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J Korean Soc Emerg Med > Volume 13(4); 2002 > Article
Journal of The Korean Society of Emergency Medicine 2002;13(4): 508-512.
Removing Blunt Foreign Bodies from Nasal Cavities by Using a Foley Balloon Catheter in the Emergency Department
Gi Woon Kim, Sang Cheon Choi, Sang Kyu Yoon, Ji Young Kim, Joon Pil Cho, Yoon Seok Jung
1Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea. ysjung@ajou.ac.kr
2Wide Regional Emergency Center, Ajou University Hospital, Suwon, Korea.
This study was performed to determine the success rate and the safety of removing blunt nasal foreign bodies from nasal cavities by using a Foley balloon catheter.
A prospective study involving 30 pediatric patients was conducted. The ages of the patients range from 18 months to 4 years old. The average age was 3.0+/-2.5 years. A variety of blunt nasal foreign bodies were removed by lifting the tip of the nose, inserting a Foley balloon catheter (6~8 Fr) about 5 cm perpendicular to coronal axis of the head with tight contact with the bottom of the inferior meatus passing the foreign bodies, gently inflating the balloon with 1-2 cc of air, and pulling the Foley ballon catheter perpendicularly with a steady pressure (same axis as insertion).
Blunt foreign bodies in nasal cavities were successfully removed in all 30 patients by using this method. There were no significant complications. In only 3 patients were nonsustained minor epistaxis observed, and these required no intervention.
This method had a high success rate (100%) and was safe. Further well designed comparative studies are required.
Key words: Foreign bodies, Nasal cavity, Catheter zativn
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