Effectiveness of parents kiss for removal of pediatric nasal foreign bodies
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20220808Keywords:
Parents kiss, Mothers kiss, Nasal foreign bodyAbstract
Background: Lodging of foreign body in the nose is one of the common accidents in pediatric age group leading to emergency consultation. Our aim was to evaluate the efficacy of mouth to mouth blowing to remove or facilitate removal of nasal foreign body.
Methods: This was a prospective interventional study on 46 children aged 2-6 years presenting to pediatric emergency department at Sher- I-Kashmir institute of medical sciences with a history of unilateral foreign body in nose, between February 2016 and January 2019. At the most, three attempts of Mouth-to-mouth blows were given to remove the foreign body. In case of failure, instrumentation was used. The data was tabulated according to age, Gender, type of foreign body and management received.
Results: Out of 46 children, 16 of the children were girls and 30 were boys. Parents kiss was successful in removing nasal foreign body in 34 (79.31%) children. Beads were the most common types of foreign bodies (36.96%). The most common presentation was report of accidental placement of something in the nose, other presentations were bleeding from the nose and unilateral discharge. 22 of 27 (81.48%) ‘Simple’ foreign bodies were removed by parents kiss while 12 of 19 (63.15%) ‘complex’ foreign bodies were removed by parents kiss.
Conclusions: For children presenting with foreign body in the nose, mouth to mouth blowing should be the first maneuverer to facilitate removal.
References
Botma M, Bader R, Kubba H. 'A parent's kiss': evaluating an unusual method for removing nasal foreign bodies in children. J Laryngol Otol. 2000; 114(8):598-600.
Sarica S, Kirik S. Foreign body in the nose in children: the relationship with the dominant hand, parental behaviour and level of education. Iran J Pediatr. 2018;28(5):e66556.
Francis PM, Adekanye AG, Mgbe RB, Offiong ME, Enyuma COA. Paediatric nasal foreign body in Calabar: A review of 5 years experience. Int J Pediatr Otorhio-laryngol. 1989;16:32-8.
Purohit N, Ray S, Wilson T, Chawla OP. The 'parent's kiss': an effective way to remove paediatric nasal foreign bodies. Ann R Coll Surg Engl. 2008; 90(5):420-2.
Backlin SA. Positive-pressure technique for nasal foreign body removal in children. Ann Emerg Med. 1995;25(4):554-5.
Navitsky RC, Beamsley A, McLaughlin S. Nasal positive-pressure technique for nasal foreign body removal in children. Am J Emerg Med. 2002;20(2): 103-4.
Cook S et al. Efficacy and safety of the “mother's kiss” technique: A systematic review of case reports and case series. CMAJ. 2012;184:E904.
Taylor C, Acheson J, Coats TJ. Nasal foreign bodies in children: kissing it better. Emerg Med J. 2010;27: 712-3.
Afolabi OA, Suleiman AO, Aremu SK, Eletta AP, Alabi BS, Segun-Busari S, et al. An audit of paediatric nasal foreign bodies in Ilorin, Nigeria. South Afr J Child Health. 2009;3(2):32-8.
Hong D, Chu YF, Tong KM, Hsiao CJ. Button batteries as foreign bodies in the nasal cavities. Int J Pediatr Otorhiolaryngol. 1987;14:15-9.
Baranowski K, Al Aaraj MS, Sinha V. Nasal Foreign Body. Treasure Island (FL): StatPearls. 2021.
Kiger JR, Brenkert TE, Losek JD. Nasal foreign body removal in children. Pediatr Emerg Care. 2008;24(11): 785-92.
Hira I, Tofar M , Bayram A, Yaşar M , Mutlu C, Özcan. Childhood Nasal Foreign Bodies: Analysis of 1724 Cases. Am J Emerg Med. 2002;32:45-9.
Cetinkaya EA, Arslan LB, Cukurova I, Nasal foreign bodies in children: Types, locations, complications and removal. Ann R Coll Surg Engl. 2007;88(1):153-8.
Dann L, Doody J, Howard R, Blackburn C, Russell J, Barrett M. Nasal foreign bodies in the paediatric emergency department. Ir J Med Sci. 2019;188(4): 1401-5.
Yunusa SI, Usman MA, Chitumu D, Ajiya A, Shofoluwe NA. Nasal foreign bodies among pediatric population in Zaria-Nigeria. 2019;21(2): 100-3.