Object in child's nose? Try the 'parent' approach.

摘要

"How to remove those things children put up their nose" (J Fam Pract. 2009;58:315-316) nicely summarized nasal foreign body removal. But author David A. Randall omitted what I consider to be the most important extraction tool: a parent's mouth. If the embedded item is a small pebble, seed, or other object, the mother or father is often able to blow it out of the child's nostril with relative ease. Staying across the room in order to avoid upsetting the patient, I instruct the parent to gently lay the child on the exam table and approach playfully-as if he or she is about to kiss the child. Gently but firmly, the parent occludes the unobstructed nostril, seals her lips over the child's mouth, and quickly blows in, using only the cheek muscles-not the diaphragm. This works best if the child's head is flexed down so the air moves from mouth to nasal cavity.