Nasal foreign body in children is not an uncommon presentation to the Emergency Department. Removal is essential.
Many methods of removal exist. Nasal wash technique is advocated mainly in friable foreign bodies. We report the
successful use of the oral bag-valve-mask insufflation technique to remove friable facial tissue in the left nose of a 2
year-old girl. We used a pediatric bag-valve-mask with a pop-off pressure relief valve to avoid barotrauma. Pop-off
pressure relief valve limits the pressure beyond 30mmHg. Conscious sedation was not required. There were no
complications.