CME Review ArticleNasal Foreign Body Removal in ChildrenKiger, James R. MD; Brenkert, Timothy E. MD; Losek, Joseph D. MD Author Information Pediatric Resident (Kiger and Brenkert), Professor (Losek), Pediatric Department, Medical University of South Carolina, Charleston, SC. The authors have disclosed that they have no significant relationship with or financial interests in any commercial companies that pertain to this educational activity. All staff in a position to control the content of this CME activity have disclosed that they have no financial relationships with, or financial interests in, any commercial companies pertaining to this educational activity. Lippincott CME Institute, Inc. has identified and resolved all faculty conflicts of interest regarding this educational activity. Address correspondence and reprint requests to Joseph D. Losek, MD, Pediatric Emergency/Critical Care Division, 135 Rutledge Ave, PO Box 250566, Charleston, SC 29425. E-mail: [email protected]. Pediatric Emergency Care 24(11):p 785-792, November 2008. | DOI: 10.1097/PEC.0b013e31818c2cb9 Buy Metrics Abstract Nasal foreign bodies in children are often managed in the pediatric emergency department. The child is usually between 2 and 4 years old, and the foreign body is most commonly a plastic toy or bead. Nasal foreign bodies are removed by a number of techniques. Positive-pressure expulsion is accomplished by orally applied pressure via a parent's mouth or an Ambu bag or by nasally applied pressure via a catheter or an oxygen source. The object can be washed out with nasally applied saline. Direct mechanical extraction is possible with a variety of tools, including forceps, hooks, or balloon-tipped catheters. Each method carries its own risks and benefits. Serious complications of nasal foreign bodies include posterior dislodgement and aspiration, trauma caused by the object itself or removal attempts, infection, and choanal stenosis. Magnets and button batteries require emergent removal as they carry the risk of septal perforation or necrosis, which may develop within a relatively short time. © 2008 Lippincott Williams & Wilkins, Inc.