;
Lifting;
Nasal Cavity*;
Nose;
Prospective Studies
- From:Journal of the Korean Society of Emergency Medicine
2002;13(4):508-512
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was performed to determine the success rate and the safety of removing blunt nasal foreign bodies from nasal cavities by using a Foley balloon catheter. METHODS: A prospective study involving 30 pediatric patients was conducted. The ages of the patients range from 18 months to 4 years old. The average age was 3.0+/-2.5 years. A variety of blunt nasal foreign bodies were removed by lifting the tip of the nose, inserting a Foley balloon catheter (6~8 Fr) about 5 cm perpendicular to coronal axis of the head with tight contact with the bottom of the inferior meatus passing the foreign bodies, gently inflating the balloon with 1-2 cc of air, and pulling the Foley ballon catheter perpendicularly with a steady pressure (same axis as insertion). RESULTS: Blunt foreign bodies in nasal cavities were successfully removed in all 30 patients by using this method. There were no significant complications. In only 3 patients were nonsustained minor epistaxis observed, and these required no intervention. CONCLUSION: This method had a high success rate (100%) and was safe. Further well designed comparative studies are required.