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2017 ; 9
(ä): 107-112
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The art of removing nasal foreign bodies
#MMPMID29158694
Ng TT
; Nasserallah M
Open Access Emerg Med
2017[]; 9
(ä): 107-112
PMID29158694
show ga
OBJECTIVE: The removal of nasal foreign bodies (NFBs) can be a difficult task for
the inexperienced physician, and the more unsuccessful attempts are made, the
more difficult the extraction becomes. We have formulated this simple "four-step"
approach to improve success, especially on the first try. METHODS: A
retrospective review of cases requiring NFB removal, seen by one registrar from
2012 to 2016 at Frankston Hospital, was performed. RESULTS: From 2012 to 2016, 93
patients were referred, of whom 65 were confirmed to have NFBs. In all, 20
patients were first seen by the registrar and had the NFB removed successfully.
Another 28 patients were referred to the registrar only after one failed attempt
by another medical personnel, and the remaining 17 patients were referred after
two failed attempts. All patients had the NFB removed locally in the emergency
department using the "four-step" approach, except four patients who had the NFB
removed under general anesthesia in the operating theater. Three of the latter
had two failed attempts and had refused further attempts, and the fourth patient
had developed epistaxis after a failed removal by his general practitioner.
CONCLUSION: When performed correctly, the "four-step" approach will result in the
successful removal of NFBs. Ideally, the removal of NFBs should only be performed
by an experienced medical personnel, and any failed first attempt removals must
be subsequently managed only by an experienced medical personnel.