A Narrative Review of the Management of Nasal Foreign Bodies in Children in General Practice
- Author:
David Cheong Cher Chee
- Publication Type:Journal Article
- Keywords:
Child;
Foreign Body;
General Practitioner
- From:The Singapore Family Physician
2016;42(4):67-75
- CountrySingapore
-
Abstract:
Objectives: Children with nasal foreign bodies (FB) are likely to be brought to their general practitioners (GP) first. Successful removal of FBs requires preparation and correct selection of technique for each unique FB and child. Mismanagement may result in serious consequences. This review aims to provide the GP with the knowledge of preparation and different techniques of nasal FB removal in children. Method: PubMed and the Cochrane library were searched for articles containing the MeSH terms “nose” or “nasal cavity” and “foreign bodies” or “foreign body” with filters for “Humans”, “Child” and “English” language. Further hand search was done. Based on the Oxford Centre for Evidence-Based Medicine 2011 levels of evidence, the studies were graded as Level 4. Discussion: Nasal FBs in children tend to occur at a mean of 3 years of age. The type of FB is variable. Button battery FBs need to be removed as soon as possible. Proper preparation including adequate visualisation, restraint, analgesia and decongestion is discussed. The selection of technique depends on the type of FB and location. The advantages and disadvantages of each technique are discussed. The “mother’s kiss” method has been found to be effective and safe, making it an ideal first-line technique for the GP to employ. Conclusion: Nasal FBs in children may be safely and effectively managed in the GP setting given adequate preparation and selection of the correct technique.
