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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. |
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| ABSTRACT |
PURPOSE:
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.
METHODS:
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).
RESULTS:
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.
CONCLUSION:
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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